A Provider-Based Approach to Address Racial Disparities in Lupus Clinical Trial Participation.


Journal

Arthritis care & research
ISSN: 2151-4658
Titre abrégé: Arthritis Care Res (Hoboken)
Pays: United States
ID NLM: 101518086

Informations de publication

Date de publication:
07 2023
Historique:
revised: 14 09 2022
received: 02 12 2021
accepted: 03 11 2022
medline: 28 6 2023
pubmed: 8 11 2022
entrez: 7 11 2022
Statut: ppublish

Résumé

Substantial disparities exist in clinical trial participation, which is problematic in diseases such as lupus that disproportionately affect racial/ethnic minority populations. Our objective was to examine the effectiveness of an online educational course aiming to train medical providers to refer Black and Latino patients to lupus clinical trials (LCTs). The American College of Rheumatology's Materials to Increase Minority Involvement in Clinical Trials (MIMICT) study used an online, randomized, 2-group, pretest/posttest design with medical and nursing providers of multiple specialties. We exposed intervention group participants to an education course, while the control group participants received no intervention. Controlling for the effects of participant characteristics, including specialty, and professional experience with lupus, we modeled relationships among exposure to the education course and changes in knowledge, attitudes, self-efficacy, and intentions to refer Black and Latino patients to LCTs. We also examined education course satisfaction. Compared to the control group, the intervention group had significantly higher posttest scores for knowledge, self-efficacy, and intentions to refer Black and Latino patients to LCTs. Both medical and nursing trained intervention group participants had significantly higher mean posttest scores for knowledge and intentions to refer compared to the medical and nursing trained control group participants. Attitude was insignificant in analysis. The online education course, which received a favorable summary score, indicated that satisfaction and intentions to refer were strongly and positively correlated. The MIMICT education course is an effective method to educate medical providers about LCTs and to improve their intentions to refer Black and Latino patients.

Identifiants

pubmed: 36342382
doi: 10.1002/acr.25054
doi:

Types de publication

Journal Article Research Support, U.S. Gov't, Non-P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

1434-1442

Informations de copyright

© 2022 The Authors. Arthritis Care & Research published by Wiley Periodicals LLC on behalf of American College of Rheumatology.

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Auteurs

Nicole I Wanty (NI)

KDH Research and Communication, Atlanta, Georgia.

Dexter L Cooper (DL)

KDH Research and Communication, Atlanta, Georgia.

Andrew Simkus (A)

KDH Research and Communication, Atlanta, Georgia.

Eric C Twombly (EC)

KDH Research and Communication, Atlanta, Georgia.

Sheryl McCalla (S)

American College of Rheumatology, Atlanta, Georgia.

S Kristen D Holtz (SKD)

KDH Research and Communication, Atlanta, Georgia.

Aisha T Langford (AT)

New York University Grossman School of Medicine, New York.

Thometta Cozart (T)

Bethune-Cookman University, Daytona Beach, Florida.

Barry Gorlitsky (B)

Carolina Nephrology, Spartanburg, South Carolina.

Catherine Moore (C)

University of Rochester Medical Center, Rochester, New York.

Donna Culton (D)

University of North Carolina at Chapel Hill.

Christopher T Richardson (CT)

University of Rochester Medical Center, Rochester, New York.

Richard M Wardrop (RM)

Cleveland Clinic, Cleveland, Ohio.

Jeff Newcomb (J)

University of Nebraska Medical Center, Omaha.

Cynthia Aranow (C)

Feinstein Institute for Medical Research, Manhasset, New York.

Sam Lim (S)

Emory University School of Medicine, Atlanta, Georgia.

Allen Anandarajah (A)

University of Rochester Medical Center, Rochester, New York.

Saira Z Sheikh (SZ)

University of North Carolina at Chapel Hill.

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