Administration Centre CFAS Institute of Public Health Forvie Site, University of Cambridge School of Clinical Medicine Cambridge Biomedical Campus Cambridge, CB2 0SR T: 01223 330312 F: 01223 762515 W: www.cfas.ac.uk CAMBRIDGESHIRE PROJECT FOR LATER LIFE STUDY PARTICIPANT INFORMATION SHEET Two years ago you were kind enough to help us in a large and important survey into the Health and wellbeing of the older population funded by the Medical Research Council. We would like to invite all those who took part to conduct a further interview. An interviewer will visit you after 7 days to see if you would like to continue to take part in the study and to answer any questions you may have regarding the research. The interviewer will then seek to arrange a convenient appointment for you to conduct the interview which will take approximately 1½-2 hours to complete. The study continues to examine how health and well-being varies and changes with age. The longer the study continues the more valuable each contribution becomes. From this study we hope that we will be able to suggest ways in which the health of older people can be improved in the future. Your contribution, if you are willing to be re-interviewed, will help us with this. Before you decide whether to take part is it important for you to understand why the research is being done and what it will involve. Please take the time to read the following information carefully. Background The Cognitive Function and Ageing Studies (CFAS) Cambridgeshire Project for Later Life in which you have taken part is a large study that has been on-going since 1990 and involves people aged over 65 in six centres in Britain these include: Liverpool, Newcastle, Nottingham, Oxford, Cambridgeshire and Gwynedd. Since the start of CFAS study there has been an increase in life expectancy and improved screening, diagnosis and treatment of many chronic disorders and potentially advances in symptomatic treatments for Alzheimer’s disease and other dementias. The aim of this study is to find out how health and well-being change as people grow older and what are the risk factors of someone developing dementia, to investigate the different diseases that cause dementia and how quickly dementia progresses. We have also been able to look at depression and depressive symptoms and at those with physical disabilities in the older population. We have measured population differences over time to assess the differences between urban and rural settings and have looked at the relationships between health, social factors and service receipt such as visits to GP surgeries or hospital inpatient or outpatient visits. A Collaborating Centre in the Cognitive Function & Ageing Study Patient Information Sheet: Version 3: 19/02/2015 Why do some people experience difficulties as they get older while others remain fit and active? We are interested in the full range of experiences so that we can get a true picture of ageing in the population. The information collected through the interviews conducted in the study will increase our knowledge of the onset, course and risk factors for dementia and related conditions in the older population as well as healthy and frail ageing. Some participants have been asked to consider donating their brain after death. Those who felt able and willing to donate their brain after death are making an enormously valuable gift that will bring hope of a better life to future generations. It was not an easy decision to make and needed to be discussed with the family. Potential donors were asked to sign a Declaration of Intent. This is not a legally binding document, and they are free to change their mind at any time. The final decision to donate the brain will be made by the next of kin after the donor's death. A very important aspect of the CFAS project is that we ask older people not suffering from dementia to consider our request as well as those with dementia. This is crucial to understanding changes, which occur in the brains of normal elderly people with those who have dementia. The gift would only be used for research studies, which have been approved by the Management Committee of CFAS and the CFAS Biological Resource Advisory Committee (BRAC), which includes an independent scientist. These research proposals then are considered by the Research Ethics Committee, which also have to give approval before tissue can be released for use. If your next of Kin or caregiver has changed we would be most grateful if you could make them aware of the decision that you came to regarding Brain Donation so that they may help us to carry out your wishes. Following the gift of donation, (normally 3-6 months later) a member of the CFAS team will contact your next of Kin/care giver to seek a short retrospective informant interview to enquire about your health between the point we last visited you and the date of the donation. Do I have to take part? No, there is no obligation to take part and you can withdraw at any stage, without giving any reason. The study is for medical research only and will not affect your medical care or legal rights. What will happen if I decide to take part? If you should decide to take part, a research interviewer will again visit you at your home. If the time is not convenient they will return at a more convenient time for you. They will go through the information sheet with you and answer any questions you may have about the study. You will then be asked to sign a consent form to say you have read the information sheet, have had the opportunity to ask questions, and would like to continue to take part in the study. Following this you will be asked questions on your health since we last visited you, contact with friends and family and day to day activities, there will also be a section on memory and concentration. A Collaborating Centre in the Cognitive Function & Ageing Study Patient Information Sheet: Version 3: 19/02/2015 You have in the past agreed to us having access to your medical records, as systems have evolved regarding access to health records we would ask your permission to update your original consent which would allow us to continue to flag your name at the Health and Social Care Information Centre (HSCIC) who would then record the date and cause of death of participants in the study, they would also inform us if someone on the study has left the National Health Service i.e. emigrated. Subject to future funding we would hope to contact you again for a further interview in approximately two years. Occasionally we may ask with your consent to audio record an interview, audio recordings are anonymised and used for training and quality control purposes only and will be destroyed when no longer required. Confidentiality All the information collected by the study is completely confidential and it is stored without personal details on secure systems in compliance with the Data Protection Act (DPA) 1998. Data collected by the study will only be analysed by approved researchers. This study has been considered by: HSC REC B: 14/NI/1087 and Wales REC 4: 15/WA/0035. If the addressee is unable to respond, we would be grateful if a relative or carer could discuss with us whether an interview can take place or whether the relative/carer would be willing to conduct an informant interview with us. If you have any concerns or complaints about anything to do with the study please contact us on 01223 330312 and ask to speak to the Senior Study Coordinator who if unable to help you will direct you to the appropriate person. Indemnity arrangements for the study are provided by the University of Cambridge. Professor Carol Brayne Chief Investigator Linda Barnes Senior Study Coordinator CFAS A Collaborating Centre in the Cognitive Function & Ageing Study Patient Information Sheet: Version 3: 19/02/2015