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Published on: June 6, 2020
Lessons learned: Engaging culturally diverse families in neurodevelopmental disorders intervention research
Allison B Ratto1,2,3, Bruno J Anthony4,5,6, Cara Pugliese1,3
11 Children's National Health System, USA.
Insights
This study addresses disparities in neurodevelopmental disorder research for low-income, ethnic minority children. It details methods for recruiting these families into trials for autism spectrum disorder and attention deficit hyperactivity disorder treatments.
Area of Science:
- Neurodevelopmental Disorders
- Health Disparities
- Clinical Research Methodology
Background:
- Low-income and ethnic minority families face significant barriers in accessing diagnostic and treatment services for neurodevelopmental conditions.
- Ethnic minority children are underrepresented in research on neurodevelopmental disorders, with a notable lack of studies on treatment adaptations for these populations.
- There is a critical gap in research on adapting autism spectrum disorder treatments for low-income Latino communities and limited studies on attention deficit hyperactivity disorder treatments in these groups.
Purpose of the Study:
- To describe methodological considerations and adaptations for recruiting and engaging low-income, ethnic minority (particularly Latino) families in a clinical trial.
- To facilitate the participation of underserved populations in research on school-based interventions for executive dysfunction.
Main Methods:
- Utilized a Diffusion of Innovation framework to guide research procedure adaptations.
- Focused on effective recruitment and engagement strategies for low-income, ethnic minority families of children with neurodevelopmental disorders.
- Conducted a comparative effectiveness trial of two school-based interventions for executive dysfunction.
Main Results:
- The study outlines specific methodological adaptations necessary for inclusive research practices.
- The Diffusion of Innovation framework provided a structured approach to address recruitment and engagement challenges.
- Successfully recruited and engaged the target population in a trial for executive dysfunction interventions.
Conclusions:
- Effective recruitment and engagement of low-income, ethnic minority families require tailored methodological approaches.
- Adapting research procedures using frameworks like Diffusion of Innovation is crucial for reducing disparities in neurodevelopmental disorder research.
- The findings support the development of culturally sensitive and accessible interventions for diverse populations.
Abstract:
Low-income and ethnic minority families continue to face critical disparities in access to diagnostic and treatment services for neurodevelopmental conditions, such as autism spectrum disorder and attention deficit hyperactivity disorder. Despite the growing cultural diversity of the United States, ethnic minority children and families continue to be substantially underrepresented across research on neurodevelopmental disorders, and there is a particularly concerning lack of research on the treatment of these conditions in low-income and ethnic minority communities. Of note, there are currently no published studies on adapting autism spectrum disorder treatment for low-income Latino communities and relatively few studies documenting adapted treatments for children with attention deficit hyperactivity disorder in these communities. This article describes methodological considerations and adaptations made to research procedures using a Diffusion of Innovation framework in order to effectively recruit and engage low-income, ethnic minority, particularly Latino, families of children with neurodevelopmental disorders, in a comparative effectiveness trial of two school-based interventions for executive dysfunction.
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