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The 5Ts: Preliminary Development of a Framework to Support Inclusion of Older Adults in Research.

Publication ,  Journal Article
Bowling, CB; Whitson, HE; Johnson, TM
Published in: J Am Geriatr Soc
February 2019

BACKGROUND/OBJECTIVES: To address the underrepresentation of older adults in clinical research, the National Institutes of Health will require investigators to include individuals across the lifespan. As investigators from other fields endeavor to recruit participants who are more representative of the patient population, geriatricians may have the opportunity to influence a broad range of research studies in older adults. Our aims were to elicit challenges to inclusion of older adults in clinical research and to develop a preliminary framework for communicating these challenges to non-geriatrics-trained researchers. DESIGN: Communication framework development. SETTING: Academic hospital and Veterans Affairs Medical Center. PARTICIPANTS: Nongeriatrician researchers and staff, aging research experts. MEASUREMENTS: Interviews were used to elicit challenges nongeriatrician investigators and research staff experience when conducting research that includes older adults and then solicit experienced aging researchers' responses to these challenges. RESULTS: Challenges described by nongeriatrician investigators included lack of knowledge, rigid study structures, and a disease-focused approach. Responses from our geriatrics experts included communicating practical advice for avoiding common pitfalls. Our resulting framework is the 5Ts: Target Population, Team, Tools, Time, and Tips to Accommodate. This tool complements the 5Ms (Mind, Mobility, Medications, Multicomplexity, and Matters Most to Me) model for geriatric care and emphasizes representation of the Target Population, building research Teams that include aging expertise, incorporating appropriate Tools for function and patient-reported outcomes, anticipating Time for longer study visits, and accommodating common needs with practical Tips. Limitations include convenience sampling and lack of formal qualitative thematic analysis. CONCLUSION: Communicating with nongeriatrician researchers using the 5Ts may offer a practical approach to avoiding barriers to inclusion of older adults in research and complements an existing framework for communicating the value of geriatric medicine. Next steps in developing the 5Ts will be to include additional stakeholders (eg, national samples of nongeriatrician investigators, older adults and their families) and evaluating the impact of its implementation. J Am Geriatr Soc 67:342-346, 2019.

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Published In

J Am Geriatr Soc

DOI

EISSN

1532-5415

Publication Date

February 2019

Volume

67

Issue

2

Start / End Page

342 / 346

Location

United States

Related Subject Headings

  • United States
  • Patient Selection
  • National Institutes of Health (U.S.)
  • Male
  • Humans
  • Geriatrics
  • Geriatrics
  • Female
  • Biomedical Research
  • Aged, 80 and over
 

Citation

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Chicago
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Bowling, C. B., Whitson, H. E., & Johnson, T. M. (2019). The 5Ts: Preliminary Development of a Framework to Support Inclusion of Older Adults in Research. J Am Geriatr Soc, 67(2), 342–346. https://doi.org/10.1111/jgs.15785
Bowling, C Barrett, Heather E. Whitson, and Theodore M. Johnson. “The 5Ts: Preliminary Development of a Framework to Support Inclusion of Older Adults in Research.J Am Geriatr Soc 67, no. 2 (February 2019): 342–46. https://doi.org/10.1111/jgs.15785.
Bowling CB, Whitson HE, Johnson TM. The 5Ts: Preliminary Development of a Framework to Support Inclusion of Older Adults in Research. J Am Geriatr Soc. 2019 Feb;67(2):342–6.
Bowling, C. Barrett, et al. “The 5Ts: Preliminary Development of a Framework to Support Inclusion of Older Adults in Research.J Am Geriatr Soc, vol. 67, no. 2, Feb. 2019, pp. 342–46. Pubmed, doi:10.1111/jgs.15785.
Bowling CB, Whitson HE, Johnson TM. The 5Ts: Preliminary Development of a Framework to Support Inclusion of Older Adults in Research. J Am Geriatr Soc. 2019 Feb;67(2):342–346.
Journal cover image

Published In

J Am Geriatr Soc

DOI

EISSN

1532-5415

Publication Date

February 2019

Volume

67

Issue

2

Start / End Page

342 / 346

Location

United States

Related Subject Headings

  • United States
  • Patient Selection
  • National Institutes of Health (U.S.)
  • Male
  • Humans
  • Geriatrics
  • Geriatrics
  • Female
  • Biomedical Research
  • Aged, 80 and over