Promoting clinical research to medically underserved communities: Current practices and perceptions about clinical trial recruiting strategies
Promoting clinical research to medically underserved communities: Current practices and perceptions about clinical trial recruiting strategies
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DOI：
10.1016/j.cct.2014.12.010
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发表时间：
2015-03-01
影响因子：
2.2
通讯作者：
Bergeron, Caroline D.
中科院分区：
文献类型：
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作者：
Tanner, Andrea;Kim, Sei-Hill;Bergeron, Caroline D.
简介：虽然临床试验有可能提供最先进的医学治疗和筛查选择，但在医疗服务不足的人群中，应计率仍然很低。加强临床试验招募的策略经常在没有制定、实施和评估沟通和教育活动的情况下进行。这项研究评估了目前在东南部一个州的学术医疗中心进行的临床试验招募工作，并探讨了主要研究者对如何在普通人群、非洲裔美国人和农村社区成功招募临床试验人员的态度和信念。方法：一项在线调查被用来收集在东南部一个州的五个主要学术医学中心工作的临床试验主要研究者的回复。受访者被问及他们在招聘和招聘战略方面的经验，一般来说，以及在非洲裔美国人和农村社区。受访者表示，最难找到农村居民参加临床试验（M = 3.60，SD = 0.93），其次是一般公众（M = 3.30，SD = 0.99）和非洲裔美国居民（M = 3.15，SD = 0.99）。研究者最常报告亲自招募患者（M = 3.50，SD = 134）和通过当地医生（M = 2.80，SD = 1.20）招募患者。主要调查人员很少通过信仰组织招聘（M = 1.74，SD = 1.05），或使用无线电（M = 1.62，SD =.90）或电视广告（M = 1.42，SD =.75）。临床试验研究者很少与医疗环境之外的临床研究进行沟通，也很少与社区组织或当地医生合作，医学不发达的社区。研究的意义描述了教育研究团队如何最好地促进临床试验的意识和知识的重要性。(C)由Elsevier Inc.出版。
Introduction: Although clinical trials have the potential to provide the most advanced medical treatments and screening options, accrual rates remain low among medically underserved populations. Strategies to enhance clinical trial recruitment are frequently undertaken without developing, implementing, and evaluating communication and educational activities. This study assesses the current clinical trial recruiting efforts taking place at academic medical centers in a southeastern state and explores principal investigators' attitudes and beliefs about how to successfully recruit for clinical trials, in the general population, and in African American and rural communities.Methods: An online survey was used to collect responses from clinical trial principal investigators working in a southeastern state's five main academic medical centers. Respondents were asked about their experience with recruitment and recruiting strategies, in general, and in the African American and rural communities.Results: Respondents said that it was most difficult to find rural residents to participate in clinical trials (M = 3.60, SD =.93), followed by the general public (M = 3.30, SD = .99) and African American residents (M = 3.15, SD = .99). Investigators most often reported personally recruiting their patients (M = 3.50, SD = 134) and through local doctors (M = 2.80, SD = 1.20). Principal investigators rarely recruit through faith-based organizations (M = 1.74, SD = 1.05), or by using radio (M = 1.62, SD =.90), or television ads (M = 1.42, SD =.75).Conclusion: Clinical trial investigators rarely communicate about clinical research outside of the medical setting or partner with community organizations or local doctors to reach individuals in medically undersenred communities. Study implications describe the importance of educating research teams about how best to promote clinical trial awareness and knowledge. (C) 2014 Published by Elsevier Inc.