Tzelios Christine, Velasco Margarita, Saadi Altaf
Harvard Medical School, Boston, MA, USA.
Department of Neurology, Massachusetts General Hospital, Boston, MA, USA.
Hisp Health Care Int. 2024 Oct 3:15404153241286745. doi: 10.1177/15404153241286745.
Medical mistrust impedes minority group participation in research, but there are few studies assessing determinants of Latine immigrants' trust in the clinical research enterprise. This qualitative study explored Latine immigrants' perspectives of clinical research. We conducted telephonic interviews with 20 Latine immigrants receiving care at a Federally Qualified Health Center in Los Angeles, California. Interviews were conducted between December 2021 and April 2022, and resultant data were coded using thematic analysis. Six main themes emerged across two domains. First, trust was influenced by perceptions of the investigators' intentions. These perceptions were primarily based on (1) adequacy of information provided about the research, (2) perceived intent of investigators to respect their humanity, and (3) opportunities to share personal experiences. Second, trust was influenced by perceptions of the study's potential impact, including (4) risk of adverse outcomes, including health risks and risk of immigration status exposure, (5) perceived personal benefits, and (6) perceived community-level benefits. Researchers can build trust and promote participation among Latine immigrants by effectively communicating study objectives, risk mitigation efforts, and personal and community benefits. Enhancing the trustworthiness of clinical research can increase the relevance of scientific findings, representing one pathway to achieving health equity.
医疗不信任阻碍了少数群体参与研究,但评估拉丁裔移民对临床研究事业信任度决定因素的研究很少。这项定性研究探讨了拉丁裔移民对临床研究的看法。我们对在加利福尼亚州洛杉矶一家联邦合格健康中心接受治疗的20名拉丁裔移民进行了电话访谈。访谈于2021年12月至2022年4月期间进行,所得数据采用主题分析法进行编码。在两个领域中出现了六个主要主题。首先,信任受到对研究人员意图认知的影响。这些认知主要基于:(1)所提供研究信息的充分性;(2)对研究人员尊重其人性意图的认知;(3)分享个人经历的机会。其次,信任受到对研究潜在影响认知的影响,包括:(4)不良后果的风险,包括健康风险和移民身份暴露风险;(5)感知到的个人利益;(6)感知到的社区层面利益。研究人员可以通过有效传达研究目标、风险缓解措施以及个人和社区利益来建立信任并促进拉丁裔移民的参与。提高临床研究的可信度可以增加科学发现的相关性,这是实现健康公平的一条途径。