Evidence map›Paper›PMID 31734125›Full record

ArticleJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association2020

Mistrust of Researchers Correlates with Stroke Knowledge among Minority Seniors in a Community Intervention Trial.

Altaf Saadi, Angela Y Kim, Josephine A Menkin, Carmen A Carrillo, Carmen E Reyes, Catherine A Sarkisian

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

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

4 citing papers in PubMed.

  1. Vascular surgeons are positioned to fight healthcare disparities.Journal of vascular surgery. Venous and lymphatic disorders · 2024
    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

6 authors.

Altaf SaadiMassachusetts General Hospital, Department of Neurology, Harvard Medical School, Boston, MA. Electronic address: asaadi@mgh.harvard.edu.
Angela Y KimNew York Medical College, Valhalla, New York.
Josephine A MenkinDavid Geffen School of Medicine at University of California Los Angeles, Division of Geriatrics, Department of Medicine, Los Angeles, California.
Carmen A CarrilloDavid Geffen School of Medicine at University of California Los Angeles, Division of Geriatrics, Department of Medicine, Los Angeles, California; David Geffen School of Medicine at UCLA, Division of Geriatrics, Department of Medicine & Department of Public Health, Los Angeles County Department of Public Health.
Carmen E ReyesDavid Geffen School of Medicine at University of California Los Angeles, Division of Geriatrics, Department of Medicine, Los Angeles, California.
Catherine A SarkisianDavid Geffen School of Medicine at University of California Los Angeles, Division of Geriatrics, Department of Medicine, Los Angeles, California; David Geffen School of Medicine at UCLA, Division of Geriatrics, Department of Medicine, Los Angeles, CA; David Geffen School of Medicine at UCLA, Division of Geriatrics, Department of Medicine, & VA Greater Los Angeles Healthcare System Geriatric Research Education and Clinical Center, Los Angeles, CA.

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
The Center for Health Improvement of Minority ElderlyP30AG021684 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Homero Erwin del Pino · 2002 to 2026
$19.7M
Secondary Stroke prevention by Uniting Community and Chronic care model teams Early to End Disparities: the SUCCEED TrialU54NS081764 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI VICKREY, BARBARA G · 2012 to 2016
$11.3M
Midcareer Award in Patient-Oriented Community-Academic Partnered Aging ResearchK24AG047899 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SARKISIAN, CATHERINE A · 2014 to 2025
$2.0M
NCATS NIH HHS UL1 TR000124NCATS NIH HHS UL1 TR001881NIA NIH HHS K24 AG047899NIA NIH HHS P30 AG021684NINDS NIH HHS U54 NS081764
6 · The paper itself

Abstract

backgroundMedical mistrust influences patients' treatment seeking, adherence, health behaviors, and minority participation in research studies. However, medical mistrust remains understudied within neurological diseases like stroke despite disproportionately affecting minority populations.

objectiveThis study examines the relationship of medical mistrust with stroke knowledge among Black, Latino, Korean, and Chinese-Americans.

methodsSubjects greater than 60 years were enrolled from senior centers to test a culturally-tailored educational curriculum around stroke risk reduction in a randomized controlled trial. A Trust Physician Scale and a modified Trust of Medical Researchers Scale measured medical mistrust. The Stroke Action Test instrument measured stroke knowledge, focusing on intent to call 911 appropriately when presented with stroke symptoms.

resultsOf 225 subjects, 69.5% were female (n = 157) with an average age of 73.7 years (standard deviation 6.7). Blacks had highest trust scores of physicians relative to Latino/a, Korean or Chinese subjects (P< .05). In multivariable analysis, decreased stroke knowledge was associated with decreased researcher trust at baseline (<.05), but not physician trust, when controlling for covariates. Among Latino/a, Korean, and Chinese groups, mainstream acculturation reduced the association between researcher trust and stroke knowledge. A mediation model showed no evidence of physician trust mediating researcher trust.

conclusionsAmong minority seniors participating in a randomized controlled trial, decreased trust of researchers, not physicians, was associated with low baseline knowledge of stroke symptoms. Those least acculturated to US culture may be a particular focus for trust building intervention. Future studies should examine whether researcher mistrust is disproportionately preventing those with the largest knowledge gaps from participating in trials.

Indexed as

Preventive Health ServicesProfessional-Patient RelationsTrustAgedAged, 80 and overAge FactorsAgingAttitude of Health PersonnelCross-Sectional StudiesCultural CharacteristicsCulturally Competent CareCurriculumFemaleHealth Knowledge, Attitudes, PracticeHumansMaledisparitieselderlyhealth educationminoritiesStroketrust

Identifiers

PMID31734125
PMCPMC8286880

What OpenQuestion holds

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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.