{"title":"Improving Research Representation in Anxiety, MDD, PTSD for Disenfranchised Groups","authors":"Mayenha E Guerrier MD","doi":"10.1016/j.jnma.2024.07.097","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>The underrepresentation of disenfranchised communities in clinical research on the top three mental health disorders—anxiety, major depressive disorder (MDD), and post-traumatic stress disorder (PTSD)—presents significant challenges to the development of effective and inclusive mental health interventions. This study aims to identify barriers to diverse participation and propose actionable strategies to improve representation in clinical research.</p></div><div><h3>Methods</h3><p>To address these issues, a comprehensive review of existing literature and analysis of current clinical research practices was conducted. The study examined the extent of underrepresentation across various demographic groups and explored the systemic, cultural, and logistical barriers that prevent equitable participation.</p></div><div><h3>Results</h3><p>The findings reveal persistent disparities in clinical research, with marginalized groups (including but not limited to racial and ethnic minorities and low-income individual populations) often underrepresented in studies. Barriers to inclusion include limited access to healthcare and research opportunities, language and cultural differences, and mistrust of the medical system. To combat these issues, the study proposes several strategies, such as community engagement initiatives, culturally sensitive recruitment practices, and partnerships with local organizations to build trust and awareness. Additionally, providing resources such as transportation, translation services, and financial compensation can help facilitate participation.</p></div><div><h3>Conclusion</h3><p>In conclusion, this research underscores the importance of implementing inclusive practices in clinical research on anxiety, MDD, and PTSD. By addressing barriers to participation and promoting equitable representation, the research community can ensure that findings are applicable to diverse populations and improve mental health outcomes for all individuals.</p></div>","PeriodicalId":17369,"journal":{"name":"Journal of the National Medical Association","volume":"116 4","pages":"Page 454"},"PeriodicalIF":2.5000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the National Medical Association","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0027968424001780","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction
The underrepresentation of disenfranchised communities in clinical research on the top three mental health disorders—anxiety, major depressive disorder (MDD), and post-traumatic stress disorder (PTSD)—presents significant challenges to the development of effective and inclusive mental health interventions. This study aims to identify barriers to diverse participation and propose actionable strategies to improve representation in clinical research.
Methods
To address these issues, a comprehensive review of existing literature and analysis of current clinical research practices was conducted. The study examined the extent of underrepresentation across various demographic groups and explored the systemic, cultural, and logistical barriers that prevent equitable participation.
Results
The findings reveal persistent disparities in clinical research, with marginalized groups (including but not limited to racial and ethnic minorities and low-income individual populations) often underrepresented in studies. Barriers to inclusion include limited access to healthcare and research opportunities, language and cultural differences, and mistrust of the medical system. To combat these issues, the study proposes several strategies, such as community engagement initiatives, culturally sensitive recruitment practices, and partnerships with local organizations to build trust and awareness. Additionally, providing resources such as transportation, translation services, and financial compensation can help facilitate participation.
Conclusion
In conclusion, this research underscores the importance of implementing inclusive practices in clinical research on anxiety, MDD, and PTSD. By addressing barriers to participation and promoting equitable representation, the research community can ensure that findings are applicable to diverse populations and improve mental health outcomes for all individuals.
期刊介绍:
Journal of the National Medical Association, the official journal of the National Medical Association, is a peer-reviewed publication whose purpose is to address medical care disparities of persons of African descent.
The Journal of the National Medical Association is focused on specialized clinical research activities related to the health problems of African Americans and other minority groups. Special emphasis is placed on the application of medical science to improve the healthcare of underserved populations both in the United States and abroad. The Journal has the following objectives: (1) to expand the base of original peer-reviewed literature and the quality of that research on the topic of minority health; (2) to provide greater dissemination of this research; (3) to offer appropriate and timely recognition of the significant contributions of physicians who serve these populations; and (4) to promote engagement by member and non-member physicians in the overall goals and objectives of the National Medical Association.