Recruitment of nursing homes |
Partnering with administrators |
Building relationships |
Time consuming for principal investigator |
Recruitment of subjects through surrogate consent |
Letter, phone call, and group meeting contacts with surrogates |
Higher recruitment rates |
Time consuming for research staff |
Engagement of nursing home staff |
Educational sessions, professional incentives, and personal incentives |
Higher recruitment and retention rates, improved protocol adherence |
Cost, time consuming for research staff, time consuming for nursing staff |
High turnover of nursing home staff |
Repeated in-service sessions |
Improved protocol adherence |
Time consuming for research staff |
Surveillance for outcomes and adverse events |
Educational sessions, professional incentives, and personal incentives |
Improved outcome detection |
Cost, time consuming for research staff, time consuming for nursing staff |
High attrition rate of participants |
Increase recruitment of participants |
Sustain power of study |
Increase need for resources of research personnel |