拉美移民对临床研究信任的看法。

Christine Tzelios, Margarita Velasco, Altaf Saadi
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引用次数: 0

摘要

导言:医学不信任阻碍了少数群体参与研究,但很少有研究评估拉丁裔移民对临床研究企业信任的决定因素。本定性研究探讨了拉美移民对临床研究的看法。研究方法我们对在加利福尼亚州洛杉矶市一家联邦合格医疗中心接受治疗的 20 名拉丁裔移民进行了电话访谈。访谈于 2021 年 12 月至 2022 年 4 月间进行,所得数据采用主题分析法进行编码。结果六个主题横跨两个领域。首先,信任受到对调查人员意图的看法的影响。这些看法主要基于:(1) 提供的研究信息是否充分;(2) 认为调查人员有意尊重他们的人性;(3) 分享个人经历的机会。其次,信任感受到对研究潜在影响的看法的影响,包括(4)不利结果的风险,包括健康风险和移民身份暴露的风险,(5)感知到的个人利益,以及(6)感知到的社区层面的利益。结论:研究人员可以通过有效传达研究目标、风险缓解措施以及个人和社区利益,在拉美移民中建立信任并促进参与。提高临床研究的可信度可以增强科学发现的相关性,是实现健康公平的途径之一。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Latine Immigrant Perspectives on Trust of Clinical Research.

Introduction: Medical mistrust impedes minority group participation in research, but there are few studies assessing determinants of Latine immigrants' trust in the clinical research enterprise. This qualitative study explored Latine immigrants' perspectives of clinical research. Methods: We conducted telephonic interviews with 20 Latine immigrants receiving care at a Federally Qualified Health Center in Los Angeles, California. Interviews were conducted between December 2021 and April 2022, and resultant data were coded using thematic analysis. Results: Six main themes emerged across two domains. First, trust was influenced by perceptions of the investigators' intentions. These perceptions were primarily based on (1) adequacy of information provided about the research, (2) perceived intent of investigators to respect their humanity, and (3) opportunities to share personal experiences. Second, trust was influenced by perceptions of the study's potential impact, including (4) risk of adverse outcomes, including health risks and risk of immigration status exposure, (5) perceived personal benefits, and (6) perceived community-level benefits. Conclusion: Researchers can build trust and promote participation among Latine immigrants by effectively communicating study objectives, risk mitigation efforts, and personal and community benefits. Enhancing the trustworthiness of clinical research can increase the relevance of scientific findings, representing one pathway to achieving health equity.

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