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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
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A Simple Intervention to Improve Equity in Obstetric Research.
Rebecca Feldman Hamm1,2, Meaghan G McCabe1, Abike James1
1Department of Obstetrics and Gynecology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Health Equity
|November 1, 2023
Summary
A simple intervention improved the approach and enrollment of Black individuals in obstetric research. This involved a Research Equity Committee and data dashboards to track and address disparities, leading to better inclusion.
Area of Science:
- Obstetrics and Gynecology
- Clinical Research
- Health Equity
Background:
- Equitable inclusion of diverse populations in clinical research is crucial but often challenging.
- Obstetric research historically underrepresents Black birthing individuals, limiting generalizability and perpetuating health disparities.
Purpose of the Study:
- To evaluate the effectiveness of a simple intervention aimed at improving the equitable inclusion of Black birthing individuals in obstetric research.
- To assess the impact of a Research Equity Committee and race-based enrollment data dashboards on study participation.
Main Methods:
- A prospective evaluation was conducted from July 2021 to June 2022 at an academic university.
- The intervention included a Research Equity Committee, regular submission of study approach and enrollment data by race, root cause analysis (RCA) for underrepresentation, and action planning.
- Data from seven prospective obstetric studies were analyzed, encompassing 692 patients.
Main Results:
- Six root cause analyses (RCAs) and action planning sessions were conducted.
- Action plans focused on standardizing patient approach, recruitment scripts, and expanding study sites to diverse clinics.
- Four studies showed improvement post-intervention, with one achieving statistically significant increases in the approach (p=0.002) and enrollment (p=0.02) of Black birthing individuals.
Conclusions:
- A straightforward intervention, incorporating a dedicated committee and data monitoring, can enhance the approach and enrollment of Black birthing individuals in obstetric research.
- This approach offers a practical strategy to promote health equity in clinical trials.
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