Overview of recruitment for the Osteoporotic Fractures in Men Study (MrOS)

University of Pittsburgh, Pittsburgh, Pennsylvania, United States
Contemporary Clinical Trials (Impact Factor: 1.94). 10/2005; 26(5):557-68. DOI: 10.1016/j.cct.2005.05.005
Source: PubMed


Large, long term research studies present recruitment challenges that can be met with collaborative approaches to identify and enroll participants. The Osteoporotic Fractures in Men Study (MrOS), a multi-center observational study designed to determine risk factors for osteoporosis, fractures and prostate cancer in older men, recruited 5995 participants over a 25-month period. Enrolling a cohort that represented the race and age distribution of each community, and developing interest in an older male cohort about a condition commonly thought of as a "women's disease," were major recruitment challenges. During the start-up phase, recruitment challenges and strategies were analyzed and collective approaches were developed to address ways to motivate the target population. Key methods included mailings using community and provider contact lists; regional and senior newspaper advertisements; and presentations targeted to seniors. Sites used a centrally developed recruitment brochure. Response to mass mailings at some sites surpassed 10-15% and appointment show rates averaged above 85%. The final number enrolled in MrOS was 5% more than the original recruitment goal of 5700. Minority recruitment was enhanced through the use of the Health Care Financing Administration and other databases that allowed for targeted recruitment. Overall, minority enrollment was approximately 10.56% of the cohort (244 African American, 191 Asian). Men age>80 were enthusiastic and represent about 18% of enrollees. Through a coordinated approach of developing and refining recruitment strategies and materials, sites were able to adapt their original strategies and complete recruitment ahead of schedule.

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    • "The Osteoporotic Fractures in Men (MrOS) Study enrolled 5,994 communitydwelling men beginning in March of 2000, with recruitment divided between six U.S. clinical centers (Birmingham, AL; Minneapolis, MN; Palo Alto, CA; Pittsburgh, PA; Portland, OR; and San Diego, CA). Baseline characteristics (Orwoll et al., 2005) and details of recruitment (Blank et al., 2005) have been described elsewhere. Participants were ambulatory men aged 65 and older who were able to walk without assistance at baseline, did not have a bilateral hip replacement, were able to provide self-report data and informed consent, planned to reside near a clinical center for at least 3 years, and were absent of illness that would, in the judgment of the investigator, result in imminent death. "
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    ABSTRACT: We assessed associations between specific personality factors and health, and tested whether specific personality factors were related to health outcomes independent of each other. We performed cross-sectional analyses of personality and health among a sample of community-dwelling older men (n = 613, M age = 81.4, SD = 5.04 years) living in Pittsburgh, Pennsylvania. Personality factors (dispositional optimism, conscientiousness, and goal adjustment) were crudely related to both physical and mental health, but adjusting for other personality factors completely attenuated several of these associations. Conscientiousness remained uniquely related to every physical and mental health outcome. Optimism remained uniquely related to all health outcomes, except physical activity (which was more highly related to conscientiousness and goal adjustment). Associations between goal adjustment and probable depression appeared to be explained by conscientiousness and optimism. Correlations among multiple aspects of personality may mask unique associations of specific personality aspects with successful aging. © The Author(s) 2015.
    Journal of Aging and Health 08/2015; DOI:10.1177/0898264315597649 · 1.56 Impact Factor
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    • "The Osteoporotic Fractures in Men (MrOS) study recruited 5994 men in the USA between March 2000 and April 2002 [3] [12]. Eligible subjects from six clinical sites were 65 years of age or older, able to walk without assistance, and had not had bilateral hip replacement surgery. "
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    ABSTRACT: Within each sex, there is an association between hip fracture risk and the size of the proximal femur, with larger femurs apparently more susceptible to fracture. Here, we investigate whether the thickness and density of the femoral cortex play a role in this association: might larger femurs harbour focal, cortical defects? To answer this question, we used cortical bone mapping to measure the distribution of cortical mass surface density (CMSD, mg/cm(2)) in cohorts of 308 males and 125 females. Principal component analysis of the various femoral surfaces led to a measure of size that is linearly independent from shape. After mapping the data onto a canonical femur surface, we used statistical parametric mapping to identify any regions where CMSD depends on size, allowing for other confounding covariates including shape. Our principal finding was a focal patch on the superior femoral neck, where CMSD is reduced by around 1% for each 1% increase in proximal-distal size (p<0.000005 in the males, p<0.001 in the females). This finding appears to be consistent with models of functional adaptation, and may help with the design of interventional strategies for reducing fracture risk. Copyright © 2015. Published by Elsevier Inc.
    Bone 07/2015; 81. DOI:10.1016/j.bone.2015.06.024 · 3.97 Impact Factor
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    • "The baseline SOF exams were conducted from 1986–1988, when 9,704 European American women were recruited [Cummings et al., 1995; Vogt et al., 2003]. Baseline examination for MrOS occurred from 2000 to 2002, during which 5,994 community-dwelling men 65 years or older were enrolled at six clinical centers in the United States: Birmingham, AL; Minneapolis, MN; Palo Alto, CA; the Monongahela Valley near Pittsburgh, PA; Portland, OR; and San Diego, CA [Blank et al., 2005; Orwoll et al., 2005]. To participate, men needed to be able to walk without assistance and must not have had a bilateral hip replacement. "
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    ABSTRACT: Objective Identify genetic factors associated with cognitive maintenance in late life and assess their association with gray matter (GM) volume in brain networks affected in aging. Methods We conducted a genome-wide association study of ∼2.4 M markers to identify modifiers of cognitive trajectories in Caucasian participants (N = 7,328) from two population-based cohorts of non-demented elderly. Standardized measures of global cognitive function (z-scores) over 10 and 6 years were calculated among participants and mixed model regression was used to determine subject-specific cognitive slopes. “Cognitive maintenance” was defined as a change in slope of ≥ 0 and was compared with all cognitive decliners (slope < 0). In an independent cohort of cognitively normal older Caucasians adults (N = 122), top association findings were then used to create genetic scores to assess whether carrying more cognitive maintenance alleles was associated with greater GM volume in specific brain networks using voxel-based morphometry. ResultsThe most significant association was on chromosome 11 (rs7109806, P = 7.8 × 10−8) near RIC3. RIC3 modulates activity of α7 nicotinic acetylcholine receptors, which have been implicated in synaptic plasticity and beta-amyloid binding. In the neuroimaging cohort, carrying more cognitive maintenance alleles was associated with greater volume in the right executive control network (RECN; PFWE = 0.01). Conclusions These findings suggest that there may be genetic loci that promote healthy cognitive aging and that they may do so by conferring robustness to GM in the RECN. Future work is required to validate top candidate genes such as RIC3 for involvement in cognitive maintenance. Hum Brain Mapp, 2014. © 2014 Wiley Periodicals, Inc.
    Human Brain Mapping 09/2014; 35(9). DOI:10.1002/hbm.22494 · 5.97 Impact Factor
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