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American Journal of Epidemiology Advance Access published online on October 25, 2008

American Journal of Epidemiology, doi:10.1093/aje/kwn277
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American Journal of Epidemiology © The Author 2008. Published by the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org.

Practice of Epidemiology

Issues in Conducting Epidemiologic Research Among Elders: Lessons From The MOBILIZE Boston Study

Elizabeth J. Samelson, Jennifer L. Kelsey, Douglas P. Kiel, Anthony M. Roman, L. Adrienne Cupples, Marcie B. Freeman, Richard N. Jones, Marian T. Hannan, Suzanne G. Leveille, Margaret M. Gagnon and Lewis A. Lipsitz

Correspondence to Dr. Elizabeth J. Samelson, Institute for Aging Research, Hebrew SeniorLife, 1200 Centre Street, Boston, MA 02131 (e-mail: samelson{at}hrca.harvard.edu).

Received for publication May 21, 2008. Accepted for publication August 4, 2008.

Conducting research in elderly populations is important, but challenging. In this paper, the authors describe specific challenges that have arisen and solutions that have been used in carrying out The MOBILIZE Boston Study, a community-based, prospective cohort study in Massachusetts focusing on falls among 765 participants aged 70 years or older enrolled during 2005–2007. To recruit older individuals, face-to-face interactions are more effective than less personal approaches. Use of a board of community leaders facilitated community acceptance of the research. Establishing eligibility for potential participants required several interactions, so resources must be anticipated in advance. Assuring a safe and warm environment for elderly participants and offering a positive experience are a vital priority. Adequate funding, planning, and monitoring are required to provide transportation and a fully accessible environment in which to conduct study procedures as well as to select personnel highly skilled in interacting with elders. It is hoped that this paper will encourage and inform future epidemiologic research in this important segment of the population.

accidental falls; aged; aging; cohort studies; epidemiologic methods; patient selection; prospective studies

Abbreviations: MOBILIZE, Maintenance of Balance, Independent Living, Intellect, and Zest in the Elderly of Boston


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