Journal article
Screening, Recruitment, and Baseline Characteristics for the Strategies to Reduce Injuries and Develop Confidence in Elders (STRIDE) Study
The journals of gerontology. Series A, Biological sciences and medical sciences, Vol.73(11), pp.1495-1501
11/01/2018
DOI: 10.1093/gerona/gly076
PMCID: PMC6175032
PMID: 30020415
Abstract
Background: We describe the recruitment of participants for Strategies to Reduce Injuries and Develop Confidence in Elders (STRIDE.), a large pragmatic cluster randomized trial that is testing the effectiveness of a multifactorial intervention to prevent serious fall injuries. Eligible persons were 70 years or older, community-living, and at increased risk for serious fall injuries. The modified goal was to recruit 5,322 participants over 20 months from 86 primary care practices within 10 diverse health care systems across the United States.
Methods: The at-risk population was identified using two distinct but complementary screening strategies that included three questions administered centrally via the mail (nine sites) or in the clinic (one site), while recruitment was completed centrally by staff at Yale.
Results: For central screening, 226,603 letters mailed to 135,118 patients yielded 28,719 positive screens (12.7% of those mailed and 46.5% of the 61,729 returned). In the clinic, 22,537 screens were completed, leading to 5,732 positive screens (25.4%). Of the 34,451 patients who screened positive for high risk of serious fall injuries, 31,872 were sent a recruitment packet and, of these, 5,451 (17.1%) were enrolled over 20 months (mean age: 80 years; 62% female). The participation rate was 34.0% among eligible patients. The enrollment yields were 3.6% (vs 5% projected) for each patient screened centrally, despite multiple screens, and 10.5% (vs 33.9% projected) for each positive clinic screen.
Conclusions: Despite lower-than-expected yields, the STRIDE. Study exceeded its modified recruitment goal. If the STRIDE intervention is found to be effective, the two distinct strategies for identifying a high-risk population of older persons could be implemented by most health care systems.
Details
- Title: Subtitle
- Screening, Recruitment, and Baseline Characteristics for the Strategies to Reduce Injuries and Develop Confidence in Elders (STRIDE) Study
- Creators
- Thomas M. Gill - Yale School of MedicineJoanne M. McGloin - Yale UniversityNancy K. Latham - Brigham and Women's HospitalPeter A. Charpentier - Yale UniversityKaty L. Araujo - Yale UniversityEleni A. Skokos - Yale UniversityCharles Lu - Yale UniversityAmy Shelton - Yale UniversityShalender Bhasin - Brigham and Women's HospitalLuanne M. Bianco - Yale UniversityMartha B. Carnie - Brigham and Women's HospitalKenneth E. Covinsky - Division of Geriatrics, UCSF, CaliforniaPatricia Dykes - Brigham and Women's HospitalDenise A. Esserman - AnalyticaDavid A. Ganz - University of California, Los AngelesJerry H. Gurwitz - Meyers Primary Care Institute, Worcester, Massachusetts.Catherine Hanson - University of MichiganLinda V. Nyquist - University of MichiganDavid B. Reuben - University of California, Los AngelesRobert B. Wallace - University of IowaErich J. Greene - Analytica
- Resource Type
- Journal article
- Publication Details
- The journals of gerontology. Series A, Biological sciences and medical sciences, Vol.73(11), pp.1495-1501
- DOI
- 10.1093/gerona/gly076
- PMID
- 30020415
- PMCID
- PMC6175032
- NLM abbreviation
- J Gerontol A Biol Sci Med Sci
- ISSN
- 1079-5006
- eISSN
- 1758-535X
- Publisher
- Oxford Univ Press
- Number of pages
- 7
- Grant note
- UL1TR000142 / Yale Center for Clinical Investigation (National Center for Advancing Translational Sciences Award) K07AG043587 / National Institute on Aging; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) P30AG013679 / Boston Claude D. Pepper Older Americans Independence Center at Brigham and Women's Hospital National Institute on Aging (NIA) at NIH P30AG021342 / NATIONAL INSTITUTE ON AGING; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) 5U01AG048270 / NIA; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) P30AG21342 / Yale Claude D. Pepper Older Americans Independence Center UL1TR001102 / Harvard Catalyst \ The Harvard Clinical and Translational Science Center (National Center for Advancing Translational Sciences Award) Patient Centered Outcomes Research Institute (PCORI); Patient-Centered Outcomes Research Institute - PCORI 5U01AG048270 / Brigham and Women's Hospital UL1TR001102 / NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS)
- Language
- English
- Date published
- 11/01/2018
- Academic Unit
- Epidemiology; Injury Prevention Research Center; Internal Medicine
- Record Identifier
- 9984364444902771
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