Culturally Competent Strategies for Recruitment and Retention of African American Populations into Clinical Trials.
Culturally Competent Strategies for Recruitment and Retention of African American Populations into Clinical Trials.
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DOI：
10.1111/cts.12285
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发表时间：
2015-10
期刊：
影响因子：
--
通讯作者：
Osafo N
中科院分区：
文献类型：
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作者：
Otado J;Kwagyan J;Edwards D;Ukaegbu A;Rockcliffe F;Osafo N
考虑目标参与者的文化和背景，确定研究人员让非裔美国人社区参与临床研究的成功招募策略、挑战和最佳实践。我们回顾了 2001 年至 2012 年在市中心研究中心进行的 50 项研究，以确定类型、持续时间、预期入学人数和实际入学人数。调查已发送给研究协调员，以获取有关招募和保留策略、挑战和辍学率的数据。我们还就挑战和策略采访了 25 位研究协调员。在 50 项研究中，24 项在本报告发布时已完成招募。已完成的研究中位招募率为 88% [范围：50-110]。成功的招聘和保留策略包括：实地策略和滚雪球策略。主要障碍是：不信任、补偿、教育劣势、缺乏兴趣和无法拥有学习伙伴。减少障碍的策略包括提供信息会议、传播有关研究结果的新闻通讯。最佳实践包括具有文化敏感性，包括表现出关怀态度和响应参与者的需求。为了在这一人群中设计和实施成功的招聘策略，文化能力至关重要。研究团队应由多民族工作人员组成，让社区参与，表现出信任，并对研究工作进行简明的教育。
To identify successful recruitment strategies, challenges and best practices for researchers to engage African American communities in clinical studies taken into consideration target participants’ culture and context. We reviewed 50 studies conducted from 2001-2012 at an inner-city research center to determine the type, duration, anticipated enrollments and actual enrollments. Survey was sent to study coordinators to obtain data on recruitment and retention strategies, challenges and dropout rates. We also interviewed 25 study coordinators on challenges and strategies. Of the 50 studies, 24 had completed recruitment at the time of this report. The completed studies achieved a median recruitment rate of 88% [range: 50-110]. Successful recruitment and retention strategies included: field-based strategy and snowballing. Major barriers were: distrust, compensation, education disadvantage, lack of interest and inability to have study partner. Strategies to reduce barriers included providing informational sessions, disseminating newsletters about study outcomes. Best practices include being culturally sensitive including demonstrating a caring attitude and being responsive to participants needs. Cultural competence is critical in order to design and implement successful recruitment strategies in this population. Research teams should comprised of multi-ethnic staff, involve the community, demonstrate trust and deliver concise education of the research endeavor.