“There’s not much we can do…” researcher-level barriers to the inclusion of underrepresented participants in translational research

Abstract Introduction: The lack of diversity in health research participation has serious consequences for science as well as ethics. While there is growing interest in solving the problem, much of the work to date focuses on attitudes of distrust among members of underrepresented communities. How...

Full description

Bibliographic Details
Main Authors: Susan Racine Passmore, Abby Kisicki, Andrea Gilmore-Bykovskyi, Gina Green-Harris, Dorothy Farrar Edwards
Format: Article
Language:English
Published: Cambridge University Press 2022-01-01
Series:Journal of Clinical and Translational Science
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2059866121008761/type/journal_article
_version_ 1811156487329808384
author Susan Racine Passmore
Abby Kisicki
Andrea Gilmore-Bykovskyi
Gina Green-Harris
Dorothy Farrar Edwards
author_facet Susan Racine Passmore
Abby Kisicki
Andrea Gilmore-Bykovskyi
Gina Green-Harris
Dorothy Farrar Edwards
author_sort Susan Racine Passmore
collection DOAJ
description Abstract Introduction: The lack of diversity in health research participation has serious consequences for science as well as ethics. While there is growing interest in solving the problem, much of the work to date focuses on attitudes of distrust among members of underrepresented communities. However, there is also a pressing need to understand existing barriers within the cultural and structural context of researchers and research staff. Methods: This study adopted a sequential exploratory mixed-methods design to allow for a focused examination of barriers to inclusive research recruitment among researchers and staff. Barriers first identified from an initial quantitative investigation (web-based survey; n = 279) were further explored through qualitative methods (key informant interviews; n = 26). Participants were investigators and research team members in both phases of the study. Results: The survey revealed a paradoxical disconnect between participants’ reported belief in the abstract value of diversity in research participation (87.1% important/extremely important) and belief in it as an important goal in their own specific research (38.3% important/extremely important). Interviews reveal that researchers and staff perceive many barriers to the recruitment of members of underrepresented groups and hold a general view of diversity in research as an impractical, even unattainable, goal. Conclusions: It is crucial that principal investigators not only understand the consequences of the continued exclusion of marginalized groups from research but also implement strategies to reverse this trend and communicate with research staff on the issue. While individual bias does play a role (ex: a priori assumptions about the willingness or ability of members of underrepresented groups to participate), these behaviors are part of a larger context of systemic racism.
first_indexed 2024-04-10T04:52:34Z
format Article
id doaj.art-53b57ac090b844889ed5312ad537b801
institution Directory Open Access Journal
issn 2059-8661
language English
last_indexed 2024-04-10T04:52:34Z
publishDate 2022-01-01
publisher Cambridge University Press
record_format Article
series Journal of Clinical and Translational Science
spelling doaj.art-53b57ac090b844889ed5312ad537b8012023-03-09T12:31:05ZengCambridge University PressJournal of Clinical and Translational Science2059-86612022-01-01610.1017/cts.2021.876“There’s not much we can do…” researcher-level barriers to the inclusion of underrepresented participants in translational researchSusan Racine Passmore0https://orcid.org/0000-0003-1080-2392Abby Kisicki1Andrea Gilmore-Bykovskyi2Gina Green-Harris3Dorothy Farrar Edwards4Collaborative Center for Health Equity, Institute for Clinical and Translational Research, University of Wisconsin, Madison, WI, USACollaborative Center for Health Equity, Institute for Clinical and Translational Research, University of Wisconsin, Madison, WI, USASchool of Nursing, University of Wisconsin, Madison, WI, USACenter for Community Engagement and Health Partnerships, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USACollaborative Center for Health Equity, Institute for Clinical and Translational Research, University of Wisconsin, Madison, WI, USA Department of Kinesiology, School of Education, University of Wisconsin, Madison, WI, USA Department of Medicine, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA Abstract Introduction: The lack of diversity in health research participation has serious consequences for science as well as ethics. While there is growing interest in solving the problem, much of the work to date focuses on attitudes of distrust among members of underrepresented communities. However, there is also a pressing need to understand existing barriers within the cultural and structural context of researchers and research staff. Methods: This study adopted a sequential exploratory mixed-methods design to allow for a focused examination of barriers to inclusive research recruitment among researchers and staff. Barriers first identified from an initial quantitative investigation (web-based survey; n = 279) were further explored through qualitative methods (key informant interviews; n = 26). Participants were investigators and research team members in both phases of the study. Results: The survey revealed a paradoxical disconnect between participants’ reported belief in the abstract value of diversity in research participation (87.1% important/extremely important) and belief in it as an important goal in their own specific research (38.3% important/extremely important). Interviews reveal that researchers and staff perceive many barriers to the recruitment of members of underrepresented groups and hold a general view of diversity in research as an impractical, even unattainable, goal. Conclusions: It is crucial that principal investigators not only understand the consequences of the continued exclusion of marginalized groups from research but also implement strategies to reverse this trend and communicate with research staff on the issue. While individual bias does play a role (ex: a priori assumptions about the willingness or ability of members of underrepresented groups to participate), these behaviors are part of a larger context of systemic racism. https://www.cambridge.org/core/product/identifier/S2059866121008761/type/journal_articleHealth equityresearch inclusionrecruitment/retention
spellingShingle Susan Racine Passmore
Abby Kisicki
Andrea Gilmore-Bykovskyi
Gina Green-Harris
Dorothy Farrar Edwards
“There’s not much we can do…” researcher-level barriers to the inclusion of underrepresented participants in translational research
Journal of Clinical and Translational Science
Health equity
research inclusion
recruitment/retention
title “There’s not much we can do…” researcher-level barriers to the inclusion of underrepresented participants in translational research
title_full “There’s not much we can do…” researcher-level barriers to the inclusion of underrepresented participants in translational research
title_fullStr “There’s not much we can do…” researcher-level barriers to the inclusion of underrepresented participants in translational research
title_full_unstemmed “There’s not much we can do…” researcher-level barriers to the inclusion of underrepresented participants in translational research
title_short “There’s not much we can do…” researcher-level barriers to the inclusion of underrepresented participants in translational research
title_sort there s not much we can do researcher level barriers to the inclusion of underrepresented participants in translational research
topic Health equity
research inclusion
recruitment/retention
url https://www.cambridge.org/core/product/identifier/S2059866121008761/type/journal_article
work_keys_str_mv AT susanracinepassmore theresnotmuchwecandoresearcherlevelbarrierstotheinclusionofunderrepresentedparticipantsintranslationalresearch
AT abbykisicki theresnotmuchwecandoresearcherlevelbarrierstotheinclusionofunderrepresentedparticipantsintranslationalresearch
AT andreagilmorebykovskyi theresnotmuchwecandoresearcherlevelbarrierstotheinclusionofunderrepresentedparticipantsintranslationalresearch
AT ginagreenharris theresnotmuchwecandoresearcherlevelbarrierstotheinclusionofunderrepresentedparticipantsintranslationalresearch
AT dorothyfarraredwards theresnotmuchwecandoresearcherlevelbarrierstotheinclusionofunderrepresentedparticipantsintranslationalresearch