Effectiveness of online education for recruitment to an Alzheimer's disease prevention clinical trial

Abstract Introduction Low awareness of Alzheimer's disease (AD) clinical trials is a recruitment barrier. To assess whether online education may affect screening rates for AD prevention clinical trials, we conducted an initial prospective cohort study (n = 10,450) and subsequent randomized stud...

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Main Authors: Nabeel Saif, Cara Berkowitz, Susmit Tripathi, Olivia Scheyer, Emily Caesar, Hollie Hristov, Katherine Hackett, Aneela Rahman, Newman Knowlton, George Sadek, Paige Lee, Mark McInnis, Richard S. Isaacson
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Alzheimer’s & Dementia: Translational Research & Clinical Interventions
Subjects:
Online Access:https://doi.org/10.1002/trc2.12006
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author Nabeel Saif
Cara Berkowitz
Susmit Tripathi
Olivia Scheyer
Emily Caesar
Hollie Hristov
Katherine Hackett
Aneela Rahman
Newman Knowlton
George Sadek
Paige Lee
Mark McInnis
Richard S. Isaacson
author_facet Nabeel Saif
Cara Berkowitz
Susmit Tripathi
Olivia Scheyer
Emily Caesar
Hollie Hristov
Katherine Hackett
Aneela Rahman
Newman Knowlton
George Sadek
Paige Lee
Mark McInnis
Richard S. Isaacson
author_sort Nabeel Saif
collection DOAJ
description Abstract Introduction Low awareness of Alzheimer's disease (AD) clinical trials is a recruitment barrier. To assess whether online education may affect screening rates for AD prevention clinical trials, we conducted an initial prospective cohort study (n = 10,450) and subsequent randomized study (n = 351) using an online digital tool: AlzU.org. Methods A total of 10,450 participants were enrolled in an initial cohort study and asked to complete a six‐lesson course on AlzU.org, as well as a baseline and 6‐month follow‐up questionnaire. Participants were stratified into three groups based on lesson completion at 6 months: group 1 (zero to one lesson completed), group 2 (two to four lessons), and group 3 (five or more lessons). For the subsequent randomized‐controlled trial (RCT), 351 new participants were enrolled in a six‐lesson course (n = 180) versus a time‐neutral control (n = 171). Screening and enrollment in the Anti‐Amyloid Treatment in Asymptomatic AD (A4) clinical trial were reported via the 6‐month questionnaire and are the primary outcomes. Results Cohort: 3.9% of group 1, 5% of group 2, and 8.4% of group 3 screened for the A4 trial. Significant differences were found among the groups (P < 0.001). Post hoc analyses showed differences in A4 screening rates between groups 1 and 3 (P < 0.001) and groups 2 and 3 (P = 0.0194). There were no differences in enrollment among the three groups. RCT: 2.78% of the intervention group screened for A4 compared to 0% of controls (P = 0.0611). Discussion Online education via the AlzU.org digital tool may serve as an effective strategy to supplement clinical trial recruitment.
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spelling doaj.art-5606a4dad42341cbb72020239c7e0d0f2022-12-21T20:22:28ZengWileyAlzheimer’s & Dementia: Translational Research & Clinical Interventions2352-87372020-01-0161n/an/a10.1002/trc2.12006Effectiveness of online education for recruitment to an Alzheimer's disease prevention clinical trialNabeel Saif0Cara Berkowitz1Susmit Tripathi2Olivia Scheyer3Emily Caesar4Hollie Hristov5Katherine Hackett6Aneela Rahman7Newman Knowlton8George Sadek9Paige Lee10Mark McInnis11Richard S. Isaacson12Department of Neurology Weill Cornell Medicine & New York‐Presbyterian New York New YorkDepartment of Neurology Weill Cornell Medicine & New York‐Presbyterian New York New YorkDepartment of Neurology Weill Cornell Medicine & New York‐Presbyterian New York New YorkSchool of Law University of California Los Angeles Los Angeles CaliforniaLoyola School of Medicine Chicago IllinoisDepartment of Neurology Weill Cornell Medicine & New York‐Presbyterian New York New YorkDepartment of Psychology Temple University Philadelphia PennsylvaniaDepartment of Neurology Weill Cornell Medicine & New York‐Presbyterian New York New YorkBiostatistics Pentara Corporation Salt Lake City UtahDepartment of Neurology Weill Cornell Medicine & New York‐Presbyterian New York New YorkCollege of Letters and Science University of California Los Angeles Los Angeles CaliforniaWishbone Productions Boston MassachusettsDepartment of Neurology Weill Cornell Medicine & New York‐Presbyterian New York New YorkAbstract Introduction Low awareness of Alzheimer's disease (AD) clinical trials is a recruitment barrier. To assess whether online education may affect screening rates for AD prevention clinical trials, we conducted an initial prospective cohort study (n = 10,450) and subsequent randomized study (n = 351) using an online digital tool: AlzU.org. Methods A total of 10,450 participants were enrolled in an initial cohort study and asked to complete a six‐lesson course on AlzU.org, as well as a baseline and 6‐month follow‐up questionnaire. Participants were stratified into three groups based on lesson completion at 6 months: group 1 (zero to one lesson completed), group 2 (two to four lessons), and group 3 (five or more lessons). For the subsequent randomized‐controlled trial (RCT), 351 new participants were enrolled in a six‐lesson course (n = 180) versus a time‐neutral control (n = 171). Screening and enrollment in the Anti‐Amyloid Treatment in Asymptomatic AD (A4) clinical trial were reported via the 6‐month questionnaire and are the primary outcomes. Results Cohort: 3.9% of group 1, 5% of group 2, and 8.4% of group 3 screened for the A4 trial. Significant differences were found among the groups (P < 0.001). Post hoc analyses showed differences in A4 screening rates between groups 1 and 3 (P < 0.001) and groups 2 and 3 (P = 0.0194). There were no differences in enrollment among the three groups. RCT: 2.78% of the intervention group screened for A4 compared to 0% of controls (P = 0.0611). Discussion Online education via the AlzU.org digital tool may serve as an effective strategy to supplement clinical trial recruitment.https://doi.org/10.1002/trc2.12006Alzheimer's diseaseAlzheimer's prevention clinical trialsclinical trial screeningdigital toole‐learningonline education
spellingShingle Nabeel Saif
Cara Berkowitz
Susmit Tripathi
Olivia Scheyer
Emily Caesar
Hollie Hristov
Katherine Hackett
Aneela Rahman
Newman Knowlton
George Sadek
Paige Lee
Mark McInnis
Richard S. Isaacson
Effectiveness of online education for recruitment to an Alzheimer's disease prevention clinical trial
Alzheimer’s & Dementia: Translational Research & Clinical Interventions
Alzheimer's disease
Alzheimer's prevention clinical trials
clinical trial screening
digital tool
e‐learning
online education
title Effectiveness of online education for recruitment to an Alzheimer's disease prevention clinical trial
title_full Effectiveness of online education for recruitment to an Alzheimer's disease prevention clinical trial
title_fullStr Effectiveness of online education for recruitment to an Alzheimer's disease prevention clinical trial
title_full_unstemmed Effectiveness of online education for recruitment to an Alzheimer's disease prevention clinical trial
title_short Effectiveness of online education for recruitment to an Alzheimer's disease prevention clinical trial
title_sort effectiveness of online education for recruitment to an alzheimer s disease prevention clinical trial
topic Alzheimer's disease
Alzheimer's prevention clinical trials
clinical trial screening
digital tool
e‐learning
online education
url https://doi.org/10.1002/trc2.12006
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