Underrepresentation of Hispanics and Other Minorities in Clinical Trials: Recruiters' Perspectives

Underrepresentation of Hispanics and Other Minorities in Clinical Trials: Recruiters' Perspectives
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DOI:
10.1007/s40615-017-0373-x
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发表时间:
2018-04-01
影响因子:
3.9
通讯作者:
Potter, JoNell E.
Potter, JoNell E.
中科院分区:
医学4区
文献类型:
--
作者:
Occa, Aurora;Morgan, Susan E.;Potter, JoNell E.

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临床试验和研究往往不能从少数群体中招募参与者,妨碍了结果的普遍性。为了缓解这一问题,本研究调查了种族/民族如何影响从种族和少数民族群体中招聘人员的过程,与专业招聘人员进行了11个焦点小组。出现了几个主题,例如如何适应潜在参与者的语言能力和识字水平,进行文化上适当的语言和非语言交流的重要性,以及在招聘人员和患者之间建立一种同质性。此外,招聘人员指出了可能的解决方案,以适应社会经济问题,适应背景因素-包括移民身份-并最终回应潜在参与者对医学研究的不信任。这些调查结果进行了讨论,并提供未来的建议。
Clinical trials and research studies often fail to recruit participants from the minorities, hampering the generalizability of results. In order to mitigate this problem, the present study investigated how race/ethnicity affects the process of recruiting people from racial and ethnic minority groups, by conducting 11 focus groups with professional recruiters. Several themes emerged, such as how to adapt to potential participants' language competency and literacy levels, the importance to engage in culturally appropriate verbal and nonverbal communication, and to establish a sense of homophily between recruiters and patients. In addition, recruiters pointed out possible solutions to accommodate socioeconomic concerns, to adapt to contextual factors-including immigration status-and ultimately to respond to potential participants' mistrust of medical research. These findings are discussed, and future recommendations are provided.