A Community-Engaged Approach to Enhancing Participation in Genomic Research in Rare and Understudied Cancer
Saira Khan1, Bailey Martin-Giacalone1, Kayla Wallace1
1School of Medicine, Washington University in St. Louis, St. Louis, MO 63130, USA.
International Journal of Environmental Research and Public Health
|October 29, 2025
Summary
Engaging community members through a Participant Engagement Advisory Board (PEAB) improved genomic research processes for rare cancers. This collaboration enhanced recruitment, consent, and surveys, ensuring successful patient enrollment.
Area of Science:
- Genomic research
- Community engagement
- Cancer research
Background:
- Limited studies explore incorporating community perspectives in early genomic research.
- Early and consistent engagement can mitigate participation barriers, especially for understudied cancer groups.
Purpose of the Study:
- To describe the process and impact of establishing a Participant Engagement Advisory Board (PEAB) for the Washington University Participant Engagement and Cancer Genome Sequencing (WU-PE-CGS) study.
- To highlight how community member input can enhance genomic research protocols.
Main Methods:
- Formed a PEAB with patients, advocates, and organizations representing cholangiocarcinoma, early-onset colorectal cancer in Black Americans, and multiple myeloma in Black Americans.
- Involved PEAB members from grant submission through monthly meetings and leadership roles.
- Documented PEAB recommendations on study procedures.
Main Results:
- PEAB provided critical feedback on recruitment scripts, consent forms, and survey design.
- Improvements included concise recruitment language, locale-specific tailoring, clearer expectations, prioritized consent information, data protection, genetic results clarification, refined scientific terms, and inclusivity.
- Feedback led to optimized recruitment, enhanced consent processes, and improved survey inclusivity.
Conclusions:
- PEAB feedback significantly improved the development and implementation of WU-CGS research processes.
- Incorporating PEAB suggestions facilitated successful enrollment of patients with rare and understudied cancers.
- The PEAB's ongoing contribution is vital throughout all study phases.


