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.

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