Best Practices for Integrating Health Equity into Embedded Pragmatic Clinical Trials for Dementia

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.

Citation: Best Practices for Integrating Health Equity into Embedded Pragmatic Clinical Trials for Dementia Care. NIA IMPACT Collaboratory; 2022. doi: doi.org/10.58234/74152992
Open Health Equity Best Practices PDF
Grand Rounds 14- March 2021

Update on Two IMPACT Funded Pilot Studies

March 2021 – In Grand Rounds 15 Drs. Forester and Hwang share experiences as Pilot Cycle 1 awardees and provide updates to their funded pilot studies.

Brent P. Forester, MD, MSc on his pilot: Implementation of the Care Ecosystem training model for individuals with dementia in a high risk, integrated care management program

Ula Hwang, MD, MPH on her pilot: Pathway to Detection & Differentiation of Delirium & Dementia in the Emergency Department

Webinar Slides

Speakers

Brent P. Forester, MD, MSc
Chief, Center of Excellence in Geriatric Psychiatry, McLean Hospital Medical
Director, Behavioral Health Integration, Quality, and Patient Experience, Mass General Brigham

Ula Hwang, MD, MPH
Professor, Vice Chair for Research, Department of Emergency Medicine
Yale School of Medicine

Learning Objectives

Dr. Forester:

  • To understand the rationale and design of our adaptation of the Care Ecosystem model to train nurse case managers to deliver telephone-based collaborative dementia care.
  • To appreciate the successes and challenges encountered in stakeholder engagement, adaptation of the Care Ecosystem training program and implementation of the model.
  • To describe updates on pilot progress to date and plans for a larger embedded pragmatic clinical trial.

Dr. Hwang:

  • To describe the Pathway to Detection & Differentiation of Delirium & Dementia in the Emergency Department (PD4ED) pilot.
  • To share challenges and solutions of implementation with an embedded pragmatic trial (during a pandemic and institution move).
  • To provide updates on the status of the PD4ED pilot study implementation.

 

Grand Rounds 11 November 2020

Implementation Outcomes: Their Role in Treatment Success

November 2020 – In Grand Rounds 11, Dr. Proctor presents on the role of implementation outcomes in implementation science, the current state of knowledge, conceptual and methodological challenges they pose, and directions for research to clarify how to effectively achieve implementation outcomes, understand their dynamic relationships to one another, and capture their effects in treatment effectiveness and public health impact.

Speaker

Enola Proctor, PhD

Professor
Brown School, Washington University in St. Louis

Learning Objectives

  • Participants will understand the importance of implementation outcomes
  • Participants will understand the conceptual and methodological challenge for studying implementation outcomes
  • Participants will know priorities for future research on implementation outcomes