ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2025
Factors associated with non-participation in the Healthy Cognitive Ageing Project.
Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Factors associated with non-participation in the Healthy Cognitive Ageing Project.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
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5 authors.
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Abstract
backgroundUnderstanding cognitive decline trajectories is crucial for dementia prevention, as many cases go undetected. Identifying participation biases in such studies is essential for data validity.
methodsWe examined non-participation correlates in the Healthy Cognitive Ageing Project (HCAP), a sub-study of the English Longitudinal Study of Ageing (ELSA). We compared sociodemographic and health characteristics of invited, interviewed, and non-interviewed individuals, and assessed the impact of sample weights.
resultsOf 1778 ELSA members invited in 2018, 1273 (72%) participated. Participants were similar to the invited sample in sociodemographics but were younger, had fewer daily living difficulties, and had better cognition. Non-participation was linked to difficulties in daily living (odds ratio 1.78), dementia (1.55), and psychiatric conditions (1.34). Weighted analyses highlighted differences in disability and cognition. DISCUSSION: Non-participation in cognitive studies is not random, lowering response and retention rates, and requiring adjustments to data analysis beyond the use of weights. HIGHLIGHTS: We compared the sociodemographics of invited, interviewed, and non-interviewed individuals. We used sample weights to assess differences in participants' characteristics. We found non-participation linked to daily living difficulties, dementia, and psychiatric conditions.
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