Evidence map›Paper›PMID 25960945›Full record

ArticleJournal of racial and ethnic health disparities2015

A Model of Cancer Clinical Trial Decision-making Informed by African-American Cancer Patients.

Jennifer A Wenzel, Olive Mbah, Jiayun Xu, Gyasi Moscou-Jackson, Haneefa Saleem, Kwame Sakyi, Jean G Ford

Registry-linked trialAbstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04683510 (Increasing Recruitment of Underrepresented Cancer Survivors With Awareness Enhancing Interventions), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–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.

NCT04683510 nacompletednot on this mapstarted 2021, after this paper: background citation

Increasing Recruitment of Underrepresented Cancer Survivors With Awareness Enhancing Interventions

TypeinterventionalSponsorUniversity of TennesseeRan2021 to 2025Enrolled4,451ConditionsResearch AwarenessArmsNavigation - Study Specific - Researcher Voice, Navigation - Study Specific - Cancer Survivor Voice, Navigation - Research General - Researcher Voice, Navigation - Research General - Cancer Survivor Voice, Brochure - Study Specific - Researcher Voice
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Faith, Culture, and Cancer: A Qualitative Study Exploring Muslim Women's Perspectives on Clinical Trials in the United Kingdom.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  4. Article
  5. Article
  6. Understanding Inclusion and Participation of People From Black African Diaspora Communities in Health and Care Research: A Realist Review.Health expectations : an international journal of public participation in health care and health policy · 2025
    Review
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  8. Observational
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  10. Article
  11. Review
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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

7 authors.

Jennifer A WenzelJohns Hopkins School of Nursing, 525 N. Wolfe St, Baltimore, MD 21205-2110, USA.
Olive MbahBloomberg School of Public Health, Baltimore, MD, USA.
Jiayun XuJohns Hopkins School of Nursing, 525 N. Wolfe St, Baltimore, MD 21205-2110, USA.
Gyasi Moscou-JacksonJohns Hopkins School of Nursing, 525 N. Wolfe St, Baltimore, MD 21205-2110, USA.
Haneefa SaleemBloomberg School of Public Health, Baltimore, MD, USA.
Kwame SakyiBloomberg School of Public Health, Baltimore, MD, USA.
Jean G FordBloomberg School of Public Health, Baltimore, MD, USA.

Funding

Enhancing Minority Participation in Clinical Trials (EMPaCT):Phase IIU24MD006970 · NIMHD · UNIVERSITY OF MINNESOTA · PI DURANT, RAEGAN WINSTON, FOUAD, MONA N. · 2011 to 2015
$4.9M
Training ProgramU54CA153710 · NCI · JOHNS HOPKINS UNIVERSITY · PI DOBS, ADRIAN S. · 2010 to 2015
$4.8M
Enhancing Minority Participation in Clinical Trials (EMPaCT)RC2MD004797 · NIMHD · UNIVERSITY OF MINNESOTA · PI FOUAD, MONA N., VICKERS, SELWYN M · 2009 to 2010
$4.2M
Interdisciplinary Training in Cardiovascular Health ResearchT32NR012704 · NINR · JOHNS HOPKINS UNIVERSITY · PI ALLEN, JERILYN K · 2011 to 2020
$1.8M
Examination of Sleep in African American Adults with Sickle Cell DiseaseF31NR014598 · NINR · JOHNS HOPKINS UNIVERSITY · PI MOSCOU-JACKSON, GYASI ESHE · 2013 to 2014
$81k
HF Patient Decision Making Prior to RehospitalizationF31NR014750 · NINR · JOHNS HOPKINS UNIVERSITY · PI XU, JIAYUN · 2013 to 2015
$80k
NCI NIH HHS U54 CA153710NCI NIH HHS U54CA153710NIMHD NIH HHS RC2 MD004797NIMHD NIH HHS U24 MD006970NIMHD NIH HHS U24MD006970NINR NIH HHS F31 NR014598NINR NIH HHS F31 NR014750NINR NIH HHS T32 NR012704
6 · The paper itself

Abstract

backgroundClinical trials are critical to advancing cancer treatment. Minority populations are underrepresented among trial participants, and there is limited understanding of their decision-making process and key determinants of decision outcomes regarding trial participation.

methodsTo understand research decision-making among clinical trial-eligible African-American cancer patients at Johns Hopkins, we conducted seven focus groups (n=32) with trial-offered patients ≥ 18 years diagnosed with lung, breast, prostate, or colorectal cancer ≤ 5 years. Three "acceptor" and four "decliner" focus groups were conducted. Questions addressed: attitudes towards clinical trials, reasons for accepting or declining participation, and recommendations to improve minority recruitment and enrollment. Data were transcribed and analyzed using traditional approaches to content and thematic analysis in NVivo 9.0. Data coding resulted in themes that supported model construction.

resultsParticipant experiences revealed the following themes when describing the decision-making process: Information gathering, Intrapersonal perspectives, and Interpersonal influences. Decision outcomes included the presence or absence of decision regret and satisfaction. From these themes, we generated a Model of Cancer Clinical Trial Decision-making.

conclusionOur model should be tested in hypothesis-driven research to elucidate factors and processes influencing decision balance and outcomes of trial-related decision-making. The model should also be tested in other disparities populations and for diagnoses other than cancer.

Indexed as

Decision MakingModels, PsychologicalAdultAgedBlack or African AmericanClinical Trials as TopicFemaleFocus GroupsHealth Status DisparitiesHumansMaleMiddle AgedNeoplasmsAfrican-AmericansCancer disparitiesClinical trialsDecision balanceDecision regret

Identifiers

PMID25960945
PMCPMC4420720

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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.