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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Perceptions of pediatric clinical research among African American and Caucasian parents
Maren G Shaw1, Dean S Morrell, Giselle M Corbie-Smith
1Department of Dermatology, University of North Carolina School of Medicine, Chapel Hill, NC 27599, USA. mgshaw@unch.unc.edu
Insights
Racial disparities in pediatric clinical trial participation exist, with Caucasian parents showing more trust and exposure to research than African American parents. However, both groups expressed similar willingness for their children to participate in studies.
Area of Science:
- Pediatric Clinical Trials
- Dermatology Research
- Health Disparities
Background:
- Recruitment of African American adults in clinical trials is challenging.
- Limited data exists on racial disparities in pediatric clinical trial participation.
- Understanding parental perceptions is crucial for improving recruitment.
Purpose of the Study:
- To investigate racial differences in research participation interest among African American and Caucasian parents.
- To identify factors influencing parental willingness to enroll children in pediatric dermatology research.
- To inform strategies for achieving racially representative recruitment goals.
Main Methods:
- Survey administered to 90 African American and Caucasian parents at an academic pediatric dermatology clinic.
- Analysis of responses to 38 survey questions comparing racial groups.
- Statistical analysis to determine significant differences in trust, perceptions, and enrollment inclination.
Main Results:
- Most questions (32/38) yielded similar responses across racial groups.
- Caucasians reported higher trust (84% vs. 65%) and greater research exposure than African Americans.
- African Americans were 3x more likely to fear their child being treated as a 'guinea pig'; Caucasians were more inclined to enroll if referred by a known provider.
Conclusions:
- While trust and prior exposure to research differ racially, these factors alone do not fully explain recruitment disparities.
- Parental willingness to theoretically enroll children in research showed no significant racial difference.
- Addressing specific concerns and leveraging established healthcare relationships may improve recruitment of diverse pediatric populations.
Abstract:
Difficulty in recruiting African American adults for clinical trials is well documented, but there is no consensus on African American children. Responses of a survey completed by 90 African American and Caucasian parents from December 2004 to April 2005 were analyzed to determine if racial disparities exist in research participation interest in an academic pediatric dermatology clinic. The majority of questions (32 of 38) were answered similarly by subjects of both races. However, when compared to African Americans, Caucasians were slightly more trusting (84% vs 65%) in regard to either total or moderate trust (p = .03). African Americans were 3 times as likely to feel that their child might be "treated like a guinea pig" if the child was a research subject (p = .03). Nearly a third more Caucasians than African Americans would be more inclined to enroll their healthy child in a research study if they had an established relationship with the health care provider informing them of the study (p = .0001). Caucasians had more exposure to research (p = .03). Nevertheless, there was no racial difference in the willingness to theoretically allow their child to participate in research studies. Accordingly, the possible lack of trust should not be used as the only reason racially representative recruitment goals are not accomplished.
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