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Published on: January 12, 2018
Drivers of Research Participation Among Racially and Ethnically Underrepresented Women: Insights from Semi-Structured
Kylie Finkelstein1, Anika Heuberger1, Gabrielle Ramos2
1College of Medicine, Department of Obstetrics & Gynecology, University of Florida, Gainesville, FL, USA.
Improving clinical trial diversity requires understanding participation barriers for underrepresented women. Addressing trust, safety, and recruitment strategies is key to inclusive research and generalizable findings.
Area of Science:
- Clinical research participation
- Health disparities
- Underrepresented populations
Background:
- Underrepresented racial and ethnic communities have low clinical research participation rates.
- This disparity impacts research generalizability and exacerbates health inequities.
- Understanding these factors is crucial for equitable health outcomes.
Purpose of the Study:
- To identify factors influencing clinical trial participation among underrepresented women.
- To gather community-informed suggestions for enhancing their involvement in research.
Main Methods:
- Nineteen semi-structured interviews were conducted with women in the WARRIOR trial.
- The Socio-Ecological Model guided interviews, which were analyzed using deductive content analysis.
- Consensus coding identified themes related to participation influences and barriers.
Main Results:
- Participants cited desire to help others, compensation, and physician recommendations as motivations.
- Barriers included transportation, language, understanding, privacy, medication fears, and healthcare mistrust.
- Physician recommendations positively influenced enrollment; trusted sources are preferred for recruitment.
Conclusions:
- Understanding participant attitudes is essential for increasing diversity and generalizability in clinical research.
- Community-informed strategies addressing recruitment, trust, and safety concerns are vital for inclusivity.
- Ensuring research reflects target populations requires addressing specific barriers faced by underrepresented groups.
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