Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/1549
Full metadata record
DC FieldValueLanguage
dc.contributor.authorWilcock, Janeen_UK
dc.contributor.authorBryans, Michelleen_UK
dc.contributor.authorTurner, Stephenen_UK
dc.contributor.authorO'Carroll, Ronanen_UK
dc.contributor.authorKeady, Johnen_UK
dc.contributor.authorLevin, Eniden_UK
dc.contributor.authorIliffe, Steveen_UK
dc.contributor.authorDowns, Murnaen_UK
dc.date.accessioned2013-05-06T23:06:04Z-
dc.date.available2013-05-06T23:06:04Z-
dc.date.issued2007-01en_UK
dc.identifier.urihttp://hdl.handle.net/1893/1549-
dc.description.abstractThe emerging UK national research network in neurodegenerative diseases and dementias aims to promote large-scale community-based studies of therapeutic interventions, based in primary care. However, trials in primary care settings can be problematic, a common difficulty being the recruitment of a large enough sample. The article discusses recruitment issues in a multi-centre randomized controlled trial of differing educational approaches to improving dementia care in general practice. Sample size calculations based on community studies of prevalence may be misleading in intervention trials which may recruit practices with atypical demography. Recruitment rates for practitioners in this study were lower than expected. Professionals excluded themselves from the study mainly due to pressures of time and staff shortages, and we detected both ambivalent attitudes to primary care research and a perception that research into dementia care was not a high priority. Evaluation of the quality of care may be perceived as criticism of clinical practice, at a time when general practice is undergoing major administrative and contractual changes. Variations in Research Ethics Committee conditions for approval led to different methods of recruitment of patients and carers into the study, a factor which may have contributed to disparate levels of recruitment across study sites. Patient and carer levels of recruitment were lower than expected and were affected partly by carers' time pressures and other family commitments, but largely by problems in identifying patients and carers in the practices. The development of research potential in primary care is at an early stage and studies reliant on patient recruitment in general practice must allow for multiple obstacles to enrollment. This is particularly relevant for studies of dementia care, where the prevalence of dementia in a demographically average population is low and the incidence very low, compared with other disabilities. Professionals may give dementia low priority in allocating practice time for research projects, and strategies to address this problem are needed.en_UK
dc.language.isoenen_UK
dc.publisherCambridge University Pressen_UK
dc.relationWilcock J, Bryans M, Turner S, O'Carroll R, Keady J, Levin E, Iliffe S & Downs M (2007) Methodological problems in dementia research in primary care: a case study of a randomized controlled trial. Primary Health Care Research and Development, 8 (1), pp. 12-21. https://doi.org/10.1017/S1463423607000035en_UK
dc.rightsPublished in Primary Health Care Research and Development. Copyright: Cambridge University Press.; Primary Health Care Research and Development, Volume 8, Issue 1, January 2007, pp. 12 - 21, published by Cambridge University Press. Copyright © 2007 Cambridge University Press.; http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=811168en_UK
dc.subjectdementiaen_UK
dc.subjectprimary careen_UK
dc.subjectrecruitmenten_UK
dc.subjectresearch methodsen_UK
dc.subjectDementia Patients Careen_UK
dc.subjectDementia nursingen_UK
dc.subjectDementia Researchen_UK
dc.titleMethodological problems in dementia research in primary care: a case study of a randomized controlled trialen_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.1017/S1463423607000035en_UK
dc.citation.jtitlePrimary Health Care Research and Developmenten_UK
dc.citation.issn1477-1128en_UK
dc.citation.issn1463-4236en_UK
dc.citation.volume8en_UK
dc.citation.issue1en_UK
dc.citation.spage12en_UK
dc.citation.epage21en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.author.emailreo1@stir.ac.uken_UK
dc.citation.date05/03/2007en_UK
dc.contributor.affiliationUniversity College Londonen_UK
dc.contributor.affiliationNHS Lothianen_UK
dc.contributor.affiliationUniversity of Dundeeen_UK
dc.contributor.affiliationPsychologyen_UK
dc.contributor.affiliationNorthumbria Universityen_UK
dc.contributor.affiliationSocial Care Institute for Excellence (SCIE)en_UK
dc.contributor.affiliationUniversity College Londonen_UK
dc.contributor.affiliationUniversity of Stirlingen_UK
dc.identifier.scopusid2-s2.0-42649106931en_UK
dc.identifier.wtid812155en_UK
dc.contributor.orcid0000-0002-5130-291Xen_UK
dcterms.dateAccepted2007-03-05en_UK
dc.date.filedepositdate2009-08-13en_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorWilcock, Jane|en_UK
local.rioxx.authorBryans, Michelle|en_UK
local.rioxx.authorTurner, Stephen|en_UK
local.rioxx.authorO'Carroll, Ronan|0000-0002-5130-291Xen_UK
local.rioxx.authorKeady, John|en_UK
local.rioxx.authorLevin, Enid|en_UK
local.rioxx.authorIliffe, Steve|en_UK
local.rioxx.authorDowns, Murna|en_UK
local.rioxx.projectInternal Project|University of Stirling|https://isni.org/isni/0000000122484331en_UK
local.rioxx.freetoreaddate2009-08-13en_UK
local.rioxx.licencehttp://www.rioxx.net/licenses/all-rights-reserved|2009-08-13|en_UK
local.rioxx.filenameMethodological problems in dementia.pdfen_UK
local.rioxx.filecount1en_UK
local.rioxx.source1463-4236en_UK
Appears in Collections:Psychology Journal Articles

Files in This Item:
File Description SizeFormat 
Methodological problems in dementia.pdfFulltext - Published Version107.14 kBAdobe PDFView/Open


This item is protected by original copyright



Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

The metadata of the records in the Repository are available under the CC0 public domain dedication: No Rights Reserved https://creativecommons.org/publicdomain/zero/1.0/

If you believe that any material held in STORRE infringes copyright, please contact library@stir.ac.uk providing details and we will remove the Work from public display in STORRE and investigate your claim.