Evidence map›Paper›PMID 36891257›Full record

ArticleJournal of Alzheimer's disease reports2023

Barriers to Using Legally Authorized Representatives in Clinical Research with Older Adults.

Jessica Mozersky, Erin D Solomon, Kari Baldwin, Matthew Wroblewski, Meredith Parsons, Melody Goodman, James M DuBois

Abstract read
In one paragraph

Article in Journal of Alzheimer's disease reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jessica MozerskyBioethics Research Center, Washington University School of Medicine, St. Louis, MO, USA.
Erin D SolomonBioethics Research Center, Washington University School of Medicine, St. Louis, MO, USA.
Kari BaldwinBioethics Research Center, Washington University School of Medicine, St. Louis, MO, USA.
Matthew WroblewskiBioethics Research Center, Washington University School of Medicine, St. Louis, MO, USA.
Meredith ParsonsBioethics Research Center, Washington University School of Medicine, St. Louis, MO, USA.
Melody GoodmanSchool of Global Public Health, New York University, New York, NY, USA.
James M DuBoisBioethics Research Center, Washington University School of Medicine, St. Louis, MO, USA.

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Understanding and addressing challenges to informed consent and research compliance during Covid-19 researchR01AG058254 · NIA · WASHINGTON UNIVERSITY · PI DUBOIS, JAMES M · 2018 to 2022
$2.8M
NCATS NIH HHS UL1 TR002345NIA NIH HHS R01 AG058254
6 · The paper itself

Abstract

Background: Older adults are at increased risk of cognitive impairments including Alzheimer's disease dementia. Legally authorized representatives (LARs) can provide informed consent when a participant is no longer able to, but little is known about barriers to incorporating them in research. Objective: Explore reasons for not asking and documenting participant decisions to appoint LARs among researchers conducting clinical intervention trials studying older adults or individuals with cognitive impairments. Methods: Mixed method design consisting of a survey ( Results: 37% ( Conclusion: Resources and education to increase awareness and knowledge of LARs are needed. Researchers studying older adults should, at minimum, have the knowledge and resources to incorporate LARs when necessary. Stigma and discomfort discussing LARs will need to be overcome, as early proactive discussions before a participant loses decisional capacity could enhance participant autonomy and facilitate recruitment and retention of older adults to research.

Indexed as

Clinical researchcognitive impairmentsinformed consentlegally authorized representativesolder adultsproxyresearch ethicssurrogate

Identifiers

PMID36891257
PMCPMC9986706

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.