Moving beyond tokenism: Sustaining engagement of persons living with dementia in identifying emergency research priorities.

Jacqueline Sandoval, Andrea Gilmore-Bykovskyi, Christopher R Carpenter, Manish N Shah, Jeffrey Dussetschleger, Scott Dresden, Michael Ellenbogen, Heidi Gil, Naveena Jaspal, Deborah Jobe, Allan Vann, Teresa Webb, Ula Hwang
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Abstract

Introduction: The Geriatric Emergency Care Applied Research Network 2.0-Advancing Dementia Care (GEAR 2.0-ADC) aims to advance research efforts to improve the emergency care of persons living with dementia (PLWDs).

Objective: To support this objective, GEAR 2.0-ADC convened a virtual consensus conference to prioritize emergency care research opportunities for PLWDs inclusive of perspectives of PLWDs to ensure identification of research gaps in response to their experiences and priorities. Inclusion of PLWDs as research partners is increasingly recognized as a best practice, however, approaches to facilitating consensus participation are lacking.

Methods: Best practices for supporting the engagement of PLWDs in a consensus conference, applied across its three phases (pre-conference, during the conference, and post-conference), include: establishing a learning environment focused on research priorities before the event, presenting information in ways that align with participants' learning preferences while accommodating cognitive impairments, and providing multiple opportunities and methods for gathering post-conference feedback from PLWDs.

Results: These strategies were identified by PLWDs and care partners (CPs) through semi-structured interviews, who were involved in the convening process, aimed at exploring ways to enhance facilitation techniques for participants.

Conclusion: Additionally, these summarized insights aim to encourage the use of community-engaged approaches in discussions and consensus-building around research priorities in emergency care, particularly for PLWDs and their CPs.

超越形式主义:让痴呆症患者持续参与确定紧急研究重点。
导言:老年急救护理应用研究网络 2.0--推进痴呆症护理(GEAR 2.0-ADC)旨在推进研究工作,改善痴呆症患者(PLWDs)的急救护理:为支持这一目标,GEAR 2.0-ADC 召开了一次虚拟共识会议,以优先考虑针对痴呆症患者的紧急护理研究机会,其中包括痴呆症患者的观点,以确保根据他们的经验和优先事项确定研究缺口。将 PLWDs 纳入研究合作伙伴越来越被认为是一种最佳实践,然而,目前还缺乏促进共识参与的方法:在共识会议的三个阶段(会前、会中和会后),支持 PLWDs 参与会议的最佳实践包括:在会前建立一个以研究重点为中心的学习环境,以符合与会者学习偏好的方式展示信息,同时照顾到认知障碍,以及提供多种机会和方法收集 PLWDs 的会后反馈:这些策略是由参与召集过程的 PLWDs 和护理伙伴(CPs)通过半结构式访谈确定的,旨在探索如何提高为参与者提供便利的技巧:此外,这些总结的见解旨在鼓励在讨论中使用社区参与的方法,并围绕紧急护理中的研究重点达成共识,特别是针对 PLWDs 及其 CPs。
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