Melillo R J, El Khoury C, Godbolt J Blanding, Greene Q, Bussard K M, Leader Amy E
Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA, USA.
, Atlanta, GA, USA.
Res Involv Engagem. 2025 Jun 19;11(1):68. doi: 10.1186/s40900-025-00741-z.
Despite the importance of engaging community members in research, multiple barriers from the perspective of the investigator and community member exist. The Making Research CLEAR (Community Learning and Experience about Research) Program aims to bridge the gap between research conducted at an NCI-designated cancer center and the community.
Community members and a cancer center investigator were paired for a 6-month immersive research experience. Community members had at least one research experience per month with their investigator, while also attending cancer center activities such as Institutional Review Board (IRB) meetings, research lectures, protocol review meetings, and community outreach events. Community members and investigators completed baseline and endpoint surveys to assess perceptions and impact of the program.
Seven community member-investigator dyads completed the program. There was strong agreement among community members that participation increased their awareness (Pre M = 4.0, Post M = 4.43) and understanding (Pre M = 3.43, Post M = 4.57) of current cancer research efforts, although there was decreased agreement that their participation would add value to the research (Pre M = 4.71, Post M = 4.57). Community members had increased interest in participating in clinical trials (Pre M = 4.29, Post M = 4.43) and their attitudes towards trials improved (Pre M = 4.57, Post M = 4.71). Their confidence in the safety and benefit of clinical trials was high at baseline (M = 4.71) yet remained unchanged at endpoint. Researchers strongly agreed that the program offered an opportunity to build trust between researchers and community members (Pre M = 4.57, Post M = 5.00) and it improved their understanding of the community's culture (Pre M = 4.57, Post M = 4.86).
Overall, measures of community members' trust and transparency in research and clinical trials increased yet perceptions of their impact on research were mixed. Community input may have limited ability to directly impact the scientific process in a span of 6 months, but researchers' willingness to partner with community members in the future is promising.
尽管让社区成员参与研究很重要,但从研究者和社区成员的角度来看,存在多种障碍。“让研究清晰明了(关于研究的社区学习与体验)计划”旨在弥合国立癌症研究所指定癌症中心开展的研究与社区之间的差距。
社区成员与癌症中心的一名研究者配对,进行为期6个月的沉浸式研究体验。社区成员每月至少与研究者进行一次研究体验,同时还参加癌症中心的活动,如机构审查委员会(IRB)会议、研究讲座、方案审查会议和社区外展活动。社区成员和研究者完成了基线和终点调查,以评估该计划的认知和影响。
七个社区成员 - 研究者二元组完成了该计划。社区成员之间强烈一致认为,参与提高了他们对当前癌症研究工作的认识(前测均值M = 4.0,后测均值M = 4.43)和理解(前测均值M = 3.43,后测均值M = 4.57),尽管对于他们的参与会为研究增加价值的认同有所下降(前测均值M = 4.71,后测均值M = 4.57)。社区成员对参与临床试验的兴趣增加(前测均值M = 4.29,后测均值M = 4.43),并且他们对试验的态度有所改善(前测均值M = 4.57,后测均值M = 4.71)。他们在基线时对临床试验安全性和益处的信心较高(均值M = 4.71),但在终点时保持不变。研究者强烈认同该计划为在研究者和社区成员之间建立信任提供了机会(前测均值M = 4.57,后测均值M = 5.00),并且提高了他们对社区文化的理解(前测均值M = 4.57,后测均值M = 4.86)。
总体而言,社区成员在研究和临床试验中的信任度和透明度有所提高,但对他们对研究影响的认知褒贬不一。在6个月的时间跨度内,社区投入可能对科学过程产生直接影响的能力有限,但研究者未来与社区成员合作的意愿很有前景。