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Evidence for strategies that improve recruitment and retention of adults aged 65 years and over in randomised trials and observational studies
 — a systematic review
Author(s)Rosie J Lacey, Ross Wilkie, Gwenllian Wynne-Jones
Journal titleAge and Ageing, vol 46, no 6, November 2017
PublisherOxford University Press, November 2017
Pagespp 895-903
Sourcehttps://academic.oup.com/ageing
KeywordsHealth [elderly] ; Ageing process ; 65-69 age group ; Clinical surveys ; Observation ; Recruitment ; Participation.
AnnotationAdults aged 65 years or more are often excluded from health research studies. Lack of representation reduces generalisability of treatments for this age group. The objective of this study was to evaluate the effectiveness of strategies that improve recruitment and retention of adults aged 65 and above in observational studies and randomised controlled trials (RCTs). Searches were conducted across 10 databases for RCTs of recruitment and retention strategies in RCTs or observational studies. Two reviewers screened abstracts and full-text articles for eligibility and extracted data. Studies without separate data for adults aged over 65 were discarded. Risk of bias was assessed using the Cochrane Risk of Bias tool. Results were synthesised narratively. 32 studies were included in the review. 12 studies had low risk of bias, and 10 of them had successful recruitment and retention strategies. Risk of bias was either high or unclear for studies in which incentives or shorter length questionnaires increased response. In low risk of bias studies, few of the strategies that improved participation in older adults had been tested in more than one study. Opt-out and advance notification strategies improved recruitment and retention respectively, although an opt-out approach may have ethical limitations. Evidence from single studies limits the generalisability of other strategies. (JL).
Accession NumberCPA-171201201 A
ClassmarkCC: BG: BBE: 3G: 4AA: WK6: TMB

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