Evidence map›Paper›PMID 25433203›Full record

Trial reportContemporary clinical trials2015

Motivators and barriers to Latinas' participation in clinical trials: the role of contextual factors.

Laricca London, Alejandra Hurtado-de-Mendoza, Minna Song, Ankita Nagirimadugu, Gheorghe Luta, Vanessa B Sheppard

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Contemporary clinical trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04800432 (ADAPT+), which is not on this map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT04800432 nacompletednot on this mapstarted 2021, after this paper: background citation

ADAPT+: Optimizing an Intervention to Promote Healthy Behaviors in Rural, Latino Youth With Obesity and Their Parents, Using Mindfulness Strategies

TypeinterventionalSponsorUniversity of South FloridaRan2021 to 2023Enrolled95ConditionsPediatric ObesityArmsADAPT+, EUC
3 · Its place in the literature

Who cites it

30 citing papers in PubMed.

  1. Trial
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  3. Feasibility and Effectiveness of Recruiting Latinos inInternational journal of environmental research and public health · 2021
    Trial
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  5. Long-term Diet and Biomarker Changes after a Short-term Intervention among Hispanic Breast Cancer Survivors: The ¡Cocinar Para Su Salud! Randomized Controlled Trial.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2016
    Trial
  6. Article
  7. Article
  8. Article
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  10. Article
  11. Article
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  13. Contemporary clinical trials communications · 2022
    Article
  14. Cancer Epidemiology in Hispanic Populations: What Have We Learned and Where Do We Need to Make Progress?Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022
    Review
  15. Article
  16. Article
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  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Laricca LondonDepartment of Microbiology, Howard University College of Medicine, Washington, DC, USA.
Alejandra Hurtado-de-MendozaDepartment of Oncology, Georgetown University Medical Center and Georgetown-Lombardi Comprehensive Cancer Center, Breast Cancer Program, Washington, DC, USA.
Minna SongDepartment of Oncology, Georgetown University Medical Center and Georgetown-Lombardi Comprehensive Cancer Center, Breast Cancer Program, Washington, DC, USA.
Ankita NagirimaduguDepartment of Oncology, Georgetown University Medical Center and Georgetown-Lombardi Comprehensive Cancer Center, Breast Cancer Program, Washington, DC, USA.
Gheorghe LutaDepartment of Biostatistics, Bioinformatics and Biomathematics, Georgetown University Medical Center and Georgetown-Lombardi Comprehensive Cancer Center, Cancer Prevention and Control Program, Washington, DC, USA.
Vanessa B SheppardDepartment of Oncology, Georgetown University Medical Center and Georgetown-Lombardi Comprehensive Cancer Center, Breast Cancer Program, Washington, DC, USA. Electronic address: vls3@georgetown.edu.

Funding

Tissue Culture Shared ResourceP30CA051008 · NCI · GEORGETOWN UNIVERSITY · PI STEPHEN W BYERS · 1990 to 2026
$71.5M
Georgetown-Howard Universities Center for Clinical and Translational Science (GHUUL1TR000101 · NCATS · GEORGETOWN UNIVERSITY · PI MELLMAN, THOMAS A, VERBALIS, JOSEPH G · 2012 to 2015
$19.3M
MARKETING CANCER RESEARCH TO LATIN AMERICANSU01CA086114 · NCI · MEDSTAR RESEARCH INSTITUTE · PI HUERTA, ELMER E · 2000 to 2004
$3.4M
NIA CALGB - Foreign AccrualU10CA084131 · NCI · GEORGETOWN UNIVERSITY · PI MANDELBLATT, JEANNE · 2001 to 2005
$3.2M
NCATS NIH HHS UL1 TR000101NCI NIH HHS P30 CA051008NCI NIH HHS U01 CA086114NCI NIH HHS UO1 CA084131-0551NCI NIH HHS UO1 CA86114
6 · The paper itself

Abstract

objectiveLatinas are underrepresented in clinical trials despite the rise in Hispanic population. This study examines the factors associated with Latinas' willingness to participate in preventive breast cancer randomized clinical trials (RCTs).

methodsWomen self-identifying as Latina, over age 40, with no prior history of breast cancer were eligible. Using the Behavior Model for Vulnerable Populations, we administered a survey (n=168) to assess predisposing (e.g., knowledge), enabling (e.g., trust) and need factors (e.g., risk perception). Intention to participate was defined using a lenient (maybe, probably or definitely) and a stringent criterion (probably and definitely). Chi-square tests and logistic regression models examined the associations of predisposing, enabling, and need factors with women's intentions to participate in RCTs.

resultsMost participants (74.9%) were monolingual Spanish-speaking immigrants. Most (83.9%) reported willing to participate in clinical trials using the lenient definition (vs. 43.1% under the stringent definition). Using the lenient definition, the odds of willing to participate in RCTs were significantly lower for unmarried women (OR=.25, 95% CI=.08-.79) and those with lower cancer risk perceptions (OR=.20, 95% CI=.06-.63), while being significantly higher for women with lower language acculturation (OR=6.2, 95% CI=1.8-20.9). Using the stringent definition, women who did not endorse a motivation to enroll to help family members (if they had cancer) had significantly lower odds to report intent (OR=.33, 95% CI=.13-.86).

conclusionMany RCTs may have limited generalizability due to the low representation of minorities. Culturally targeted interventions that address the importance of family for Latinos may ultimately increase their participation in RCTs.

Indexed as

MotivationAdultBreast NeoplasmsFemaleHealth Knowledge, Attitudes, PracticeHispanic or LatinoHumansMiddle AgedRandomized Controlled Trials as TopicResearch SubjectsRisk AssessmentSocioeconomic FactorsTrustClinical trials participationHealth disparitiesLatinaPsychosocial factors

Identifiers

PMID25433203
PMCPMC4357359

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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.