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Innovative Development of Research Engagement Manual

Strategies to Enhance Recruitment and Retention of Black Individuals in Clinical Trials for Substance Use Disorders

Datos Bibliográficos

ID19578530
AutoresGeoffrey Obel (The University of Texas Health Science Center at Tyler), DeWanda Harris-Trimiar (North Central Texas Council of Governments), Joshua S Elmore (0000-0002-1926-5696, Southwestern Medical Center), Taryn L Mayes (0000-0002-5992-6081, Southwestern Medical Center), Adrienne Mays (Southwestern Medical Center), Angela Casey-Willingham (Southwestern Medical Center), Srividya Vasu (0000-0002-6625-9184, Southwestern Medical Center), Steven Shoptaw (0000-0002-3583-0026, University of California, Los Angeles), Madhukar H Trivedi (0000-0002-2983-1110, Southwestern Medical Center, autor de correspondencia)
Año2025
Volumen9
Número1
Páginas387-396
Fecha de publicación2025-08-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaHealth Equity (JOURNAL)
Identificadores de la revistaISSN: 2473-1242 • E-ISSN: 2473-1242
EditorialSAGE Publications (PUBLISHER • US)
DOI10.1177/24731242251362181
PMID40918627
OpenAlexW4414078436
IdiomaEN
Referencias citadas48

Background: The participation of Black individuals in clinical trials remains lower than that of other racial and ethnic groups. Substance abuse adds additional barriers to recruitment and retention. While significant attention has been devoted to identifying barriers to recruitment/retention, efforts have been largely unsuccessful in increasing the participation of Black individuals in clinical trials. This article details Phase 1 efforts to develop sustainable strategies to increase enrollment/recruitment of Black participants in clinical trials through an Innovative Development of Research Engagement Manual. Methods: Phase 1 involved a literature review and the establishment of an Expert Diversity Advisory Board, which identified barriers to Black individual participation in substance use disorder (SUD) research. Identified barriers included lack of awareness of research, mistrust, lack of comfort with research, lack of information, and time/resource constraints. Focus groups were conducted to assess the importance of the identified factors in 61 Black participants with SUD history. Results: Among the focus group participants, 37.7% indicated mistrust, 45.9% indicated a lack of knowledge, and 27.9% stated safety concerns as reasons for not engaging with researchers. They considered compensation, research benefits, study duration, privacy, safety, and side effects as vital information that informed their decisions on clinical trial participation. The focus groups identified financial incentives, potential treatment options, and potential for improved awareness about substance abuse treatment as factors that determine retention in a study. Conclusion: With barriers identified, future efforts will focus on qualitative assessments of focus group material and developing and evaluating the manual

Alternative medicine · Clinical trial · Focus group · MEDLINE · Qualitative research · Substance use · Ethics in Clinical Research · Pharmacogenetics and Drug Metabolism · Race, Genetics, and Society

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