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Rivera Mindt M, Arentoft A, Calcetas AT, Guzman VA, Amaza H, Ajayi A, Ashford MT, Ayo O, Barnes LL, Camuy A, Conti C, Diaz A, Easter B, Gonzalez DJ, Dotson YG, Hoang I, Germano KK, Maestre GE, Magaña F, Meyer OL, Miller MJ, Nosheny R, Park VMT, Parkins S, Thomas LR, Strong J, Talavera S, Verney SP, Weisensel T, Weiner MW, Okonkwo OC. The Alzheimer's Disease Neuroimaging Initiative-4 (ADNI-4) Engagement Core: A culturally informed, community-engaged research (CI-CER) model to advance brain health equity. Alzheimers Dement 2024; 20:8279-8293. [PMID: 39440702 DOI: 10.1002/alz.14242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2024] [Revised: 08/09/2024] [Accepted: 08/13/2024] [Indexed: 10/25/2024]
Abstract
INTRODUCTION The Alzheimer's Disease Neuroimaging Initiative-4 (ADNI-4) Engagement Core was launched to advance Alzheimer's disease (AD) and AD-related dementia (ADRD) health equity research in underrepresented populations (URPs). We describe our evidence-based, scalable culturally informed, community-engaged research (CI-CER) model and demonstrate its preliminary success in increasing URP enrollment. METHODS URPs include ethnoculturally minoritized, lower education (≤ 12 years), and rural populations. The CI-CER model includes: (1) culturally informed methodology (e.g., less restrictive inclusion/exclusion criteria, sociocultural measures, financial compensation, results disclosure, Spanish Language Capacity Workgroup) and (2) inclusive engagement methods (e.g., the Engagement Core team; Hub Sites; Community-Science Partnership Board). RESULTS As of April 2024, 60% of ADNI-4 new in-clinic enrollees were from ethnoculturally or educationally URPs. This exceeds ADNI-4's ≥ 50% URP representation goal for new enrollees but may not represent final enrollment. DISCUSSION Findings show a CI-CER model increases URP enrollment in AD/ADRD clinical research and has important implications for clinical trials to advance health equity. HIGHLIGHTS The Alzheimer's Disease Neuroimaging Initiative-4 (ADNI-4) uses a culturally informed, community-engaged research (CI-CER) approach. The CI-CER approach is scalable and sustainable for broad, multisite implementation. ADNI-4 is currently exceeding its inclusion goals for underrepresented populations.
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Affiliation(s)
- Mónica Rivera Mindt
- Department of Psychology, Fordham University, Bronx, New York, USA
- Department of Latin American and Latino Studies Institute and Department of African and African American Studies, Fordham University, Bronx, New York, USA
- Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York, USA
| | - Alyssa Arentoft
- Department of Psychology, California State University, Northridge, Northridge, California, USA
| | | | - Vanessa A Guzman
- Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York, USA
| | - Hannatu Amaza
- Department of Medicine, Wisconsin Alzheimer's Disease Research Center, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - Adeyinka Ajayi
- Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York, USA
| | - Miriam T Ashford
- Northern California Institute for Research and Education (NCIRE), San Francisco, California, USA
- VA Advanced Imaging Research Center, Veterans Affairs Medical Center, San Francisco, California, USA
| | - Omobolanle Ayo
- Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York, USA
| | - Lisa L Barnes
- Department of Neurological Sciences, Rush University Medical Center, Chicago, Illinois, USA
- Community Science Partnership Board (CSPB), Alzheimer's Disease Neuroimaging Initiative, New York, New York, USA
| | - Alicia Camuy
- Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York, USA
| | - Catherine Conti
- Northern California Institute for Research and Education (NCIRE), San Francisco, California, USA
- VA Advanced Imaging Research Center, Veterans Affairs Medical Center, San Francisco, California, USA
| | - Adam Diaz
- Northern California Institute for Research and Education (NCIRE), San Francisco, California, USA
- VA Advanced Imaging Research Center, Veterans Affairs Medical Center, San Francisco, California, USA
| | - Bashir Easter
- Community Science Partnership Board (CSPB), Alzheimer's Disease Neuroimaging Initiative, New York, New York, USA
- Melanin Minded LLC, Milwaukee, Wisconsin, USA
| | - David J Gonzalez
- Community Science Partnership Board (CSPB), Alzheimer's Disease Neuroimaging Initiative, New York, New York, USA
| | - Yolanda Graham Dotson
- Community Science Partnership Board (CSPB), Alzheimer's Disease Neuroimaging Initiative, New York, New York, USA
- Indiana Alzheimer's Disease Research Center, School of Medicine, Indiana University, Indianapolis, Indiana, USA
| | - Isabella Hoang
- Department of Medicine, Wisconsin Alzheimer's Disease Research Center, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | | | - Gladys E Maestre
- Community Science Partnership Board (CSPB), Alzheimer's Disease Neuroimaging Initiative, New York, New York, USA
- Department of Neuroscience, University of Texas Rio Grande Valley School of Medicine, Rancho Viejo, Texas, USA
| | - Fabiola Magaña
- Department of Medicine, Wisconsin Alzheimer's Disease Research Center, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - Oanh L Meyer
- Community Science Partnership Board (CSPB), Alzheimer's Disease Neuroimaging Initiative, New York, New York, USA
- Department of Neurology, School of Medicine, University of California Davis, Sacramento, California, USA
| | - Melanie J Miller
- Northern California Institute for Research and Education (NCIRE), San Francisco, California, USA
- VA Advanced Imaging Research Center, Veterans Affairs Medical Center, San Francisco, California, USA
| | - Rachel Nosheny
- Northern California Institute for Research and Education (NCIRE), San Francisco, California, USA
- VA Advanced Imaging Research Center, Veterans Affairs Medical Center, San Francisco, California, USA
- Department of Psychiatry and Behavioral Sciences, University of California San Francisco, San Francisco, California, USA
- Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, California, USA
| | - Van M Ta Park
- Community Science Partnership Board (CSPB), Alzheimer's Disease Neuroimaging Initiative, New York, New York, USA
- Department of Community Health Systems, School of Nursing, University of California San Francisco, San Francisco, California, USA
- Asian American Research Center on Health (ARCH), University of California San Francisco, San Francisco, California, USA
| | - Shaniya Parkins
- Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York, USA
| | - Lisa Renier Thomas
- Department of Medicine, Wisconsin Alzheimer's Disease Research Center, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - Joe Strong
- Department of Medicine, Wisconsin Alzheimer's Disease Research Center, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - Sandra Talavera
- Department of Psychology, Fordham University, Bronx, New York, USA
- Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York, USA
- Community Science Partnership Board (CSPB), Alzheimer's Disease Neuroimaging Initiative, New York, New York, USA
| | - Steven P Verney
- Community Science Partnership Board (CSPB), Alzheimer's Disease Neuroimaging Initiative, New York, New York, USA
- Department of Psychology, University of New Mexico, Albuquerque, New Mexico, USA
| | - Trinity Weisensel
- Department of Medicine, Wisconsin Alzheimer's Disease Research Center, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - Michael W Weiner
- Northern California Institute for Research and Education (NCIRE), San Francisco, California, USA
- VA Advanced Imaging Research Center, Veterans Affairs Medical Center, San Francisco, California, USA
- Department of Psychiatry and Behavioral Sciences, University of California San Francisco, San Francisco, California, USA
- Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, California, USA
| | - Ozioma C Okonkwo
- Department of Medicine, Wisconsin Alzheimer's Disease Research Center, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin, USA
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