TY - JOUR
T1 - The Experiences of Persons Living with Dementia Planning for a Dementia Research Meeting. Lessons Learned From the National Research Summit on Care, Services, and Supports for Persons With Dementia and Their Caregivers
AU - Frank, Lori
AU - Shubeck, Emily
AU - Schicker, Melanie
AU - Webb, Teresa
AU - Maslow, Katie
AU - Gitlin, Laura
AU - Hummel, Cynthia Huling
AU - Kaplan, Edward K.
AU - LeBlanc, Brian
AU - Marquez, Myriam
AU - Nicholson, Brenda P.
AU - O'Brien, Greg
AU - Phillips, Louise
AU - Van Buren, Brian
AU - Epstein-Lubow, Gary
N1 - Funding Information:
Disclosures: Dr. Gary Epstein-Lubow has received support for research from NIH, NSF, The John A. Hartford Foundation, and The Rhode Island Foundation; he has received other support or compensation from Hebrew SeniorLife, Butler Hospital, Alpert Medical School of Brown University, the Administration for Community Living, the Health and Aging Policy Fellows Program, the Gerontological Society of America, and the Tufts Health Plan Foundation. During completion of this work, Dr. Epstein-Lubow was a nonfederal member of the U.S. Department of Health and Human Services' Advisory Council for Alzheimer's Research, Care, and Services; the views and opinions expressed in this manuscript are his own and do not reflect the views of the Council. The authors would like to acknowledge the support of the Alzheimer's Association, which provided staff time for group facilitation and Zoom/teleconference support, and the National Institutes of Health, which provided travel support for meeting attendance. There is no funding for the study. The authors have no conflicts of interest to disclose.
Funding Information:
The recruitment, work process, deliverable development, and review of group impact on the Summit each presented challenges, and this report presents those challenges along with strategies Group members used to overcome them. Formation and implementation of the PLWD Stakeholder Group for the 2017 Research Summit on Dementia Care represented a unique model for active participation of PLWD in the work of a major research meeting. Of particular note is the effort Group Leadership Committee expended on ensuring Group members felt supported in their participation, both in terms of interpersonal group process (i.e., drawing out quieter members for their contributions) and in terms of access to the group through the video platform. A key conclusion is that the Leadership Committee was key to the functioning of the group. Timing of the Group self-evaluation and of discussion of Group contributions to the Summit was noted as a challenge, as both occurred more than 6 months following the Summit. While the Group members were generally enthusiastic about continuing to convene following the Summit, future work with PLWD should limit the timescale for Group work, particularly work requiring recollection of past events, given the progression of disease among members. Research recommendations generated by the group focused on milder disease severity rather than moderate to severe stages, a result attributed by members to both the milder severity of members as well as limited time to consider research recommendations from multiple perspectives. Expanding membership to those with more severe disease, and encouraging members to consider needs of those with more severe disease, could address this limitation. The experiences of the individuals who comprised the Persons Living with Dementia Stakeholder Group demonstrate the feasibility of convening a group of people with symptoms of cognitive impairment and generating useful input for a large national research meeting. Group members reports of the meaningfulness of Group participation to them is consistent with reports from PLWD involved in other forms of research. 11 , 12 The strategies used to recruit members and support member communication described here should be considered together with the recommended best practices for PLWD stakeholder groups. Overall, the work products and experiences of the Dementia Care Summit's PLWD Group should prove helpful to future efforts to actively involve PLWD in research activities. Disclosures: Dr. Gary Epstein-Lubow has received support for research from NIH, NSF, The John A. Hartford Foundation, and The Rhode Island Foundation; he has received other support or compensation from Hebrew SeniorLife, Butler Hospital, Alpert Medical School of Brown University, the Administration for Community Living, the Health and Aging Policy Fellows Program, the Gerontological Society of America, and the Tufts Health Plan Foundation. During completion of this work, Dr. Epstein-Lubow was a nonfederal member of the U.S. Department of Health and Human Services' Advisory Council for Alzheimer's Research, Care, and Services; the views and opinions expressed in this manuscript are his own and do not reflect the views of the Council. The authors would like to acknowledge the support of the Alzheimer's Association, which provided staff time for group facilitation and Zoom/teleconference support, and the National Institutes of Health, which provided travel support for meeting attendance. There is no funding for the study. The authors have no conflicts of interest to disclose.
Publisher Copyright:
© 2019
PY - 2020/4
Y1 - 2020/4
N2 - Objective: A stakeholder group for persons living with dementia (PLWD) was convened to support the work of a major US dementia research meeting. The objectives of this examination are to present the steps used to implement the Group and guidance for both PLWD and researchers for partnering on research conference planning and participation. Methods: PLWD met monthly to provide input into the agenda for the 2017 Research Summit on Dementia Care and some Group members also presented at the Summit. Following the Summit, the Group reviewed their contributions and completed an evaluation of the Group process, identifying best practices to support future efforts. Results: Group members were initially unsure about participating due to concerns about ability to contribute and concerns about disease progression. Members reported that participation was a positive experience, however, identifying Group-led governance and attention to Group work process as important contributors. In addition to giving input to the Summit and having the opportunity to interact with researchers, sharing personal experiences with each other was part of the value of the Group to members. Careful Group selection and attention to governance were among the Best Practices members. Conclusion: Despite initial uncertainty among members about participating as a Stakeholder Group to inform a national research meeting, members developed a successful process for governance, convening, and providing input to a major national research meeting. Group's self-evaluation yielded specific strategies likely to be useful in formation and implementation of future partnerships between researchers and persons living with dementia.
AB - Objective: A stakeholder group for persons living with dementia (PLWD) was convened to support the work of a major US dementia research meeting. The objectives of this examination are to present the steps used to implement the Group and guidance for both PLWD and researchers for partnering on research conference planning and participation. Methods: PLWD met monthly to provide input into the agenda for the 2017 Research Summit on Dementia Care and some Group members also presented at the Summit. Following the Summit, the Group reviewed their contributions and completed an evaluation of the Group process, identifying best practices to support future efforts. Results: Group members were initially unsure about participating due to concerns about ability to contribute and concerns about disease progression. Members reported that participation was a positive experience, however, identifying Group-led governance and attention to Group work process as important contributors. In addition to giving input to the Summit and having the opportunity to interact with researchers, sharing personal experiences with each other was part of the value of the Group to members. Careful Group selection and attention to governance were among the Best Practices members. Conclusion: Despite initial uncertainty among members about participating as a Stakeholder Group to inform a national research meeting, members developed a successful process for governance, convening, and providing input to a major national research meeting. Group's self-evaluation yielded specific strategies likely to be useful in formation and implementation of future partnerships between researchers and persons living with dementia.
KW - Dementia
KW - participatory research
KW - patient engagement
KW - patient-centered research
UR - http://www.scopus.com/inward/record.url?scp=85076221517&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85076221517&partnerID=8YFLogxK
U2 - 10.1016/j.jagp.2019.10.015
DO - 10.1016/j.jagp.2019.10.015
M3 - Article
C2 - 31767451
AN - SCOPUS:85076221517
SN - 1064-7481
VL - 28
SP - 434
EP - 442
JO - American Journal of Geriatric Psychiatry
JF - American Journal of Geriatric Psychiatry
IS - 4
ER -