{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T05:12:17Z","timestamp":1788671537750,"version":"build-2803163510"},"reference-count":43,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["P30AG066546"],"award-info":[{"award-number":["P30AG066546"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["alz-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alzheimer's &amp; Dementia"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Many populations experiencing the highest burdens of Alzheimer's disease and related dementias remain understudied, in part because traditional recruitment and retention models are insufficient to support sustained engagement. The Outreach, Recruitment, and Engagement Core (OREC) of the South Texas Alzheimer's Disease Research Center reconceptualized participant recruitment as a long\u2010term\n                    <jats:italic>system change<\/jats:italic>\n                    in a Hispanic\u2010majority, urban\u2013rural region. OREC institutionalizes shared power through community advisory governance, aligns research protocols with local lived realities (through patient navigators, community health workers\/promotores, and decentralized access points), and employs a data\u2010driven feedback loop for continuous improvement. In 1 year, 46 outreach events touched 10,134 individuals (71% Hispanic) and generated 172 new registry enrollments. Qualitative engagement (focus groups\/key\u2010informant interviews) progressed to high\u2010sensitivity topics (e.g., brain donation), signaling maturation of trust. This shift from outreach to reciprocity infrastructure reflects a systems\u2010level change, one that lowers barriers, builds trust, and enables research participation to become routine rather than exceptional.\n                  <\/jats:p>","DOI":"10.1002\/alz.71695","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T10:54:39Z","timestamp":1785927279000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Engagement of understudied populations as community change: The South Texas ADRC model"],"prefix":"10.1002","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5690-8833","authenticated-orcid":false,"given":"Gladys E.","family":"Maestre","sequence":"first","affiliation":[{"name":"Memory and Aging Center Institute of Neuroscience Neuro &amp; Behavioral Integrated Service Unit School of Medicine University of Texas Rio Grande Valley  Harlingen Texas USA"},{"name":"South Texas Diabetes and Obesity Institute College of Sciences University of Texas Rio Grande Valley  Brownsville Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neela K.","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Neurology Glenn Biggs Institute for Alzheimer's and Neurodegenerative Diseases University of Texas Health Science Center at San Antonio  San Antonio Texas USA"},{"name":"Division of Comprehensive and Supportive Care Glenn Biggs Institute for Alzheimer's and Neurodegenerative Diseases University of Texas Health Science Center at San Antonio  San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa V.","family":"Pirela","sequence":"additional","affiliation":[{"name":"Memory and Aging Center Institute of Neuroscience Neuro &amp; Behavioral Integrated Service Unit School of Medicine University of Texas Rio Grande Valley  Harlingen Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin C","family":"Hilsabeck","sequence":"additional","affiliation":[{"name":"Department of Neurology Glenn Biggs Institute for Alzheimer's and Neurodegenerative Diseases University of Texas Health Science Center at San Antonio  San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kendra","family":"Stine","sequence":"additional","affiliation":[{"name":"Memory and Aging Center Institute of Neuroscience Neuro &amp; Behavioral Integrated Service Unit School of Medicine University of Texas Rio Grande Valley  Harlingen Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fayron R.","family":"Epps","sequence":"additional","affiliation":[{"name":"Department of Neurology Glenn Biggs Institute for Alzheimer's and Neurodegenerative Diseases University of Texas Health Science Center at San Antonio  San Antonio Texas USA"},{"name":"School of Nursing University of Texas Health Science Center at San Antonio  San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neyra","family":"Garcia","sequence":"additional","affiliation":[{"name":"Memory and Aging Center Institute of Neuroscience Neuro &amp; Behavioral Integrated Service Unit School of Medicine University of Texas Rio Grande Valley  Harlingen Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Santiago\u2010Mejias","sequence":"additional","affiliation":[{"name":"Department of Neurology Glenn Biggs Institute for Alzheimer's and Neurodegenerative Diseases University of Texas Health Science Center at San Antonio  San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Reyes","sequence":"additional","affiliation":[{"name":"Memory and Aging Center Institute of Neuroscience Neuro &amp; Behavioral Integrated Service Unit School of Medicine University of Texas Rio Grande Valley  Harlingen Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia L.","family":"Satizabal","sequence":"additional","affiliation":[{"name":"Department of Neurology Glenn Biggs Institute for Alzheimer's and Neurodegenerative Diseases University of Texas Health Science Center at San Antonio  San Antonio Texas USA"},{"name":"Department of Population Health Sciences The University of Texas Health Science Center at San Antonio  San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Mejia\u2010Arango","sequence":"additional","affiliation":[{"name":"Memory and Aging Center Institute of Neuroscience Neuro &amp; Behavioral Integrated Service Unit School of Medicine University of Texas Rio Grande Valley  Harlingen Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. 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