Action at a Distance: Geriatric Research during a Pandemic
Action at a Distance: Geriatric Research during a Pandemic
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DOI：
10.1111/jgs.16443
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发表时间：
2020-04-03
影响因子：
6.3
通讯作者：
Lenze, Eric J.
中科院分区：
文献类型：
--
作者：
Nicol, Ginger E.;Piccirillo, Jay F.;Lenze, Eric J.
背景 在 COVID-19 大流行的背景下，“远距离行动”可能成为临床研究人员的新常态，可能需要在未来 18 个月内保持社交距离。我们必须尽量减少与弱势群体的面对面接触。但我们也必须在大流行期间坚持、适应和帮助我们的老年患者和研究参与者。方法临床研究人员有义务提供帮助，我们也可以。讨论了在 COVID-19 大流行期间与老年人一起工作的临床研究人员的建议。 结果 立即实施技术：利用数字工具最大限度地减少与参与者的面对面接触，例如转向电子知情同意书和符合 HIPAA 的数字工具，例如电子邮件调查或远程健康评估。评估 COVID-19 的心理和社会影响：参与者如何应对？哪些健康或社会行为发生了变化？他们如何跟上时事？他们正在做什么来与家人、朋友和社区保持联系？他们的医疗保健需求得到满足吗？当前的研究应立即适应这些目的。 调动研究平台以满足患者需求：利用我们与参与者的关系，快速部署新颖的临床参与技术，例如数字工具，以进行远程干预并减少社会隔离对参与者的负面影响。为研究人员配备有形资源，并及时提供针对特定人群的健康信息，以支持患者和医疗保健提供者。 结论 随着这一流行病的继续发展，我们现在有机会对老年患者产生影响。最重要的是，临床研究人员需要继续工作，帮助尽可能多的人度过危机。
BACKGROUND "Action at a distance" may be the new norm for clinical researchers in the context of the COVID-19 pandemic that may require social distancing for the next 18 months. We must minimize face-to-face contact with vulnerable populations. But we must also persist, adapt, and help our older patients and study participants during the pandemic.METHODS Clinical researchers have an obligation to help, and we can. Recommendations for clinical researchers working with older adults during the COVID-19 pandemic are discussed.RESULTS Implement technology now: Minimize face-to-face contact with participants by utilizing digital tools, such as shifting to electronic informed consent and digital HIPAA-compliant tools such as e-mailed surveys or telehealth assessments.Assess the psychological and social impact of COVID-19: How are participants coping? What health or social behaviors have changed? How are they keeping up with current events? What are they doing to stay connected to their families, friends, and communities? Are their healthcare needs being met? Current studies should be adapted immediately to these ends.Mobilize research platforms for patient needs: Leverage our relationships with participants and rapidly deploy novel clinical engagement techniques such as digital tools to intervene remotely and reduce the negative effects of social isolation on our participants. Equip research staff with tangible resources, and provide timely population-specific health information to support patients and healthcare providers.CONCLUSIONS We have an opportunity to make an impact on our older adult patients now as this pandemic continues to unfold. Above all, clinical researchers need to continue working, to help as many people as possible through the crisis.