Exploring Racial Disparities in Awareness and Perceptions of Oncology Clinical Trials: Cross-Sectional Analysis of Baseline Data From the mychoice Study

Autor: Ariel Hoadley, Linda Fleisher, Cassidy Kenny, Patrick JA Kelly, Xinrui Ma, Jingwei Wu, Carmen Guerra, Amy E Leader, Mohammed Alhajji, Paul D’Avanzo, Zoe Landau, Sarah Bauerle Bass
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: JMIR Cancer, Vol 10, p e56048 (2024)
Druh dokumentu: article
ISSN: 2369-1999
DOI: 10.2196/56048
Popis: BackgroundBlack/African American adults are underrepresented in oncology clinical trials in the United States, despite efforts at narrowing this disparity. ObjectiveThis study aims to explore differences in how Black/African American oncology patients perceive clinical trials to improve support for the clinical trial participation decision-making process. MethodsAs part of a larger randomized controlled trial, a total of 244 adult oncology patients receiving active treatment or follow-up care completed a cross-sectional baseline survey on sociodemographic characteristics, clinical trial knowledge, health literacy, perceptions of cancer clinical trials, patient activation, patient advocacy, health care self-efficacy, decisional conflict, and clinical trial intentions. Self-reported race was dichotomized into Black/African American and non–Black/African American. As appropriate, 2-tailed t tests and chi-square tests of independence were used to examine differences between groups. ResultsBlack/African American participants had lower clinical trial knowledge (P=.006), lower health literacy (P
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