Trial reportGynecologic oncology2011
Recruitment and retention results for a population-based cervical cancer biobehavioral clinical trial.
Trial report in Gynecologic oncology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Framing the impact of culture on health: a systematic review of the PEN-3 cultural model and its application in public health research and interventions.Ethnicity & health · 2014Pooled it
- Mobile Application to Identify Cancer Treatment-Related Financial Assistance: Results of a Randomized Controlled Trial.JCO oncology practice · 2021Trial
- Psychosocial telephone counseling for survivors of cervical cancer: results of a randomized biobehavioral trial.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2015Trial
- Effectiveness of a 12-month randomized clinical trial to increase physical activity in multiethnic postpartum women: results from Hawaii's Nā Mikimiki Project.Preventive medicine · 2014Trial
- Breast cancer survivors willingness to participate in an acupuncture clinical trial: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2014Trial
- Behind the Numbers: Cancer Survivor Recruitment by Demographics and Clinical Status.Cancer medicine · 2026Article
- Fidelity of the Guided Self-Determination program in the MyHealth study during breast cancer follow-up.Acta oncologica (Stockholm, Sweden) · 2025Article
- The role of social, economic, and medical marginalization in cancer clinical trial participation inequities: A systematic review.Journal of clinical and translational science · 2025Review
- Recruitment strategies and HPV self-collection return rates for under-screened women for cervical cancer prevention.PloS one · 2023Article
- Comparison of Young Adult Female Cancer Survivors Recruited from a Population-Based Cancer Registry to Eligible Survivors.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2021Article
- A successful approach to minimizing attrition in racial/ethnic minority, low-income populations.Contemporary clinical trials communications · 2017Article
- Will they participate? Predicting patients' response to clinical trial invitations in a pediatric emergency department.Journal of the American Medical Informatics Association : JAMIA · 2016Article
- Developing a Smoking Cessation Intervention for Low Income and Minority Women.Journal of women's health care · 2016Article
- Attrition rates, reasons, and predictive factors in supportive care and palliative oncology clinical trials.Cancer · 2013Article
- Recruitment and Retention for Community-Based eHealth Interventions with Populations of Low Socioeconomic Position: Strategies and Challenges.The Journal of communication · 2013Article
- Retention of clinical trial participants in a study of nongonococcal urethritis (NGU), a sexually transmitted infection in men.Contemporary clinical trials · 2012Article
- Person mobility in the design and analysis of cluster-randomized cohort prevention trials.Prevention science : the official journal of the Society for Prevention Research · 2012Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
objectiveMinority and low-income cancer patients are underrepresented in clinical trials, contributing to diminished access to state-of-the-art care and disparities in cancer outcomes including survivorship issues. In cervical cancer, there is a disproportionate disease burden among minority and underserved women and persistent quality of life disruption. We encountered significant challenges in both recruitment and retention in a randomized biobehavioral clinical trial for cervical cancer survivors, identified through California Cancer Registries, leading to this investigation.
methodsTo determine differential rates of accrual and retention, data from our trial are analyzed using descriptive statistics, logistic regression and multivariate analysis of variance. Ethnic differences in associations between covariables and attrition rates were tested by interaction factors. Process evaluation and focus group data were obtained to inform improvement strategies.
resultsOf eligible subjects with viable phone numbers, 29% enrolled and 71% actively or passively refused. Enrolled Hispanic women were more likely to have less education (p<0.001), lower income (p=0.003), and more children (p=0.028). The dropout rate was associated with less education (p=0.012), foreign-birth (p=0.061), speaking Spanish in the home (p=0.012). Reported reasons for active refusal were 'too busy' for all women, 'too emotional' for non-Hispanic women, 'too ill' and phlebotomy for Hispanic women. Subsequent focus groups identified specific strategies to improve study materials.
conclusionAlthough population-based recruitment of minority and underserved cancer patients continues to be a challenge, specific sociodemographic and disease variables can predict accrual difficulties. The information herein, taken together with disease and culturally relevant strategies, can be useful when recruiting underserved cancer survivors.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.