Katherine D Ellingson, William J Degnan, Azmat Sidhu, Darcey Lynn, Julia G Saborio, Megan Johnson, Grace M Leito, Carolina Carrasco, Carol A Barnes, David W Coon, Zhao Chen, Matthew Huentelman
{"title":"Predictors of Consent to Online and Genetic Research among Adults on the MindCrowd Cognitive Health Platform.","authors":"Katherine D Ellingson, William J Degnan, Azmat Sidhu, Darcey Lynn, Julia G Saborio, Megan Johnson, Grace M Leito, Carolina Carrasco, Carol A Barnes, David W Coon, Zhao Chen, Matthew Huentelman","doi":"10.1159/000548419","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>MindCrowd is an online cognitive health platform that engages adults in a 10-minute experience, including the paired-associates learning (PAL) test, a demographic survey, and an option to be contacted for future research. This study's objective was to identify factors associated with consent to research studies.</p><p><strong>Methods: </strong>Adults from US zip codes, who joined MindCrowd from 06/17/2022-12/31/2024 and agreed to be contacted for future research, were eligible for the study. Outcomes included consent to online cognitive health surveys (MindCrowd Expanded) and genetic testing for AD risk via mailed self-collection kit. Variables of interest included age, sex, race, ethnicity, education, socioeconomic vulnerability, family history of AD, and PAL test score. Consent was modeled using multivariable logistic regression, generating adjusted odds ratios (aOR) and 95% confidence intervals (CI).</p><p><strong>Results: </strong>52,113 MindCrowd participants were study-eligible - 19.1% consented to MindCrowd Expanded and 9.5% to genetic testing. Compared with White individuals, Black individuals had 58% and 75% lower odds of consenting to MindCrowd Expanded [aOR=0.42(95% CI=0.37-0.48)] and genetic testing [aOR=0.25(95% CI=0.20-0.32)], respectively. Compared with non-Hispanic individuals, Hispanic individuals had 26% and 37% lower odds of consenting to MindCrowd Expanded [aOR=0.74(95% CI=0.68-0.80)] and genetic studies [aOR=0.63(95% CI=0.56-0.71)], respectively.</p><p><strong>Conclusion: </strong>Despite previous research demonstrating that Black and Hispanic MindCrowd participants were more willing to be contacted for future research than White participants, findings from this study suggest hesitancy to consent to online cognitive aging research and genetic testing. A more intentional approach may be necessary to retain MindCrowd participants from underrepresented communities in cognitive research studies.</p>","PeriodicalId":12662,"journal":{"name":"Gerontology","volume":" ","pages":"1-24"},"PeriodicalIF":3.0000,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Gerontology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1159/000548419","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: MindCrowd is an online cognitive health platform that engages adults in a 10-minute experience, including the paired-associates learning (PAL) test, a demographic survey, and an option to be contacted for future research. This study's objective was to identify factors associated with consent to research studies.
Methods: Adults from US zip codes, who joined MindCrowd from 06/17/2022-12/31/2024 and agreed to be contacted for future research, were eligible for the study. Outcomes included consent to online cognitive health surveys (MindCrowd Expanded) and genetic testing for AD risk via mailed self-collection kit. Variables of interest included age, sex, race, ethnicity, education, socioeconomic vulnerability, family history of AD, and PAL test score. Consent was modeled using multivariable logistic regression, generating adjusted odds ratios (aOR) and 95% confidence intervals (CI).
Results: 52,113 MindCrowd participants were study-eligible - 19.1% consented to MindCrowd Expanded and 9.5% to genetic testing. Compared with White individuals, Black individuals had 58% and 75% lower odds of consenting to MindCrowd Expanded [aOR=0.42(95% CI=0.37-0.48)] and genetic testing [aOR=0.25(95% CI=0.20-0.32)], respectively. Compared with non-Hispanic individuals, Hispanic individuals had 26% and 37% lower odds of consenting to MindCrowd Expanded [aOR=0.74(95% CI=0.68-0.80)] and genetic studies [aOR=0.63(95% CI=0.56-0.71)], respectively.
Conclusion: Despite previous research demonstrating that Black and Hispanic MindCrowd participants were more willing to be contacted for future research than White participants, findings from this study suggest hesitancy to consent to online cognitive aging research and genetic testing. A more intentional approach may be necessary to retain MindCrowd participants from underrepresented communities in cognitive research studies.
期刊介绍:
In view of the ever-increasing fraction of elderly people, understanding the mechanisms of aging and age-related diseases has become a matter of urgent necessity. ''Gerontology'', the oldest journal in the field, responds to this need by drawing topical contributions from multiple disciplines to support the fundamental goals of extending active life and enhancing its quality. The range of papers is classified into four sections. In the Clinical Section, the aetiology, pathogenesis, prevention and treatment of agerelated diseases are discussed from a gerontological rather than a geriatric viewpoint. The Experimental Section contains up-to-date contributions from basic gerontological research. Papers dealing with behavioural development and related topics are placed in the Behavioural Science Section. Basic aspects of regeneration in different experimental biological systems as well as in the context of medical applications are dealt with in a special section that also contains information on technological advances for the elderly. Providing a primary source of high-quality papers covering all aspects of aging in humans and animals, ''Gerontology'' serves as an ideal information tool for all readers interested in the topic of aging from a broad perspective.