Special Features: Methods
Public Health Model Identifies Recruitment Barriers among Older Adults with Delirium and Dementia
Article first published online: 30 AUG 2013
© 2013 Wiley Periodicals, Inc.
Public Health Nursing
Volume 31, Issue 1, pages 79–87, January/February 2014
How to Cite
Bull, M. J., Boaz, L. and Sjostedt, J. M. (2014), Public Health Model Identifies Recruitment Barriers among Older Adults with Delirium and Dementia. Public Health Nursing, 31: 79–87. doi: 10.1111/phn.12075
- Issue published online: 6 JAN 2014
- Article first published online: 30 AUG 2013
- family caregivers;
- participant recruitment;
- public health model
Recruiting older adults and their family caregivers into research studies presents challenges. Although the literature notes some general recruitment challenges, no studies specifically address the unique challenges of recruiting older adults who have Alzheimer's Disease (AD) and their family caregivers in studies about delirium or suggest using a framework to identify barriers to recruiting this population. In conducting a pilot study about preparing family caregivers to detect delirium symptoms in older adults with (AD) the researchers used the Public Health Model for identifying barriers to recruitment. The goals of this methodological article are to: (1) briefly describe the methodology of the pilot study to illustrate how the Public Health Model was applied in the context of the present study and (2) discuss the benefits of the Public Health Model for identifying the barriers to recruitment in a study that prepared family caregivers to detect delirium symptoms in older adults with AD. The Public Health Model helped us to identify four specific barriers to recruitment (lack of knowledge about delirium, desire to maintain normalcy, protective caregiving behaviors, and older adult's fears) and ways to overcome them. The Public Health Model might also help other researchers address similar issues.