Targeting outcome expectancy and external barriers with multifaceted, ongoing interventions may improve guideline adherence. Pulmonologists are clearly looking for empirical evidence that these medications benefit their patients over the long-term and offset patient treatment burden with improved health.
IN BRIEF
This article describes the results of surveys distributed to a national audience of specialty, primary care, and allied health care providers (HCPs) who manage patients with type 2 diabetes on a daily basis. The results provide insights into current educational needs and can inform the design and development of education programs for these HCPs.
Introduction
To improve dementia care delivery for persons across all backgrounds, it is imperative that health equity is integrated into pragmatic trials.
Methods
We reviewed 62 pragmatic trials of people with dementia published 2014 to 2019. We assessed health equity in the objectives; design, conduct, analysis; and reporting using PROGRESS‐Plus which stands for Place of residence, Race/ethnicity, Occupation, Gender/sex, Religion, Education, Socioeconomic status, Social capital, and other factors such as age and disability.
Results
Two (3.2%) trials incorporated equity considerations into their objectives; nine (14.5%) engaged with communities; 4 (6.5%) described steps to increase enrollment from equity‐relevant groups. Almost all trials (59, 95.2%) assessed baseline balance for at least one PROGRESS‐Plus characteristic, but only 10 (16.1%) presented subgroup analyses across such characteristics. Differential recruitment, attrition, implementation, adherence, and applicability across PROGRESS‐Plus were seldom discussed.
Discussion
Ongoing and future pragmatic trials should more rigorously integrate equity considerations in their design, conduct, and reporting.
Highlights
Few pragmatic trials are explicitly designed to inform equity‐relevant objectives.
Few pragmatic trials take steps to increase enrollment from equity‐relevant groups.
Disaggregated results across equity‐relevant groups are seldom reported.
Adherence to existing tools (e.g., IMPACT Best Practices, CONSORT‐Equity) is key.
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