{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T12:14:54Z","timestamp":1779106494599,"version":"3.51.4"},"reference-count":49,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T00:00:00Z","timestamp":1776902400000},"content-version":"vor","delay-in-days":22,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Rationale<\/jats:title>\n                    <jats:p>The consistent delivery of effective evidence into nursing home practice has been shown to enhance quality of care and residents' outcomes. Pragmatic trials enable the evaluation of efficacious interventions in a real\u2010world context, including care of residents living with Alzheimer's Disease and Related Dementias (ADRD). Yet, there are limited pragmatic trials conducted in nursing homes and even less evidence on the strategies to successfully conduct such research in this setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To identify the lessons learned from a pragmatic trial and provide recommendations for future successful studies in United States (US) nursing homes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Drawing on a case example of a recently completed pragmatic trial, we used the Comparative Effectiveness Research Framework to guide the thematic analysis of study documentation to identify challenges, strategies used, and recommendations for future pragmatic trials in US nursing homes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Five themes emerged from this case example: 1) establish and sustain community partner collaboration, 2) context analysis and appropriate implementation plan, 3) study adaptability, 4) data collection in a \u2018real world\u2019 setting, and 5) broad dissemination. Within each theme, strategies we used, challenges we encountered, and recommendations for future studies were identified. Examples of recommendations include empowering community partners to be engaged in the research, co\u2010design with community partners, account for the dynamic nature of the nursing home setting, and maintain communication with organization leaders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Successful completion of pragmatic trials in US nursing homes requires active engagement of community partners throughout the research process. The emergent lessons learned and recommendations highlight the complex nature of this care setting, the need to be proactive in implementation planning, and the pivotal role of community partners. Moving forward, there is a need for greater emphasis on systematically sharing experiences more broadly to advance the science of pragmatic trials in US nursing homes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jep.70451","type":"journal-article","created":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T07:35:09Z","timestamp":1776929709000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lessons Learned From the Implementation of a Pragmatic Trial Evaluating Non\u2010Pharmacological Approaches to Dementia Care in US Nursing Homes"],"prefix":"10.1111","volume":"32","author":[{"given":"Carin","family":"Wong","sequence":"first","affiliation":[{"name":"Department of Occupational Therapy, School of Health and Rehabilitation Sciences University of Pittsburgh Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine V.","family":"Piersol","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, College of Rehabilitation Sciences Thomas Jefferson University Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felicia","family":"Chew","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, College of Rehabilitation Sciences Thomas Jefferson University Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cara","family":"Lekovitch","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, School of Health and Rehabilitation Sciences University of Pittsburgh Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria","family":"Shier","sequence":"additional","affiliation":[{"name":"The Leonard D. 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