Department of Internal Medicine, Meharry Medical College, 1005 Dr. D. B. Todd Jr. Blvd., Nashville, TN, 37208-3599, USA.
Department of Surgery, Meharry Medical College, Nashville, TN, 37208, USA.
J Community Health. 2022 Apr;47(2):201-210. doi: 10.1007/s10900-021-01038-4. Epub 2021 Oct 8.
The purpose of this sequential, explanatory mixed methods study is to determine changes in attitudes towards research, trust in medical researchers and the process, and willingness to participate in research among African Americans immediately after receiving past study findings in a community listening session (CLS). We developed and implemented four CLSs with a total of 57 African Americans who were either past research participants or members of the community-at-large. In the quantitative (dominant) phase, 32 participants completed pre-post surveys and 10 of those participants completed the follow-up semi-structured interviews. Paired samples t-tests and McNemar's test determined bivariate differences between pre- and post-surveys. Thematic analyses determined emerging themes to further understand these differences. There was a significant increase in: (1) perceived advantages of clinical trials pretest (M = 26.63, SD = 5.43) and post-test (M = 28.53, SD = 4.24, p < .01); and (2) in trust in medical researchers from pre to post (M = 36.16, SD = 10.40 vs. M = 27.53, SD = 9.37, p < 0.001). There was no significant difference in pre- and post-tests as it relates to perceived disadvantages of clinical trials and willingness to participate. Qualitative analysis yielded the following themes: (1) sharing research results and the impact on attitudes towards research; (2) community listening sessions: a trust building strategy; and (3) satisfaction with the community listening session. Community listening sessions hold promise as a method that researchers can use to simultaneously disseminate research findings and positively impact research perceptions and potentially participation among racial and ethnic minorities.
本序贯、解释性混合方法研究的目的是确定在社区倾听会议 (CLS) 中收到过去的研究结果后,非裔美国人对研究的态度、对医学研究人员和研究过程的信任以及参与研究的意愿的变化。我们开发并实施了四个 CLS,共有 57 名非裔美国参与者,他们要么是过去的研究参与者,要么是社区的普通成员。在定量(主要)阶段,32 名参与者完成了预 - 后调查,其中 10 名参与者完成了后续的半结构化访谈。配对样本 t 检验和 McNemar 检验确定了预调查和后调查之间的二元差异。主题分析确定了新兴主题,以进一步了解这些差异。有显著增加:(1)临床试验前测试感知优势(M=26.63,SD=5.43)和后测试(M=28.53,SD=4.24,p<0.01);(2)对医学研究人员的信任从预到后(M=36.16,SD=10.40 与 M=27.53,SD=9.37,p<0.001)。预调查和后调查在临床试验的感知劣势和参与意愿方面没有显著差异。定性分析得出以下主题:(1)分享研究结果及其对研究态度的影响;(2)社区倾听会议:建立信任的策略;(3)对社区倾听会议的满意度。社区倾听会议作为一种研究人员可以用来同时传播研究结果并积极影响研究认知并潜在参与种族和族裔少数群体的方法,具有很大的前景。