Training to Increase Minority Enrollment in Lupus Clinical Trials With Community Engagement: Enhancing Lupus Clinical Trial Recruitment Through Provider and Community Health Worker Engagement.

IF 3.7 2区 医学 Q1 RHEUMATOLOGY
Saira Z Sheikh, Tessa Englund, Andrew Simkus, Nicole Wanty, Annie McNeill, Kristen Holtz, Tenesha Hood, Starla Blanks, Maria Allen, Katherine Holben, Allen Anandarajah
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Abstract

Objective: This study evaluates the effectiveness of the Training to Increase Minority Enrollment in Lupus Clinical Trials with Community Engagement (TIMELY) program on enhancing referrals of underrepresented patients to lupus clinical trials. TIMELY leverages two existing American College of Rheumatology online educational initiatives: Materials to Increase Minority Involvement in Clinical Trials (MIMICT), a continuing medical education activity for health care providers, and the community health worker (CHW) Lupus Clinical Trials Training (LuCTT). TIMELY introduced a unique roundtable meeting format to build on the existing online educational programs and facilitate discussions between local clinical trial sites and provider and CHW participants.

Methods: This study used an online pretest and posttest design to assess changes in theory-based behavioral predictors of lupus clinical trial referrals and engagement (ie, knowledge, attitudes, self-efficacy, and intentions) among providers and CHWs. Participants completed MIMICT or LuCTT and then were eligible to participate in roundtable meetings. Paired t-tests were used to assess changes in composite scores before and after the intervention for each of the outcomes.

Results: The final sample included 40 providers and 18 CHWs. Knowledge scores increased significantly for both providers (P < 0.01) and CHWs (P < 0.001) on completion of MIMICT and LuCTT, respectively. After participating in the TIMELY roundtable, providers' composite scores for self-efficacy and intentions significantly increased (P < 0.001). Provider self-efficacy gains were sustained at three months' follow-up (P < 0.001).

Conclusion: These promising findings highlight the potential and opportunities for the TIMELY program to improve behavioral predictors of trial referrals, including CHW knowledge and providers' knowledge, self-efficacy, and intentions to refer underrepresented patients to lupus clinical trials.

通过社区参与提高红斑狼疮临床试验中少数族裔入组人数的培训(TIMELY):通过医疗服务提供者和社区卫生工作者的参与加强红斑狼疮临床试验的招募。
研究目的本研究评估了 "通过社区参与提高狼疮临床试验中少数族裔入组人数的培训"(TIMELY)项目在提高代表性不足的狼疮临床试验患者转诊率方面的效果。TIMELY 利用了美国风湿病学院现有的两项在线教育计划:TIMELY 利用了美国风湿病学会现有的两项在线教育计划:"提高少数族裔参与临床试验的材料"(MIMICT),这是一项针对医疗服务提供者的继续医学教育活动;以及 "社区保健工作者"(CHW)狼疮临床试验培训(LuCTT)。TIMELY 引入了一种独特的圆桌会议形式,以现有的在线教育项目为基础,促进当地临床试验机构与医疗服务提供者和社区保健员参与者之间的讨论:本研究采用在线前测/后测设计,评估狼疮临床试验转介/参与的理论行为预测因素(即知识、态度、自我效能和意向)在医疗服务提供者和社区保健工作者中的变化。参与者完成 MIMICT/LuCTT 后有资格参加圆桌会议。采用配对 t 检验来评估干预前干预后每项结果的综合得分变化:最终样本包括 40 名医疗服务提供者和 18 名社区保健工作者。两个医疗服务提供者的知识得分都有明显提高(结论:这些令人鼓舞的研究结果突显了医疗服务提供者和社区保健工作者的潜力和潜力:这些令人鼓舞的研究结果凸显了TIMELY项目在改善试验转介行为预测方面的潜力和机遇,包括CHW知识和医疗服务提供者的知识、自我效能以及将代表性不足的患者转介到狼疮临床试验的意愿。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
9.40
自引率
6.40%
发文量
368
审稿时长
3-6 weeks
期刊介绍: Arthritis Care & Research, an official journal of the American College of Rheumatology and the Association of Rheumatology Health Professionals (a division of the College), is a peer-reviewed publication that publishes original research, review articles, and editorials that promote excellence in the clinical practice of rheumatology. Relevant to the care of individuals with rheumatic diseases, major topics are evidence-based practice studies, clinical problems, practice guidelines, educational, social, and public health issues, health economics, health care policy, and future trends in rheumatology practice.
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