Are Patients Whose Study Partners Are Spouses More Likely to be Eligible for Alzheimer's Disease Clinical Trials?

被引:26
作者
Grill, Joshua D. [1 ]
Monsell, Sarah [2 ]
Karlawish, Jason [3 ,4 ]
机构
[1] Univ Calif Los Angeles, David Geffen Sch Med, Mary Easton Ctr Alzheimers Dis Res, Dept Neurol, Los Angeles, CA 90095 USA
[2] Univ Washington, Natl Alzheimers Coordinating Ctr, Seattle, WA 98195 USA
[3] Univ Penn, Perelman Sch Med, Penn Ctr Bioeth, Dept Med,Penn Memory Ctr, Philadelphia, PA 19104 USA
[4] Univ Penn, Perelman Sch Med, Penn Ctr Bioeth, Dept Med Eth,Penn Memory Ctr, Philadelphia, PA 19104 USA
关键词
Alzheimer's disease; Dementia; Clinical trials; Caregiver; Study partner; Recruitment; RANDOMIZED CONTROLLED-TRIAL; QUALITY-OF-LIFE; COGNITIVE DECLINE; SUPPLEMENTATION; PROGRESSION; CAREGIVERS; PLACEBO;
D O I
10.1159/000339361
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Background/Aims: Alzheimer's disease (AD) clinical trials enroll two participants: a patient and a study partner. The primary caregiver most often fills the role of study partner and most trial study partners are spousal caregivers. Methods: AD trial inclusion criteria were applied to baseline data from 5,674 probable AD dementia research participants in the National Alzheimer's Coordinating Center Uniform Data Set. Eligibility was compared among patients with spousal, adult child, and other types of study partners. Results: Patients with spousal study partners were more frequently eligible than patients with adult child study partners. Compared to patients with spousal study partners, patients with adult child study partners were more frequently ineligible because of age, residence in skilled nursing facility, low scores on the Mini-Mental State Examination, high scores on the Hachinski Ischemia Scale, and failure to fulfill a minimum number of weekly visits with the study partner. Conclusions: In this sample, patients with adult child study partners were less likely to qualify for AD clinical trials than were patients with spousal study partners. This may contribute to the lower representation of patients with adult child caregivers in these studies. Copyright (C) 2012 S. Karger AG, Basel
引用
收藏
页码:334 / 340
页数:7
相关论文
共 22 条
[1]   High-dose B vitamin supplementation and cognitive decline in Alzheimer disease - A randomized controlled trial [J].
Aisen, Paul S. ;
Schneider, Lon S. ;
Sano, Mary ;
Diaz-Arrastia, Ramon ;
van Dyck, Christopher H. ;
Weiner, Myron F. ;
Bottiglieri, Teodoro ;
Jin, Shelia ;
Stokes, Karen T. ;
Thomas, Ronald G. ;
Thal, Leon J. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2008, 300 (15) :1774-1783
[2]   Effects of rofecoxib or naproxen vs placebo on Alzheimer disease progression - A randomized controlled trial [J].
Aisen, PS ;
Schafer, KA ;
Grundman, M ;
Pfeiffer, E ;
Sano, M ;
Davis, KL ;
Farlow, MR ;
Jin, S ;
Thomas, RG ;
Thal, LJ .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2003, 289 (21) :2819-2826
[3]  
Alzheimer's Association, 2004, ALZH ASS NAT ALL CAR
[4]  
[Anonymous], 2010, Alzheimer's Dementia, V6, P158, DOI DOI 10.1016/J.JALZ.2010.01.009
[5]  
[Anonymous], ALZHEIMERS DEMENT S1
[6]   Quality of Life of Patients with Alzheimer's Disease: Differential Perceptions between Spouse and Adult Child Caregivers [J].
Conde-Sala, J. L. ;
Garre-Olmo, J. ;
Turro-Garriga, O. ;
Vilalta-Franch, J. ;
Lopez-Pousa, S. .
DEMENTIA AND GERIATRIC COGNITIVE DISORDERS, 2010, 29 (02) :97-108
[7]   Potential ethnic modifiers in the assessment and treatment of Alzheimer's disease: challenges for the future [J].
Faison, Warachal E. ;
Schultz, Susan K. ;
Aerssens, Jeroen ;
Alvidrez, Jennifer ;
Anand, Ravi ;
Farrer, Lindsay A. ;
Jarvik, Lissy ;
Manly, Jennifer ;
McRae, Thomas ;
Murphy, Greer M., Jr. ;
Olin, Jason T. ;
Regier, Darrel ;
Son, Mary ;
Mintzer, Jacobo E. .
INTERNATIONAL PSYCHOGERIATRICS, 2007, 19 (03) :539-558
[8]   MINI-MENTAL STATE - PRACTICAL METHOD FOR GRADING COGNITIVE STATE OF PATIENTS FOR CLINICIAN [J].
FOLSTEIN, MF ;
FOLSTEIN, SE ;
MCHUGH, PR .
JOURNAL OF PSYCHIATRIC RESEARCH, 1975, 12 (03) :189-198
[9]   Addressing the challenges to successful recruitment and retention in Alzheimer's disease clinical trials [J].
Grill, Joshua D. ;
Karlawish, Jason .
ALZHEIMERS RESEARCH & THERAPY, 2010, 2 (06)
[10]   Racial, ethnic, and cultural differences in the dementia caregiving experience: Recent findings [J].
Janevic, MR ;
Connell, CM .
GERONTOLOGIST, 2001, 41 (03) :334-347