title: Recruitment and Retention Challenges of Examining Cognitive Dysfunction in Older Adults Hospitalized for Acute Heart Failure.
abstract: Barriers to recruiting and retaining acutely ill older adults in clinical research include complexity of illness, fatigue, and early discharge.
  
  
  
  To describe recruitment and retention challenges of examining cognitive dysfunction in older adults hospitalized for acute heart failure.
  
  
  
  An examination of the reasons for recruitment and retention issues within an acute care, university-affiliated health care system.
  
  
  
  Sixty-two patients refused to participate for a variety of reasons; 11 were ineligible, and 27 participants who completed initial data collection refused to participate further because they were too tired, were being discharged on the day of data collection, or were discharged before the next data collection day.
  
  
  
  Multiple barriers to the recruitment and retention of older adults hospitalized for acute heart failure were identified. Strategies are needed to augment recruitment and retention efforts, including expanding the number of data collection sites and allocating sufficient support resources.
authors: Cynthia Arslanian-Engoren is an associate professor and Donna Algase is a professor emerita, University of Michigan School of Nursing, Ann Arbor, Michigan. Amanda Schuh is a psychiatric nurse practitioner, Mayo Clinic Health System, Mankato, Minnesota. Bruno J. Giordani is a professor, Ambulatory Psychiatry, University of Michigan, Ann Arbor, Michigan. Corinne Lee is an educational nurse specialist, Professional Development and Education, University of Michigan Health Systems, Ann Arbor, Michigan. Debra K. Moser is a professor, University of Kentucky College of Nursing, Lexington, Kentucky. cmae@umich.edu.
authors: Cynthia
authors: C
authors: Arslanian-Engoren
authors: Cynthia Arslanian-Engoren is an associate professor and Donna Algase is a professor emerita, University of Michigan School of Nursing, Ann Arbor, Michigan. Amanda Schuh is a psychiatric nurse practitioner, Mayo Clinic Health System, Mankato, Minnesota. Bruno J. Giordani is a professor, Ambulatory Psychiatry, University of Michigan, Ann Arbor, Michigan. Corinne Lee is an educational nurse specialist, Professional Development and Education, University of Michigan Health Systems, Ann Arbor, Michigan. Debra K. Moser is a professor, University of Kentucky College of Nursing, Lexington, Kentucky.
authors: Bruno J
authors: BJ
authors: Giordani
authors: Cynthia Arslanian-Engoren is an associate professor and Donna Algase is a professor emerita, University of Michigan School of Nursing, Ann Arbor, Michigan. Amanda Schuh is a psychiatric nurse practitioner, Mayo Clinic Health System, Mankato, Minnesota. Bruno J. Giordani is a professor, Ambulatory Psychiatry, University of Michigan, Ann Arbor, Michigan. Corinne Lee is an educational nurse specialist, Professional Development and Education, University of Michigan Health Systems, Ann Arbor, Michigan. Debra K. Moser is a professor, University of Kentucky College of Nursing, Lexington, Kentucky.
authors: Donna
authors: D
authors: Algase
authors: Cynthia Arslanian-Engoren is an associate professor and Donna Algase is a professor emerita, University of Michigan School of Nursing, Ann Arbor, Michigan. Amanda Schuh is a psychiatric nurse practitioner, Mayo Clinic Health System, Mankato, Minnesota. Bruno J. Giordani is a professor, Ambulatory Psychiatry, University of Michigan, Ann Arbor, Michigan. Corinne Lee is an educational nurse specialist, Professional Development and Education, University of Michigan Health Systems, Ann Arbor, Michigan. Debra K. Moser is a professor, University of Kentucky College of Nursing, Lexington, Kentucky.
authors: Amanda
authors: A
authors: Schuh
authors: Cynthia Arslanian-Engoren is an associate professor and Donna Algase is a professor emerita, University of Michigan School of Nursing, Ann Arbor, Michigan. Amanda Schuh is a psychiatric nurse practitioner, Mayo Clinic Health System, Mankato, Minnesota. Bruno J. Giordani is a professor, Ambulatory Psychiatry, University of Michigan, Ann Arbor, Michigan. Corinne Lee is an educational nurse specialist, Professional Development and Education, University of Michigan Health Systems, Ann Arbor, Michigan. Debra K. Moser is a professor, University of Kentucky College of Nursing, Lexington, Kentucky.
authors: Corinne
authors: C
authors: Lee
authors: Cynthia Arslanian-Engoren is an associate professor and Donna Algase is a professor emerita, University of Michigan School of Nursing, Ann Arbor, Michigan. Amanda Schuh is a psychiatric nurse practitioner, Mayo Clinic Health System, Mankato, Minnesota. Bruno J. Giordani is a professor, Ambulatory Psychiatry, University of Michigan, Ann Arbor, Michigan. Corinne Lee is an educational nurse specialist, Professional Development and Education, University of Michigan Health Systems, Ann Arbor, Michigan. Debra K. Moser is a professor, University of Kentucky College of Nursing, Lexington, Kentucky.
authors: Debra K
authors: DK
authors: Moser
mesh_terms: D002986:Clinical Trials as Topic / Q000379:methods*; D060825:Cognitive Dysfunction / Q000175:diagnosis* / Q000453:epidemiology*; D005221:Fatigue / Q000453:epidemiology; D006333:Heart Failure / Q000453:epidemiology*; D006760:Hospitalization; D006801:Humans; D010351:Patient Discharge / Q000706:statistics & numerical data; D018579:Patient Selection