Minority Health Archive

Recruiting Diverse Patients to a Breast Cancer Risk Communication Trial—Waiting Rooms Can Improve Access

Bodurtha, Joann N. and Quillin, John M. and Tracy, Kelly A. and Borzelleca, Joseph and McClish, Donna and Wilson, Diane Baer and Jones, Resa M. and Quillin, Julie and Bowen, Deborah (2007) Recruiting Diverse Patients to a Breast Cancer Risk Communication Trial—Waiting Rooms Can Improve Access. JOURNAL OF THE NATIONAL MEDICAL ASSOCIATION, 99 (8). pp. 917-922.

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Abstract

Low participation among underserved populations in health research constrains progress in public health practices. From 2003 to 2005, Women’s Health Clinic patients at the VCU Health System were recruited to a trial investigating breast cancer risk communication. In secondary analyses, we examined dimensions of the recruitment of these diverse women. The sample characteristics (age, insurance, race and previous mammograms) were compared to the overall clinic. Of recruitment attempts for eligible women, 45% consented; of those who declined, the top cited reasons were lack of time (40%) and lack of interest (18%). Of 899 participants, 35% qualified for the indigent care program, compared to 31% of the overall clinic (P<0.001). Forty-five percent of participants were African American, compared to 54% of overall clinic patients (P<0.001). Participants were younger (50 vs. 53 years, P<0.001) than the overall clinic population. Nonrepresentative enrollment of patients in clinical trials is common and could lead to suboptimal applicability of findings. Although there were statistically significant race and age differences between the study sample and the overall population, we demonstrate that waiting room recruitment can engage diverse women in a clinical trial and cancer risk communication.


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Item Type: Article
Additional Information: Access to full text is subject to the publisher's access restrictions. Financial support: This study was supported by National Institutes of Health/National Cancer Institute grant #R01 CA94213.
Uncontrolled Keywords: clinical investigation; women’s health; Race disparities
Subjects: Health > Public Health > Chronic Illness & Diseases > Cancer
Research
Research > studies
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Depositing User: Users 141 not found.
Date Deposited: 03 Apr 2011
Last Modified: 12 May 2011 11:44
Link to this item (URI): http://health-equity.pitt.edu/id/eprint/789

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