Recruitment practices for U.S. minority and underserved populations in NRG oncology: Results of an online survey.
Recruitment practices for U.S. minority and underserved populations in NRG oncology: Results of an online survey.
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DOI：
10.1016/j.conctc.2018.03.003
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发表时间：
2018-06
影响因子：
1.5
通讯作者：
Paskett ED
中科院分区：
文献类型：
--
作者：
Cook ED;Yeager KA;Cecchini RS;Boparai J;Brown CL;Duncan M;Cronin WM;Paskett ED
癌症临床试验（CCT）为临床指南和护理标准提供了大量证据。但是，有条件现金转移支付的低参与率是有据可查的，特别是少数民族。我们对NRG肿瘤学网络中的556个招聘实践进行了在线调查。调查的目的是：1）了解研究中心如何招募少数民族/服务不足的人群; 2）更好地了解NRG机构的覆盖区域; 3）帮助规划教育计划，以增加少数民族/服务不足的人群。调查回应率为34.9%。据报道，招募少数民族/服务不足参与者的最有效方法是患者导航员（44.4%）和翻译（38.9%）。所有机构都报告使用了资格筛选机制，71%的机构报告使用了筛选/入组跟踪系统。78.1%的受访机构需要进行CCT培训，47.5%的受访机构需要进行文化能力培训。只有19.9%的网站使用社区合作伙伴来协助招聘少数民族，只有37.1%的受访者报告了一个明确的服务区。研究中心报告的人种和种族数据很少。这项NRG肿瘤学在线调查为改善试验入组和培训提供了有用的数据，以招募少数/服务不足的人群参加CCT。进一步调查的领域包括基于网络的招募和跟踪方法，文化能力培训，集水区的定义，患者导航器的使用和社区合作伙伴关系。调查结果将指导招聘培训计划。
Cancer clinical trials (CCT) provide much of the evidence for clinical guidelines and standards of care. But low levels of CCT participation are well documented, especially for minorities. We conducted an online survey of 556 recruitment practices across the NRG Oncology network. Survey aims were 1) to learn how sites recruit minority/underserved populations; 2) to better understand the catchment areas of the NRG institutions; and 3) to aid in planning education programs for accrual of minority/underserved populations. The survey response rate was 34.9%. The most effective methods reported for recruiting minority/underserved participants were patient navigators (44.4%) and translators (38.9%). All institutions reported using a mechanism for eligibility screening and 71% of institutions reported using a screening/enrollment tracking system. CCT training was required at 78.1% and cultural competency training was required at 47.5% of responding institutions. Only 19.9% of sites used community partners to assist with minority recruitment and just 37.1% of respondents reported a defined catchment area. Sites reported very little race and ethnicity data. This NRG Oncology online survey provides useful data for improvements in trial enrollment and training to recruit minority/underserved populations to CCT. Areas for further investigation include web-based methods for recruitment and tracking, cultural competency training, definition of catchment areas, use of patient navigators, and community partnerships. The survey results will guide recruitment training programs.