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Refining Our "CRAFT": The Community Research Academy to Foster RepresenTation (CRAFT) Program
Mackenzie E Fowler1,2, Oluseun Akinyele3, Francine Walton2
1Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, AL, USA.
The Community Research Academy to Foster RepresenTation (CRAFT) program successfully trained community health workers (CHWs) to advocate for clinical research participation. This initiative improved CHWs' knowledge and perception, addressing underrepresentation in clinical trials among diverse populations.
Area of Science:
- Health Equity
- Clinical Trials Research
- Community Engagement
Background:
- Mino ritized groups, including Black Americans, are underrepresented in clinical research, leading to health inequities.
- Community Outreach and Engagement offices aim to bridge the gap between research institutions and communities.
- Community health workers (CHWs) can serve as crucial advocates to improve research participation.
Purpose of the Study:
- To describe the development and evaluation of a program to empower CHWs as clinical research advocates.
- To enhance CHWs' understanding and perception of clinical trial importance and processes.
Main Methods:
- Developed the Community Research Academy to Foster RepresenTation (CRAFT) program, a "train the trainer" session.
- Adapted evidence-based materials on clinical trial importance, including "myth busters" and participant panels.
- Evaluated CRAFT for acceptability, knowledge change, perception shifts, and maintenance of learning.
Main Results:
- Initial training showed high satisfaction, with reported increases in knowledge (48%) and perception (33%).
- Refresher training demonstrated improved satisfaction (94%), increased knowledge (47%), and significantly higher objective knowledge (73%).
- Fifty percent of participants maintained or improved their objective knowledge scores after both sessions.
Conclusions:
- The CRAFT program effectively increased awareness, knowledge, and positive perception of clinical research among diverse CHWs.
- The training demonstrated potential for knowledge maintenance over time.
- Future steps include refining the curriculum and expanding its reach to other institutions and community health advisors.
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