Recruitment of American Indians and Alaska Natives Into Clinical Trials

Hodge, Felicia Schanche; Weinmann, Sheila; Roubideaux, Yvette

doi:10.1016/s1047-2797(00)00196-4

Cited by 75 publications

(70 citation statements)

References 10 publications

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“…Cela est conforme à la documentation générale sur la communication patient-intervenant, qui fournit des preuves solides à l'effet que la communication affecte l'adhésion au traitement par le patient (Stewart et al, 1999 (Lovato et al, 1997;Hodge et al, 2000). Il est connu que les recherches cliniques et les recherches sur les services de santé tendent à sous-représenter les minorités ethniques, plus spécialement celles qui ne possèdent pas les compétences requises dans une langue officielle (Hazuda, 1996;Ren et Amick, 1998 Les auteurs sont arrivés à la conclusion que l'exclusion limitait la possibilité de généraliser ces recherches, entraînant ainsi des répercussions sur l'efficience et l'efficacité des traitements.…”

Section: Résuméunclassified

Linguistic Minorities in Canada and Health

Bouchard¹,

Desmeules²

2013

hcpol

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Section: Résuméunclassified

Linguistic Minorities in Canada and Health

Bouchard¹,

Desmeules²

2013

hcpol

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“…65 They fear that the information gained from interviews or observations of members of tribes would produce misinterpreted and misused results. 66 …”

Section: Clinical Trial Participation and Health Disparitiesmentioning

confidence: 99%

“…42,94 For example, for the American Indian and Alaskan Native minority, involvement within the local community early in the clinical trial process builds local tribal member and council leader support and ensures the confidentiality of the tribe while aiding in the sharing of the study results within the community. 66 Clinical trial researchers must recognize that structural language barriers are inherent to certain minority groups, specifically the Hispanic and Asian communities. Recruitment efforts are notably enhanced using targeted radio and television advertisements on Spanish-speaking stations, door-to-door canvassing, fliers, newspapers, and booths at local health fairs.…”

Section: Improving Health Literacy Among Patientsmentioning

confidence: 99%

Health disparities: A barrier to high-quality care

Mullins

Blatt²,

Gbarayor³

et al. 2005

American Journal of Health-System Pharmacy

104

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Purpose-Disparities in the treatment of cardiovascular disease, diabetes mellitus, and cancer among the sexes and racial groups and possible interventions are discussed.Summary-The ongoing process to identify and reduce health disparities has engaged numerous federal agencies as they monitor the nation's progress toward policy-driven and health-related objectives. Cardiovascular disease disproportionately affects minority groups and is the leading cause of death among women in the United States, and both groups receive suboptimal care for the disease. Disparities in the treatment of diabetes mellitus in African Americans, women, patients with less than a high school education, and the elderly have been found. Many minority groups continue to suffer disproportionately from cancer. Racial disparities also exist in cancer screening and treatment. Minorities are underrepresented in clinical trials for multiple reasons, many of which may be related to cultural beliefs. At all levels of coinsurance, the poor are less likely to seek preventive care. Adherence to national screening and treatment guidelines, clinical trial recruitment and participation, addressing language and geographic barriers, and increasing access to insurance are part of the coordinated efforts required to reduce health disparities. Because pharmacists influence patients' health status directly through pharmaceutical care and indirectly by engaging patients in their treatment, it is essential for pharmacists to be able to provide culturally competent care.Conclusion-Despite significant efforts over the past several years, health disparities continue to exist, particularly among minority groups. Interventions aimed at eliminating these disparities should include ensuring cultural competence among health care providers and improving health literacy among patients.

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“…There are more than 500 American Indian tribes and Alaskan native villages recognized by the US government, with diverse values and traditions (Indian Health Service, 2000). Cultural data collected within one tribe or community may not be applicable to another (Hodge, Weinmann, & Roubideaux, 2000). Further research is needed to determine whether the same barriers exist in other urban American Indian communities.…”

Section: Discussionmentioning

confidence: 99%

Urban American Indian family caregivers' perceptions of barriers to management of childhood asthma

Rose

Garwick

2003

Journal of Pediatric Nursing

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American Indian family caregivers of children with asthma face numerous barriers to effective management of the illness. The purpose of this qualitative, community-based study is to identify those barriers as perceived by family caregivers in a large Midwestern city. An ecological perspective and principles of family-centered care provided the theoretical orientation for the study. Interviews were conducted with 16 urban Ojibwe family caregivers of children with asthma. Five categories of barriers characterize the families' experiences: provider (individual and system), condition-related, family caregiver, socioeconomic, and environmental. Examination of these findings suggests directions for improving care to American Indian children with asthma and their families.

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Recruitment of American Indians and Alaska Natives Into Clinical Trials

Cited by 75 publications

References 10 publications

Linguistic Minorities in Canada and Health

Linguistic Minorities in Canada and Health

Health disparities: A barrier to high-quality care

Urban American Indian family caregivers' perceptions of barriers to management of childhood asthma

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