Hadeed Mary, Badger Terry A, Segrin Chris, Robles-Morales Rogelio, Werts-Pelter Samantha J
Nursing and Health Science Division, University of Arizona College of Nursing, Tucson, AZ, USA.
University of Arizona Mel and Enid Zuckerman College of Public Health, Tucson, AZ, USA.
Contemp Clin Trials Commun. 2025 Jan 7;44:101425. doi: 10.1016/j.conctc.2024.101425. eCollection 2025 Apr.
Cancer survivor-caregiver dyads from underrepresented racial and ethnic groups and those with lower socioeconomic status are less likely to participate in clinical research. Sociocultural and socioeconomic barriers perpetuate health inequity and increase disparities in cancer care.
We describe our systematic approach to recruiting and retaining diverse survivor-caregiver dyads in supportive cancer care studies.
Matsuda's research recruitment guidelines of evaluate, engage, reflect, and carefully match ("EERC") were adapted and applied through a framework of six guiding principles.
A systematic approach to recruitment of underrepresented dyads in cancer support research includes 1) Developing a bilingual, bicultural study team with shared language and culture of the study population, 2) Ensuring team members share a passion for cancer health equity and are trained with a community-centric approach, 3) Designing accessible interventions, study materials, and shared data collection tools across similar studies with community and stakeholder input, 4) Engaging local and regional stakeholders with expertise of health disparities among the catchment area, 5) Partnering with Community Health Workers (CHWs) and gatekeepers to enhance community presence, and 6) Ensuring careful application of matching study team members and participants beyond race and ethnicity to prioritize the cultural values and social factors that impact cancer survivors and caregivers.
Applying a systematic approach to recruiting and retaining underrepresented dyads in cancer research can potentially reduce sociocultural and socioeconomic barriers to cancer health equity.
来自代表性不足的种族和族裔群体以及社会经济地位较低的癌症幸存者-照顾者二元组参与临床研究的可能性较小。社会文化和社会经济障碍使健康不平等长期存在，并加剧了癌症护理方面的差异。
我们描述了在支持性癌症护理研究中招募和留住多样化的幸存者-照顾者二元组的系统方法。
松田的研究招募指导原则“评估、参与、反思和仔细匹配”（“EERC”）通过六个指导原则框架进行了调整和应用。
在癌症支持研究中招募代表性不足的二元组的系统方法包括：1）组建一个具有研究人群共同语言和文化的双语、双文化研究团队；2）确保团队成员对癌症健康公平有着共同热情，并接受以社区为中心的方法培训；3）在社区和利益相关者的参与下，设计跨类似研究的可及性干预措施、研究材料和共享数据收集工具；4）与当地和区域利益相关者合作，他们在集水区健康差异方面具有专业知识；5）与社区卫生工作者（CHW）和把关人合作，以增强在社区中的影响力；6）确保仔细匹配研究团队成员和参与者，超越种族和民族，优先考虑影响癌症幸存者和照顾者的文化价值观和社会因素。
在癌症研究中应用系统方法来招募和留住代表性不足的二元组可能会减少癌症健康公平方面的社会文化和社会经济障碍。
