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Parker LJ, Gaugler JE, Gitlin LN. Use of Critical Race Theory to Inform the Recruitment of Black/African American Alzheimer's Disease Caregivers into Community-Based Research. Gerontologist. 2022;doi: 10.1093/geront/gnac001.
Parker, L. J., Gaugler, J. E., & Gitlin, L. N. (2022). Use of Critical Race Theory to Inform the Recruitment of Black/African American Alzheimer's Disease Caregivers into Community-Based Research. The Gerontologist, . https://doi.org/10.1093/geront/gnac001
Parker, Lauren J, et al. "Use of Critical Race Theory to Inform the Recruitment of Black/African American Alzheimer's Disease Caregivers into Community-Based Research." The Gerontologist vol. (2022). doi: https://doi.org/10.1093/geront/gnac001
Parker LJ, Gaugler JE, Gitlin LN. Use of Critical Race Theory to Inform the Recruitment of Black/African American Alzheimer's Disease Caregivers into Community-Based Research. Gerontologist. 2022 Jan 06; doi: 10.1093/geront/gnac001. Epub 2022 Jan 06. PMID: 34999789.
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Gerontologist. 2022 Jan 06; doi: 10.1093/geront/gnac001. Epub 2022 Jan 06.

Use of Critical Race Theory to Inform the Recruitment of Black/African American Alzheimer's Disease Caregivers into Community-Based Research.

The Gerontologist

Lauren J Parker, Joseph E Gaugler, Laura N Gitlin

Affiliations

  1. Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
  2. School of Public Health, University of Minnesota, Minneapolis, MN, USA.
  3. College of Nursing and Health Professions, Drexel University, Philadelphia, PA, USA.

PMID: 34999789 DOI: 10.1093/geront/gnac001

Abstract

Nearly 30 years after the 1993 National Institute of Health Revitalization Act, which required the inclusion of women and racial/ethnic minority groups into government-funded clinical trials, minority groups remain under-represented in research and disparities in health outcomes and longevity remain. These problematic trends are particularly evident when considering Black and community-based research in Alzheimer's Disease and related dementia (ADRD). Deeply rooted historical race-based mistreatment in research and in the health care system at large along with ineffective recruitment approaches persist as barriers to the low-participation of Black participants in dementia care studies. In this article, we explore Critical Race Theory (CRT), its tenets, and applicability to inform national strategies to encourage participation of Black participants in ADRD research. We describe how CRT constructs (e.g., race consciousness, storytelling, and praxis) can be used to inform recruitment strategies of Black caregivers for people living with dementia into community-based research. We provide a case example that draws upon our NIH funded Adult Day Service Plus randomized trial and its engagement of Black caregivers into a community-based biomarker research arm of the main trial. Although the contribution of this paper is primarily theoretical, in the spirit of CRT it is also a call for action to transform dementia care research by offering a conceptual tool to assure inclusivity of Black participants, who are disproportionately affected by dementia when compared to other racial groups.

© The Author(s) 2022. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: [email protected].

Keywords: Adult day care; African American older adult; Alzheimer’s disease; Caregiving-informal

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