Career Development in Pragmatic Clinical Trials to Improve Care for People Living with Dementia
September 21, 2023

August 18, 2022
Authors: Antonia V. Bennett, PhD, Laura C. Hanson, MD, MPH, Gary Epstein-Lubow, MD, Sheryl Zimmerman, PhD
Description: Summarizes the discussions with the Lived Experience Panel and members from the Patient and Caregiver Relevant Outcomes Core about research study outcomes that are important to people living with dementia and their care partners.

The IMPACT Collaboratory’s leadership and Health Equity Team have worked with experts from across the Collaboratory to create a set of best practices related to integrating health equity into the design and conduct of embedded pragmatic clinical trials for people living with dementia and their care partners.
The guidance document includes a brief introduction, followed by best practices for six specific areas of concern including:
• Getting Started
• Community Partner Engagement
• Design and Analysis
• Intervention Design and Implementation
• Health Care System and Participant Selection
• Selecting Outcomes
Each of the focus areas includes best practices along with brief explanations for why these practices are important, and suggestions for their implementation.
In addition to the six separate focus area sheets, the document includes an extensive glossary of terms and key references for additional resources and key publications.
View the guidance document here.

January 2022 – In Grand Rounds 23, Dr. Bynum describes the use of data to identify people living with dementia as well as strengths, challenges and potential equity gaps when using a healthcare-generated data approach in pragmatic clinical trials.

December 2021 – Grand Rounds 22 features a panel of participants sharing their experiences in stakeholder engagement in ePCTs for people living with AD/ADRD and their care partners. Perspectives shared include that of a researcher, a stakeholder engagement expert and people living with dementia.

Gary Epstein-Lubow, MD
Team Leader, IMPACT Engaging Partners Team
Associate Professor of Psychiatry and Human Behavior
Associate Professor of Medical Science, Alpert Medical School of Brown University
Associate Professor of Health Services, Policy and Practice, Brown University School of Public Health
Heidi Gil
Executive Committee Member,
IMPACT Engaging Partners Team
Chief Strategy Officer, LiveWell

The NIA IMPACT Collaboratory Cores and Teams are creating a series of guidance documents to share important considerations and approaches to planning and conducting embedded pragmatic clinical trials (ePCTs) with people living with dementia (PLWD) and their care partners.
The first of these documents is, “Creating Effective Value Propositions” developed by the Implementation Core. The guide provides a definition and rationale for using value propositions to communicate value and address potential concerns of key stakeholders related to conducting ePCTs of programs/interventions in dementia care. Six steps for developing value propositions are described, and examples are shared.