Engaging in Late-Life Mental Health Research: a Narrative Review of Challenges to Participation
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Geriatric Disorders (M Sajatovic and A Aftab, Section Editors)
Engaging in Late-Life Mental Health Research: a Narrative Review of Challenges to Participation Jordyn Newmark, MS1 Marie Anne Gebara, MD1,* Howard Aizenstein, MD, PhD1 Jordan F. Karp, MD1,2 Address *,1 Department of Psychiatry, University of Pittsburgh School of Medicine, 3811 O’Hara St, Bellefield Towers 726, Pittsburgh, PA, 15213, USA Email: [email protected] 2 Center for Interventions to Enhance Community Health, University of Pittsburgh, Pittsburgh, USA
* Springer Nature Switzerland AG 2020
Keywords Barriers I Older adults I Mental health research
Abstract Purpose of review This narrative review seeks to ascertain the challenges older patients face with participation in mental health clinical research studies and suggests creative strategies to minimize these obstacles. Recent findings Challenges to older adults’ engagement in mental health research include practical, institutional, and collaboration-related barriers applicable to all clinical trials as well as more personal, cultural, and age-related patient barriers specific to geriatric mental health research. Universal research challenges include (1) institutional barriers of lack of funding and researchers, inter-researcher conflict, and sampling bias; (2) collaborationrelated barriers involving miscommunication and clinician concerns; and (3) practical patient barriers such as scheduling issues, financial constraints, and transportation difficulties. Challenges unique to geriatric mental health research include (1) personal barriers such as no perceived need for treatment, prior negative experience, and mistrust of mental health research; (2) cultural barriers involving stigma and lack of bilingual or culturally matched staff; and (3) chronic medical issues and concerns about capacity. Summary Proposed solutions to these barriers include increased programmatic focus on and funding of geriatric psychiatry research grants, meeting with clinical staff to clarify study protocols and eligibility criteria, and offering transportation for participants. To minimize stigma and mistrust of psychiatric research, studies should devise community outreach efforts, employ culturally competent bilingual staff, and provide patient and family education about the study and general information about promoting mental health.
Geriatric Disorders (M Sajatovic and A Aftab, Section Editors)
Introduction Mental illness is increasingly prevalent worldwide, particularly in the aging population [1,2]. For those aged 65 years and older, 12-month prevalence rates are 11.4% for any anxiety disorder, 6.8% for any mood disorder, and 3.8% for substance use disorder [3]. For older Medicare and Medicaid members, 12-month incidence rates are even higher at 19.4% for any behavioral health disorder and 11.2% for dementia [2]. However, approximately 70% of older adults with these disorders do not receive treatment [4]. Untreated depression and anxiety significantly decrease quality of life and increase risk of suicide and cog
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