Workforce Development Engages Diverse Older Adults to Catalyze Innovative Approaches for Enhanced Recruitment and Retention

项目 总结 认识 政策 安舒茨 这 为了增加临床试验中不同老年人的代表性，NIH制定了一项新的 （NOT-OD-18-116），要求在整个寿命期内纳入指标。科罗拉多大学 医学校园（AMC）一直在努力充分解决伦理和科学的必要性， 在AMC成人临床试验中，只有25%（n=498）的受试者年龄超过50岁， 2019年的科罗拉多。西班牙裔的代表性明显不足（5%的入学率对22%的国家的 人口）。按年龄层划分的数据显示，75岁以上的参与者人数明显下降，这是增长最快的 年龄组在科罗拉多。我们未能成功地招募我们国家人口的重要部分 临床试验此外，在AMC进行临床试验招募/同意的员工中，只有4%的人年龄在60岁以上。我们 在招聘人员和我们需要招聘的人员之间存在着很大的年龄差距。我们 提出 研究 集中 通过培训和雇用不同的老年人来填补新的带薪职位， 参与专家（RES）和知情同意专家（ICS），他们将成为我们的一部分， 研究支持服务。我们将利用完善的培训基础设施， 通过项目合作伙伴提供的课程，使45名不同年龄的老年人在1-3年级为这些新角色做好准备 (Aim 1）。培训将是严格的，在6个月的沉浸式培训中， 学习，包括教学和体验，面对面和在线/虚拟组件。通过基于团队的 项目（培训的必要组成部分），不同的老年人将促进新的 支持招聘/留住人才的资源。培训后，临床研究支持部门将聘用RES/ICS 在AMC和附属医疗保健系统中拥有广泛临床试验网络的中心/团队。RESs/ICSs 将利用他们对不同人群的细致入微的理解来告知社区外展/参与， 适当处理这些考虑因素，以促进知情同意。在第二年和第三年，我们将组织 “研究路演”，使研究和研究团队，以不同的老年人在整个科罗拉多;我们 将前往8个地理上不同的农村/边境社区，每个社区都有独特的地缘政治历史， 文化环境和种族/民族构成（目标2）。我们的目标是达到2000人。我们将维持 通过多种沟通策略进行参与，将信息/语言和其他产品 由RES/ICS创建。这些 包括 新的方法将增加AMC临床试验的百分比， 不同的老年人，以及临床试验中不同老年人的百分比。

PROJECT SUMMARY Recognizing policy Anschutz this the need to increase representation of diverse older adults in clinical trials, NIH instituted a new (NOT-OD-18-116) requiring the inclusion of i ndividuals across the life span. The University of Colorado Medical Campus (AMC) has struggled to address adequately the ethical and scientific imperative of policy.Among AMC adult clinical trials, only 25% (n=498) enrolled even one subject over age 50 in Colorado during 2019. Hispanics were significantly underrepresented (5% of enrolled v. 22% of the state's population). Data by age strata show a noticeable drop in the number of participants 75+ -- the fastest growing age group in Colorado. We are failing to successfully recruit important segments of our state population to clinical trials. Further, only 4% of staff who do recruiting/ consenting for clinical trials at AMC are 60+. We have a major age-related disparity between those doing recruitment and those we need to recruit. We propose Research centralized to narrow this age gap by training and hiring diverse older adults to fulfill new paid positions as Engagement Specialists (RESs) and Informed Consent Specialists (ICSs) who will be part of our research support services.We will utilize well-established training infrastructure and adapt existing curricula, available through project partners, to prepare 45 diverse older adults in Years 1-3 for these new roles (Aim 1). Training will be rigorous, engaging cohorts of 15 diverse older adults in 6 months of immersive learning, including didactic and experiential, in-person and online/virtual components. Through team-based projects (a required component of training), diverse older adults will catalyze the development of new resources to support recruitment/retention. Once trained, RESs/ICSs will be hired by clinical research support centers/teams with extensive clinical trial networks across AMC and affiliated healthcare systems. RESs/ICSs will use their nuanced understanding of different populations to inform community outreach/engagement, and address these considerations appropriately to facilitate informed consent. In Years 2 and 3, we will organize “Research Roadshows” to bring research and research teams to diverse older adults throughout Colorado; we will travel to 8 geographically-distinct rural/frontier communities, each with a unique geo-political history, cultural milieu, and racial/ethnic composition (Aim 2). Our goal is to reach 2000 individuals. We will sustain engagement through multiple communication strategies that infuse messages/language and other products created by RESs/ICSs. These include novel approaches will increase both the percentage of AMC clinical trials that diverse older adults, and the percentage of diverse older adults in clinical trials.