Formative research to design a culturally-appropriate cancer clinical trial education program to increase participation of African American and Latino communities

Abstract Background Addressing knowledge deficiencies about cancer clinical trials and biospecimen donation can potentially improve participation among racial and ethnic minorities. This paper describes the formative research process used to design a culturally-appropriate cancer clinical trials edu...

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Main Authors: Jennifer Cunningham-Erves, Claudia Barajas, Tilicia L. Mayo-Gamble, Caree R. McAfee, Pamela C. Hull, Maureen Sanderson, Juan Canedo, Katina Beard, Consuelo H. Wilkins
Format: Article
Language:English
Published: BMC 2020-06-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-020-08939-4
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author Jennifer Cunningham-Erves
Claudia Barajas
Tilicia L. Mayo-Gamble
Caree R. McAfee
Pamela C. Hull
Maureen Sanderson
Juan Canedo
Katina Beard
Consuelo H. Wilkins
author_facet Jennifer Cunningham-Erves
Claudia Barajas
Tilicia L. Mayo-Gamble
Caree R. McAfee
Pamela C. Hull
Maureen Sanderson
Juan Canedo
Katina Beard
Consuelo H. Wilkins
author_sort Jennifer Cunningham-Erves
collection DOAJ
description Abstract Background Addressing knowledge deficiencies about cancer clinical trials and biospecimen donation can potentially improve participation among racial and ethnic minorities. This paper describes the formative research process used to design a culturally-appropriate cancer clinical trials education program for African American and Latino communities. We characterized community member feedback and its integration into the program. Methods We incorporated three engagement approaches into the formative research process to iteratively develop the program: including community-based organization (CBO) leaders as research team members, conducting focus groups and cognitive interviews with community members as reviewers/consultants, and interacting with two community advisory groups. An iterative-deductive approach was used to analyze focus group data. Qualitative data from advisory groups and community members were compiled and used to finalize the program. Results Focus group themes were: 1) Community Perspectives on Overall Presentation; 2) Community Opinions and Questions on the Content of the Presentation; 3) Culturally Specific Issues to Participation in Cancer Clinical Trials; 4) Barriers to Clinical Trial Participation; and 5) Perspectives of Community Health Educators. Feedback was documented during reviews by scientific experts and community members with suggestions to ensure cultural appropriateness using peripheral, evidential, linguistic, sociocultural strategies, and constituent-involving. The final program consisted of two versions (English and Spanish) of a culturally-appropriate slide presentation with speaker notes and videos representing community member and researcher testimonials. Conclusions Incorporating multiple community engagement approaches into formative research processes can facilitate the inclusion of multiple community perspectives and enhance the cultural-appropriateness of the programs designed to promote cancer clinical trial participation among African Americans and Latinos.
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spelling doaj.art-8a952d4013f6479b8ab82098df789bf12022-12-22T00:17:43ZengBMCBMC Public Health1471-24582020-06-0120111410.1186/s12889-020-08939-4Formative research to design a culturally-appropriate cancer clinical trial education program to increase participation of African American and Latino communitiesJennifer Cunningham-Erves0Claudia Barajas1Tilicia L. Mayo-Gamble2Caree R. McAfee3Pamela C. Hull4Maureen Sanderson5Juan Canedo6Katina Beard7Consuelo H. Wilkins8Department of Internal Medicine, Meharry Medical CollegeVanderbilt Ingram Cancer Center, Vanderbilt University Medical CenterDepartment of Health Policy and Community Health, Georgia Southern UniversityDivision of Epidemiology, Department of Medicine, Vanderbilt University Medical CenterVanderbilt Ingram Cancer Center, Vanderbilt University Medical CenterDepartment of Family and Community Medicine, Meharry Medical CollegeProgreso Community CenterMatthew Walker Community Health CenterDepartment of Internal Medicine, Meharry Medical CollegeAbstract Background Addressing knowledge deficiencies about cancer clinical trials and biospecimen donation can potentially improve participation among racial and ethnic minorities. This paper describes the formative research process used to design a culturally-appropriate cancer clinical trials education program for African American and Latino communities. We characterized community member feedback and its integration into the program. Methods We incorporated three engagement approaches into the formative research process to iteratively develop the program: including community-based organization (CBO) leaders as research team members, conducting focus groups and cognitive interviews with community members as reviewers/consultants, and interacting with two community advisory groups. An iterative-deductive approach was used to analyze focus group data. Qualitative data from advisory groups and community members were compiled and used to finalize the program. Results Focus group themes were: 1) Community Perspectives on Overall Presentation; 2) Community Opinions and Questions on the Content of the Presentation; 3) Culturally Specific Issues to Participation in Cancer Clinical Trials; 4) Barriers to Clinical Trial Participation; and 5) Perspectives of Community Health Educators. Feedback was documented during reviews by scientific experts and community members with suggestions to ensure cultural appropriateness using peripheral, evidential, linguistic, sociocultural strategies, and constituent-involving. The final program consisted of two versions (English and Spanish) of a culturally-appropriate slide presentation with speaker notes and videos representing community member and researcher testimonials. Conclusions Incorporating multiple community engagement approaches into formative research processes can facilitate the inclusion of multiple community perspectives and enhance the cultural-appropriateness of the programs designed to promote cancer clinical trial participation among African Americans and Latinos.http://link.springer.com/article/10.1186/s12889-020-08939-4CancerDisparitiesClinical trialsAfrican AmericansLatinosEducation
spellingShingle Jennifer Cunningham-Erves
Claudia Barajas
Tilicia L. Mayo-Gamble
Caree R. McAfee
Pamela C. Hull
Maureen Sanderson
Juan Canedo
Katina Beard
Consuelo H. Wilkins
Formative research to design a culturally-appropriate cancer clinical trial education program to increase participation of African American and Latino communities
BMC Public Health
Cancer
Disparities
Clinical trials
African Americans
Latinos
Education
title Formative research to design a culturally-appropriate cancer clinical trial education program to increase participation of African American and Latino communities
title_full Formative research to design a culturally-appropriate cancer clinical trial education program to increase participation of African American and Latino communities
title_fullStr Formative research to design a culturally-appropriate cancer clinical trial education program to increase participation of African American and Latino communities
title_full_unstemmed Formative research to design a culturally-appropriate cancer clinical trial education program to increase participation of African American and Latino communities
title_short Formative research to design a culturally-appropriate cancer clinical trial education program to increase participation of African American and Latino communities
title_sort formative research to design a culturally appropriate cancer clinical trial education program to increase participation of african american and latino communities
topic Cancer
Disparities
Clinical trials
African Americans
Latinos
Education
url http://link.springer.com/article/10.1186/s12889-020-08939-4
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