Document Detail

ResearchTracking: Monitoring gender and ethnic minority recruitment and retention in cancer symptom studies.
MedLine Citation:
PMID:  23051871     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Recruiting and retaining participants for clinical trials, particularly women and ethnic minorities, are challenging. Few studies, however, examine gender and ethnic differences in research processes. Such information is important for findings to adequately represent the available population.
OBJECTIVE: The study aim was to examine study recruitment processes (referral, eligibility, consent/enrollment) and study retention (completion) for gender and ethnic differences.
METHODS: A descriptive comparative analysis of data from 2 randomized clinical trials focused on cancer outpatients with pain and/or fatigue. A computerized ResearchTracking software allowed documentation of recruitment and retention effort outcomes.
RESULTS: Among the 1464 referred patients, 612 (42%) were eligible for study participation. Lack of ongoing care at the study settings and lack of English skills were the main reasons for ineligibility. There were no gender differences in consent/enrollment or completion rates. Ethnic minority patients were represented proportionally to the available population (13%) and were equally willing to consent/enroll and complete both studies as their white counterparts, if they were eligible.
CONCLUSIONS: Specific strategies to target language eligibility barriers are necessary to increase minority participation.
IMPLICATIONS FOR PRACTICE: Future studies could include audio-aided tools in their native language to help recruit patients with limited English skills, if the study tools can be validly translated into other languages and are equivalent to English versions. Efforts to educate and garner support of providers could improve enrollment of patients in cancer studies, especially in studies of audio- or video-recorded patient-provider interaction.
Hsiu-Ying Huang; Miriam O Ezenwa; Diana J Wilkie; M Kay Judge
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Cancer nursing     Volume:  36     ISSN:  1538-9804     ISO Abbreviation:  Cancer Nurs     Publication Date:    2013 May-Jun
Date Detail:
Created Date:  2013-04-25     Completed Date:  2014-04-07     Revised Date:  2014-05-08    
Medline Journal Info:
Nlm Unique ID:  7805358     Medline TA:  Cancer Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E1-6     Citation Subset:  IM; N    
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MeSH Terms
Chronic Pain / drug therapy,  etiology,  nursing*
Clinical Trials as Topic
Communication Barriers
Ethnic Groups*
European Continental Ancestry Group*
Fatigue / nursing
Healthcare Disparities
Minority Groups*
Neoplasms / complications,  drug therapy,  nursing*
Patient Compliance*
Patient Selection*
Randomized Controlled Trials as Topic
Research Design
Risk Assessment
Grant Support
1R01 CA81918/CA/NCI NIH HHS; 2R01 CA62477/CA/NCI NIH HHS; R01 CA062477/CA/NCI NIH HHS; R01 CA081918/CA/NCI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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