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J Am Med Dir Assoc. 2019 Jul;20(7):798-803. doi: 10.1016/j.jamda.2019.04.022.

Conducting Clinical Research in Post-acute and Long-term Nursing Home Care Settings: Regulatory Challenges.

Author information

1
Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado, Aurora, CO.
2
Colorado School of Public Health, University of Colorado, Aurora, CO.
3
Colorado Multi-Institutional Review Board (COMIRB), University of Colorado School of Medicine, Aurora, CO.
4
Division of Geriatric Medicine, Department of Medicine, University of Colorado, Aurora, CO.
5
Department of Medicine, University of Colorado, Aurora, CO.
6
Division of Geriatric Medicine, Department of Medicine, University of Colorado, Aurora, CO; Veterans Affairs Geriatric Research, Education and Clinical Center, Aurora, CO.
7
Division of Hospital Medicine, University of Colorado, Aurora, CO.
8
Indiana University School of Medicine, Indianapolis, IN.
9
University of Utah, College of Nursing, Salt Lake City, UT.
10
Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado, Aurora, CO; Veterans Affairs Geriatric Research, Education and Clinical Center, Aurora, CO.
11
Rocky Mountain Regional Medical Center, Aurora, CO.
12
Division of Geriatric Medicine, Department of Medicine, University of Colorado, Aurora, CO; Veterans Affairs Geriatric Research, Education and Clinical Center, Aurora, CO. Electronic address: Rebecca.Boxer@ucdenver.edu.
13
Program of Post-Acute and Long-Term Care, School of Medicine, University of Colorado, Aurora, CO.

Abstract

Despite multiple initiatives in post-acute and long-term nursing home care settings (NHs) to improve the quality of care while reducing health care costs, research in NHs can prove challenging. Extensive regulation for both research and NHs is designed to protect a highly vulnerable population but can be a deterrent to conducting research. This article outlines regulatory challenges faced by NHs and researchers, such as protecting resident privacy as well as health information and obtaining informed consent. The article provides lessons learned to help form mutually beneficial partnerships between researchers and NHs to conduct studies that grow and advance NH research initiatives and clinical care.

KEYWORDS:

Post-acute care; long-term care; nursing homes; research regulation

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