Improving Awareness of Cancer Clinical Trials Among Hispanic Patients and Families: Audience Segmentation Decisions for a Media Intervention

Quinn, Gwendolyn P.; McIntyre, Jessica; González, L.; Antonia, Teresita; Antolino, Prado; Wells, Kristen J.

doi:10.1080/10810730.2013.768723

Cited by 25 publications

(35 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[21,22] The relatively high percentage of enrollment among Black women in our study is consistent with a report by Wendler et al, however given our findings documenting the patient perspective on factors influencing enrollment, this should not be interpreted as evidence that barriers to non-white enrollment no longer exist and can be ignored. [23] It is likely there are culturally influenced issues of perceived benefit or risk of harm playing a role in a patient's decision to enter both this study and, more generally, clinical trials. [24,25] The very high enrollment rates (~80%) among minority women may reflect women who were concerned about their treatment if they did not go on a study.…”

Section: Discussionmentioning

confidence: 99%

Patient and physician factors associated with participation in cervical and uterine cancer trials: An NRG/GOG247 study

Brooks

Carter

Plaxe³

et al. 2015

Gynecologic Oncology

View full text Add to dashboard Cite

Purpose To identify patient and physician factors related to enrollment onto Gynecologic Oncology Group (GOG) trials. Methods Prospective study of women with primary or recurrent cancer of the uterus or cervix treated at a GOG institution from July 2010 to January 2012. Logistic regression examined probability of availability, eligibility and enrollment in a GOG trial. Odds ratios (OR) and 95% confidence intervals (CI) for significant (p<0.05) results reported. Results Sixty institutions, 781 patients, and 150 physicians participated, 300/780 (38%) had a trial available, 290/300 had known participation status. Of these, 150 women enrolled (59.5%), 102 eligible did not enroll (35%), 38 (13%) were ineligible. Ethnicity and specialty of physician, practice type, data management availability, and patient age were significantly associated with trial availability. Patients with ≥ 4 comorbidities (OR 4.5; CI 1.7-11.8) had higher odds of trial ineligibility. Non-White patients (OR 7.9; CI 1.3-46.2) and patients of Black physicians had greater odds of enrolling (OR 56.5; CI 1.1- 999.9) in a therapeutic trial. Significant patient therapeutic trial enrollment factors: belief trial may help (OR 76.9; CI 4.9->1000), concern about care if not on trial (OR12.1; CI 2.1-71.4), pressure to enroll (OR .27; CI 0.12-.64), caregiving without pay (OR 0.13; CI.02-.84). Significant physician beliefs were: patients would not do well on standard therapy (OR 3.6; CI 1.6-8.4), and trial would not be time consuming (OR 3.3; CI 1.3-8.1). Conclusions Trial availability, patient and physician beliefs were factors identified that if modified could improve enrollment in cancer cooperative group clinical trials.

show abstract

Section: Discussionmentioning

confidence: 99%

Patient and physician factors associated with participation in cervical and uterine cancer trials: An NRG/GOG247 study

Brooks

Carter

Plaxe³

et al. 2015

Gynecologic Oncology

View full text Add to dashboard Cite

show abstract

“…Within social marketing, audience segmentation is frequently used to understand the needs and preferences of minority and underserved populations [6]. Participants from a larger pool are divided into smaller groups based upon factors such as similar demographics, location, and experiences so that researchers can explore if these factors are predictors of response patterns [7]. The results of this technique can be used to convey messages in the specified communication channel and to the specific audience, increasing the persuasiveness and acceptance of the message [6].…”

Section: Introductionmentioning

confidence: 99%

“…To improve the quality of health communications, researchers have implemented a number of key strategies to spark interest in AA and H populations and to improve awareness of cancer clinical trials/research including: group/individual educational sessions, use of educational booklets and audiovisual materials, media campaigns, and church-based project sessions [7]. For example, a recent study interviewed Hispanics to create audiovisual materials in the form of a Spanish-language DVD and accompanying booklet [7].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

African Americans’ and Hispanics’ Information Needs About Cancer Care

et al. 2014

Self Cite

View full text Add to dashboard Cite

Few studies have reported on African American and Hispanic (AA and H) populations’ informational needs when seeking cancer care at an institution that offers clinical trials. Moffitt Cancer Center (MCC) sought to identify and examine the decision making process, the perceptions, and the preferred channels of communication about cancer care services for AA and H communities in order to develop a list of marketing recommendations. Five focus groups (N=45) consisting of two AA and three H were conducted in four counties of the MCC catchment area in Tampa, FL. Participants were asked about their perceptions, knowledge, attitudes, and beliefs about cancer care and MCC. Focus groups were audio-recorded and verbatim transcripts were analyzed using content analysis. Similarities in responses were found between AA and H participants. Participants received general health and cancer information from media sources and word of mouth and preferred to hear patient testimonials. There were concerns about costs, insurance coverage, and the actual geographic location of the cancer center. In general, H participants were not opposed to participating in cancer clinical trials/research, whereas, AA participants were more hesitant. A majority of participants highly favored an institution that offered standard care and clinical trials. AA and H participants shared similar concerns and preferences in communication channels, but each group had specific informational needs. The perceptions and preferences of AA and H must be explored in order to successfully and efficiently increase cancer clinical trial participation.

show abstract

“…The methods of development are described elsewhere. 13 In brief, Hispanic cancer patients/survivors and caregivers participated in focus groups to guide the development of the DVD and booklet intervention. Based on the focus group results, a creative brief for a DVD and accompanying booklet was developed.…”

Section: Introductionmentioning

confidence: 99%

Feasibility trial of a Spanish-language multimedia educational intervention

et al. 2013

Self Cite

View full text Add to dashboard Cite

Background Hispanic cancer patients are underrepresented in clinical trials (CTs). Research suggests lack of knowledge and language barriers contribute to low accrual. Audiovisual materials offer advantages to Hispanic populations because they have high acceptability; are easy to disseminate; and can be viewed with family. Purpose Hispanic cancer patients and caregivers participated in focus groups to aid in developing a Spanish language audiovisual intervention. This project explored the feasibility of delivering the intervention in medical oncology clinics. Methods 35 patients were randomized to either the intervention condition where they were given the audiovisual intervention (n=18); or a control condition where they were asked to read the National Cancer Institute's Spanish language brochure (n=17). Self-report data on knowledge, attitudes, and self efficacy for participating in a CT, intention to participate in a CT, and receptivity to CT information, were collected at two time points Results Knowledge in the intervention condition improved (p=0.06). Intention to participate in a CT remained positive in the intervention condition (p=0.484), but declined over time in the control condition (p=0.031). There were no statistical differences in attitudes or self-efficacy for making a decision to participate in a CT. Limitations Preliminary pilot data should be confirmed in a larger randomized control trial as the sample size was small. Although the patients randomized to the intervention group believed themselves to be willing to participate in a CT, this decision was hypothetical. Not all patients were being considered for enrollment in a CT which may have removed any fear or uncertainty from the situation. In addition, the study was conducted with a small sample of Spanish-speaking Hispanic cancer patients at a comprehensive cancer center in Florida. Thus, the results may not generalize to other populations. Conclusion The pilot showed feasibility to deliver an audiovisual intervention in medical oncology clinics. The audiovisual intervention increased Hispanic patients’ knowledge of CTs and positive intention to participate in a CT. An audiovisual may improve quality of care for Hispanic cancer patients who are eligible for CTs.

show abstract

Improving Awareness of Cancer Clinical Trials Among Hispanic Patients and Families: Audience Segmentation Decisions for a Media Intervention

Cited by 25 publications

References 42 publications

Patient and physician factors associated with participation in cervical and uterine cancer trials: An NRG/GOG247 study

Patient and physician factors associated with participation in cervical and uterine cancer trials: An NRG/GOG247 study

African Americans’ and Hispanics’ Information Needs About Cancer Care

Feasibility trial of a Spanish-language multimedia educational intervention

Contact Info

Product

Resources

About