Implementing a Clinical Research Program in Long Term Care Facilities: Experiences from the University of Louisville Center Excellence for Research in Infectious Diseases [CERID]

Abstract

Background: According to the US Census Bureau International Report, in 2015, almost nine percent of the world’s population was aged 65 and over. As the worldwide population ages, there is a need to understand how to best care for those individuals. Developing clinical research programs focusing on long term care (LTC) will be critical to defining best practice. Objectives: The objectives of this manuscript are to: 1) outline the challenges identified in performing clinical research in long term care facilities (LTCF), and 2) offer solutions for future clinical research in the LTC environment based upon our experiences. Methods: A research feasibility study was performed in 14 LTCFs in Louisville, Kentucky during 2018. Research questions involving identification of LTCF residents experiencing diarrhea were used as the basis for determining challenges and abilities to perform research in the LTC environment. Results: Challenges to performing clinical research involving an infectious disease were gathered throughout the twenty-week feasibility assessment period and organized into eight distinct yet inter-related areas. These included: 1) facility recruitment; 2) engagement of facility leadership; 3) engagement of facility personnel; 4) identification of research candidates; 5) consenting processes; 6) management of clinical samples; 7) navigating the medical record systems; and 8) study team workflow. Conclusions: This feasibility assessment found that conducting research in LTCFs was very different in almost every aspect from research conducted in the hospital setting. Results from this feasibility assessment will be used as a basis to determine a more comprehensive population-based incidence of C. difficile infection through the City of Louisville Diarrhea (CLOUD) study. DOI: 10.18297/rgh/vol2/iss2/14 Submitted Date: August 30, 2019 Accepted Date: August 30, 2019 Website: https://ir.library.louisville.edu/rgh Affiliations: 1Division of Infectious Diseases, Center of Excellence for Research in Infectious Diseases (CERID), University of Louisville School of Medicine This original article is brought to you for free and open access by ThinkIR: The University of Louisville’s Institutional Repository. It has been accepted for inclusion in the Journal of Refugee & Global Health by an authorized editor of ThinkIR. For more information, please contact thinkir@louisville.edu. Recommended Citation: Carrico, Ruth; Balcom, Dawn; Ghosh, Kuldeep; Abaid, Bilal; Salunkhe, Vidyulata; Karki, Bibodh Jung; Kiran, Simra; Furmanek, Stephen; Pena, Senen; and Ramirez, Julio A. (2019) “Implementing a Clinical Research Program in Long Term Care Facilities: Experiences from the University of Louisville Center Excellence for Research in Infectious Diseases [CERID],” Journal of Refugee & Global Health: Vol. 3 : Iss. 2 , Article 14.