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

工程 摘要 认识 政策 安舒茨 这 为了增加不同老年人在临床试验中的代表性，美国国立卫生研究院制定了一项新的 (非-OD-18-116)，需要包括整个生命周期的个人。科罗拉多大学 医学校园(AMC)一直在努力充分解决以下伦理和科学需求 在AMC成人临床试验中，只有25%(n=498)的受试者年龄超过50岁 科罗拉多州在2019年。拉美裔美国人的比例明显偏低(5%的在校生与22%的州 人口)。按年龄层次划分的数据显示，75岁以上的参与者数量明显下降--增长最快 科罗拉多州的年龄段。我们未能成功地招募到我们州人口中的重要部分 到临床试验。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 在进行招聘的人和我们需要招聘的人之间，存在着与年龄有关的重大差距。我们 提议 研究 集中 通过培训和雇用不同的老年人来填补新的有偿职位，以缩小这一年龄差距 参与专家(RESS)和知情同意专家(ICSS)，他们将成为我们 研究支持服务。我们将利用完善的培训基础设施，并适应现有的 通过项目合作伙伴提供的课程，在1-3年级为45名不同的老年人准备这些新角色 (目标1)。在为期6个月的沉浸式培训中，15名不同的老年人将进行严格的、有吸引力的培训 学习，包括授课和体验式、面对面和在线/虚拟组件。通过基于团队的 项目(培训的一个必要组成部分)，不同的老年人将促进新的 用于支持招聘/留用的资源。一旦接受培训，RESS/ICSS将受雇于临床研究支持部门 在AMC及其附属医疗系统中拥有广泛的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为社区外展/参与提供信息，以及 适当地处理这些考虑因素，以促进知情同意。在第二年和第三年，我们将组织 “研究路演”将研究和研究团队带给科罗拉多州不同的老年人；我们 将前往8个不同地理位置的农村/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/族裔构成(目标2)。我们的目标是覆盖2000人。我们会坚持下去 通过多种传播策略参与进来，将消息/语言和其他产品 由RESS/ICSS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的老年人的百分比。

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.