Evidence map›Paper›PMID 40251943›Full record

ArticleJournal of the American Geriatrics Society2025

Preferences Regarding Clinical Drug Trial Elements: A Nationally Representative Survey of Older Adults With Multimorbidity.

Janice B Schwartz, Ruey-Ying Liu, John Boscardin, Derjung M Tarn

Abstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Representation of Older Adult Patients in Clinical Trials.Clinical and translational science · 2025
    Article
  3. Article
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

4 authors.

Janice B SchwartzUniversity of California, San Francisco, California, USA.ORCID 0000-0002-5171-7824
Ruey-Ying LiuNational Chengchi University, Taipei, Taiwan.ORCID 0000-0002-2770-2147
John BoscardinUniversity of California, San Francisco, California, USA.ORCID 0000-0003-3121-9526
Derjung M TarnUniversity of California, Los Angeles, California, USA.ORCID 0000-0001-7426-6387

Funding

FDA HHS U01 FD005978FDA/HHS U01FD005978
6 · The paper itself

Abstract

backgroundOlder adults with multimorbidity have been under-represented in clinical drug trials. We sought to determine willingness to enroll in trials and preferences of older adults for learning about clinical trials, visit frequency, travel, locations, and testing.

methodsCross-sectional internet and telephone survey of a nationally representative sample of adults ≥ 65 years with ≥ 3 chronic conditions (NORC University of Chicago Foresight 50+ panel) from March-April 2023 to determine acceptability of aspects of clinical trials.

resultsSurveyed 1318 (1142 Internet, 176 phone), mean age 72.3 ± 6.3 (SD), 52% women; race: 83% White, 10% Black or African American (BLAfrAm), 5% Hispanic or Latino, 1.1% Asian; 4.4 ± 1.9 chronic conditions (of 16 queried), taking 7.5 ± 3.3 medications. Almost half would consider trials of medications for memory problems, hypertension, cancer, chronic pain, diabetes, or high cholesterol. Men and BLAfrAm respondents were the most willing to consider hypertension or diabetes trials. Preferences for where to learn about trials were physician offices (87% overall, 85% of BLAfrAm, 94% of Hispanic); 10% of White respondents considered senior centers versus 30% of BLAfrAm and 20% of Hispanics (p < 0.001). Two-thirds wanted written materials and question and answer sessions (no significant sex or racial differences). Respondents anticipated no difficulty with measuring blood pressure at home, and only respondents > 80 years anticipated difficulty wearing activity monitoring devices. All groups preferred monthly or every 3-4 month visits for physical exams, blood or urine tests vs. less frequently and were willing to travel half an hour in each direction for visits.

conclusionsEfforts to increase enrollment of older adults and older adults from previously under-represented racial populations will need increased physician engagement. Pragmatic trials with infrequent participant contact are not likely to increase participation of older adults with multimorbidity.

Indexed as

Clinical Trials as TopicMultimorbidityPatient PreferenceAgedAged, 80 and overChronic DiseaseCross-Sectional StudiesFemaleHumansMaleSurveys and QuestionnairesUnited Statesclinical trial designclinical trialsdrug trialsmedication trialsolder adults with multimorbidity

Identifiers

PMID40251943
PMCPMC12396166

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.