Evidence map›Paper›PMID 27320470›Full record

ArticleAmerican journal of preventive medicine2016

Mistrust of Pediatric Sickle Cell Disease Clinical Trials Research.

Evelyn M Stevens, Chavis A Patterson, Yimei B Li, Kim Smith-Whitley, Lamia P Barakat

Open access · hybridAbstract read
In one paragraph

Article in American journal of preventive medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
2.7field-weighted citation impact, top 9% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 38 citations in OpenAlex.

  1. Trial
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  10. Diversity, Equity, and Inclusion within Pediatric Adherence Science.Journal of clinical psychology in medical settings · 2023
    Article
  11. Article
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  14. Article
  15. Article
  16. Genetic therapies for the first molecular disease.The Journal of clinical investigation · 2021
    Review
  17. Article
  18. Article
  19. Motivations and Decision-Making of Adult Sickle Cell Patients in High-Risk Clinical Research.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2020
    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

5 authors at 2 institutions in 1 country.

Evelyn M StevensThe Children's Hospital of Philadelphia, Philadelphia, Pennsylvania;. Electronic address: stevensem@email.chop.edu.
Chavis A PattersonThe Children's Hospital of Philadelphia, Philadelphia, Pennsylvania;; Perelman School of Medicine of The University of Pennsylvania, Philadelphia, Pennsylvania.
Yimei B LiThe Children's Hospital of Philadelphia, Philadelphia, Pennsylvania;; Perelman School of Medicine of The University of Pennsylvania, Philadelphia, Pennsylvania.
Kim Smith-WhitleyThe Children's Hospital of Philadelphia, Philadelphia, Pennsylvania;; Perelman School of Medicine of The University of Pennsylvania, Philadelphia, Pennsylvania.
Lamia P BarakatThe Children's Hospital of Philadelphia, Philadelphia, Pennsylvania;; Perelman School of Medicine of The University of Pennsylvania, Philadelphia, Pennsylvania.
Children's Hospital of Philadelphia · USUniversity of Pennsylvania · US

Funding

Identifying Strategies to Increase Engagement in Clinical Trials in Pediatric SCDRC1MD004418 · NIMHD · CHILDREN'S HOSP OF PHILADELPHIA · PI BARAKAT, LAMIA P · 2009 to 2010
$813k
NIMHD NIH HHS RC1 MD004418
6 · The paper itself

Abstract

introductionSickle cell disease (SCD) research is hampered by disparities in participation due in part to mistrust of research among racial/ethnic minorities. Beyond the historic context of research misconduct, little is known about the associations of social ecologic factors with mistrust and of mistrust with SCD clinical trials enrollment. This study evaluated proximal (age, gender, disease severity, perceived stress, SES) and distal (religious beliefs, social support, instrumental support) factors related to mistrust of research among caregivers of children with SCD and adolescents and young adults (AYAs) with SCD.

methodsOver an 18-month period (2009-2010), participants completed questionnaires of perceived barriers and benefits to clinical trials enrollment, perceived stress, and self-reported demographic and disease-related information. Analyses (January-June 2015) used multivariable linear regressions to evaluate predictors of mistrust.

resultsData were analyzed for 154 caregivers (mean age, 38.75 years; SD=9.56 years; 90.30% female) and 88 AYAs (mean age, 24.76 years; SD=7.25 years; 46.40% female). Among caregivers (full model, R(2)=0.14, p≤0.001), greater mistrust was explained by higher perceived stress (β=0.04, p=0.052); religious beliefs (β=0.61, p≤0.001); and greater instrumental support (β=0.07, p=0.044). Among AYAs (full model, R(2)=0.18, p≤0.001), higher mistrust was explained by being male (β=-0.56, p≤0.001) and lower instrumental support (β=-0.11, p=0.016). Mistrust was significantly greater among caregivers that reported no prior involvement in medical research (p=0.003).

conclusionsBy understanding the complexity through which social ecologic factors contribute to mistrust, researchers may create targeted strategies to address mistrust and increase engagement in SCD research for caregivers and AYAs.

Indexed as

Anemia, Sickle CellBiomedical ResearchClinical Trials as TopicPediatricsTrustAdolescentAdultAttitude to HealthCaregiversChildFemaleHumansMalePatient SelectionResearch SubjectsStress, Psychological

Identifiers

PMID27320470
PMCPMC4916926
OpenAlexW2430980543

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.