Utilization of an undergraduate emergency department research associate program for the screening and recruitment of research subjects with heart failure into a clinical study

Background: Enrolling heart failure (HF) patients in clinical studies is challenging. Emergency department (ED) may use students as research associates programs, such as the University of Rochester Medical Center (URMC) ED Research Associate (EDRA) program, to screen and consent patients for clinica...

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Main Authors: Dillon J. Dzikowicz, Brenda Hernandez-Romero, Nancy Wood, Beau W. Abar, David H. Adler, Linwei Wang, Wojciech Zareba
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Contemporary Clinical Trials Communications
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Online Access:http://www.sciencedirect.com/science/article/pii/S2451865424001571
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author Dillon J. Dzikowicz
Brenda Hernandez-Romero
Nancy Wood
Beau W. Abar
David H. Adler
Linwei Wang
Wojciech Zareba
author_facet Dillon J. Dzikowicz
Brenda Hernandez-Romero
Nancy Wood
Beau W. Abar
David H. Adler
Linwei Wang
Wojciech Zareba
author_sort Dillon J. Dzikowicz
collection DOAJ
description Background: Enrolling heart failure (HF) patients in clinical studies is challenging. Emergency department (ED) may use students as research associates programs, such as the University of Rochester Medical Center (URMC) ED Research Associate (EDRA) program, to screen and consent patients for clinical studies. This manuscript examines the effectiveness of the URMC EDRA program in consenting HF patients into a clinical study. Methods: The URMC EDRA program recruited and consented HF patients presenting at URMC's ED. Research associates in the EDRA program identified potential patients based on age (>18 years) and chief complaints indicative of HF. After identifying potential patients, a thorough chart review was conducted, and any uncertainties were discussed with the patient and treating provider before patients were consented into the study. Descriptive statistics were used to assess the program's effectiveness. Results: Over one fiscal year, the URMC EDRA program screened 1669 unique patients, of whom 118 (7.1 %) were consented. Consented patients tended to be younger (65 ± 12 years) than those who refused consent (70 ± 14 years) (p = 0.007). Of the 1551 patients not consented, 1021 (65.8 %) were deemed ineligible. Compared to a full time research associate, the URMC EDRA program was cheaper and more productive. Conclusion: The URMC EDRA program was highly effective in screening and consenting HF patients, successfully consenting 118 patients (14 per month). This is a significant achievement, especially given the study's strict inclusion and exclusion criteria. Compared to other studies and a full time research associate, the URMC EDRA program demonstrated remarkable productivity.
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spelling doaj-art-c0372c4829414df592fab49068dc55652025-01-12T05:25:29ZengElsevierContemporary Clinical Trials Communications2451-86542025-02-0143101410Utilization of an undergraduate emergency department research associate program for the screening and recruitment of research subjects with heart failure into a clinical studyDillon J. Dzikowicz0Brenda Hernandez-Romero1Nancy Wood2Beau W. Abar3David H. Adler4Linwei Wang5Wojciech Zareba6School of Nursing, University of Rochester, 601 Elmwood Ave, Rochester, NY, 14642, USA; Clinical Cardiovascular Research Center, University of Rochester, 601 Elmwood Ave, Rochester, NY, 14642, USA; Corresponding author. School of Nursing, University of Rochester, 601 Elmwood Ave, Rochester, NY, 14642, USA.Department of Emergency Medicine, University of Rochester, 601 Elmwood Ave, Rochester, NY, 14642, USADepartment of Emergency Medicine, University of Rochester, 601 Elmwood Ave, Rochester, NY, 14642, USADepartment of Emergency Medicine, University of Rochester, 601 Elmwood Ave, Rochester, NY, 14642, USADepartment of Emergency Medicine, University of Rochester, 601 Elmwood Ave, Rochester, NY, 14642, USADepartment of Computing and Information Sciences, Rochester Institute of Technology, 102 Lomb Memorial Drive, Rochester, NY, 14623, USAClinical Cardiovascular Research Center, University of Rochester, 601 Elmwood Ave, Rochester, NY, 14642, USA; Department of Cardiology, University of Rochester, 601 Elmwood Ave, Rochester, NY, 14642, USABackground: Enrolling heart failure (HF) patients in clinical studies is challenging. Emergency department (ED) may use students as research associates programs, such as the University of Rochester Medical Center (URMC) ED Research Associate (EDRA) program, to screen and consent patients for clinical studies. This manuscript examines the effectiveness of the URMC EDRA program in consenting HF patients into a clinical study. Methods: The URMC EDRA program recruited and consented HF patients presenting at URMC's ED. Research associates in the EDRA program identified potential patients based on age (>18 years) and chief complaints indicative of HF. After identifying potential patients, a thorough chart review was conducted, and any uncertainties were discussed with the patient and treating provider before patients were consented into the study. Descriptive statistics were used to assess the program's effectiveness. Results: Over one fiscal year, the URMC EDRA program screened 1669 unique patients, of whom 118 (7.1 %) were consented. Consented patients tended to be younger (65 ± 12 years) than those who refused consent (70 ± 14 years) (p = 0.007). Of the 1551 patients not consented, 1021 (65.8 %) were deemed ineligible. Compared to a full time research associate, the URMC EDRA program was cheaper and more productive. Conclusion: The URMC EDRA program was highly effective in screening and consenting HF patients, successfully consenting 118 patients (14 per month). This is a significant achievement, especially given the study's strict inclusion and exclusion criteria. Compared to other studies and a full time research associate, the URMC EDRA program demonstrated remarkable productivity.http://www.sciencedirect.com/science/article/pii/S2451865424001571Heart failurePatient selectionEmergency ServiceHospitalResearch PersonnelInformed consent
spellingShingle Dillon J. Dzikowicz
Brenda Hernandez-Romero
Nancy Wood
Beau W. Abar
David H. Adler
Linwei Wang
Wojciech Zareba
Utilization of an undergraduate emergency department research associate program for the screening and recruitment of research subjects with heart failure into a clinical study
Contemporary Clinical Trials Communications
Heart failure
Patient selection
Emergency Service
Hospital
Research Personnel
Informed consent
title Utilization of an undergraduate emergency department research associate program for the screening and recruitment of research subjects with heart failure into a clinical study
title_full Utilization of an undergraduate emergency department research associate program for the screening and recruitment of research subjects with heart failure into a clinical study
title_fullStr Utilization of an undergraduate emergency department research associate program for the screening and recruitment of research subjects with heart failure into a clinical study
title_full_unstemmed Utilization of an undergraduate emergency department research associate program for the screening and recruitment of research subjects with heart failure into a clinical study
title_short Utilization of an undergraduate emergency department research associate program for the screening and recruitment of research subjects with heart failure into a clinical study
title_sort utilization of an undergraduate emergency department research associate program for the screening and recruitment of research subjects with heart failure into a clinical study
topic Heart failure
Patient selection
Emergency Service
Hospital
Research Personnel
Informed consent
url http://www.sciencedirect.com/science/article/pii/S2451865424001571
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