Subject(s)
Delivery of Health Care/methods , Healthcare Disparities/organization & administration , Neoplasms/therapy , Rural Health Services/organization & administration , Rural Population , Delivery of Health Care/legislation & jurisprudence , Health Services Accessibility/legislation & jurisprudence , Health Services Accessibility/organization & administration , Healthcare Disparities/legislation & jurisprudence , Humans , United StatesABSTRACT
Background: African Americans (AAs) are less likely to participate in cancer clinical trials (CCTs) despite experiencing disproportionately higher rates of cancer mortality. As a way to address these ongoing disparities, this study sought to qualitatively explore informational needs regarding CCTs among AA women and identify message considerations for educational information targeting AA women and their community. Methods: Three focus groups were conducted in which AA women viewed a DVD created as a decisional tool for CCT participation and provided feedback regarding content. Results: Results indicated general fear regarding CCTs, which is partially attributable to the impact of historic research abuses, lack of information regarding CCTs, and lack of cultural relevance of the education and outreach materials for AA communities. Recruitment of AAs to CCTs may be enhanced by educational and outreach approaches that increase awareness of CCTs as well as involvement of the AA community in developing such interventions. Conclusion: Interventions should include the perspectives of AA women, as key stakeholders and decision-makers for their family and provide research information in a multimedia format that will facilitate family discussion and decision-making regarding CCTs.
Subject(s)
Advisory Committees , Black or African American , Neoplasms/therapy , Patient Education as Topic/methods , Patient Selection , Universities , Adult , Black or African American/psychology , Aged , Aged, 80 and over , Clinical Trials as Topic , Community-Based Participatory Research , Decision Making , Fear , Female , Florida , Focus Groups , Health Knowledge, Attitudes, Practice/ethnology , Health Status Disparities , Humans , Middle Aged , Needs Assessment , Patient Participation/psychology , Qualitative Research , Young AdultABSTRACT
The Center for Equal Health (CEH), a transdisciplinary Center of Excellence, was established to investigate cancer disparities comprehensively and achieve health equity through research, education, training, and community outreach. This paper discusses challenges faced by CEH, strategies employed to foster collaborations, lessons learned, and future considerations for establishing similar initiatives.