Evidence map›Paper›PMID 34333138›Full record

Trial reportContemporary clinical trials2021

Using increased trust in medical researchers to increase minority recruitment: The RECRUIT cluster randomized clinical trial.

Barbara C Tilley, Arch G Mainous, Rossybelle P Amorrortu, M Diane McKee, Daniel W Smith, Ruosha Li, Stacia M DeSantis, Sally W Vernon, Gary Koch, Marvella E Ford and 3 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Contemporary clinical trials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 5% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Strategies to improve recruitment to randomised trials.The Cochrane database of systematic reviews · 2026
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  20. Inclusion of Non-English-Speaking Participants in Studies of Parkinson's Disease: A Call to Action.Movement disorders : official journal of the Movement Disorder Society · 2022
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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

13 authors at 7 institutions in 1 country.

Barbara C TilleyDepartment of Biostatistics and Data Science, The University of Texas Health Science Center at Houston (UTHealth) School of Public Health (SPH), Houston, TX, United States of America. Electronic address: Barbara.C.Tilley@uth.tmc.edu.
Arch G MainousDepartment of Health Services Research Management and Policy, University of Florida College of Public Health and Health Professions, Gainesville, FL, United States of America.
Rossybelle P AmorrortuDepartment of Biostatistics and Data Science, The University of Texas Health Science Center at Houston (UTHealth) School of Public Health (SPH), Houston, TX, United States of America; Department of Cancer Epidemiology, Moffitt Cancer Center, Tampa, FL, United States of America.
M Diane McKeeDepartment of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, NY, United States of America; Department of Family Medicine, University of Massachusetts Medical School, Worcester, MA, United States of America.
Daniel W SmithDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, United States of America.
Ruosha LiDepartment of Biostatistics and Data Science, The University of Texas Health Science Center at Houston (UTHealth) School of Public Health (SPH), Houston, TX, United States of America.
Stacia M DeSantisDepartment of Biostatistics and Data Science, The University of Texas Health Science Center at Houston (UTHealth) School of Public Health (SPH), Houston, TX, United States of America.
Sally W VernonDepartment of Health Promotion and Behavioral Sciences, The University of Texas Health Science Center at Houston School of Public Health, Houston, TX, United States of America.
Gary KochGillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, United States of America.
Marvella E FordHollings Cancer Center, Population Science and Health Disparities, Medical University of South Carolina, Charleston, SC, United States of America.
Vanessa DiazDepartment of Family Medicine, Medical University of South Carolina, Charleston, SC, United States of America.
Jennifer AlvidrezNational Institute on Minority Health and Health Disparities, Bethesda, MD, United States of America.
additional RECRUIT Trial Center and Parent Trials' investigators
The University of Texas Health Science Center at Houston · USMedical University of South Carolina · USAlbert Einstein College of Medicine · USNational Institute on Minority Health and Health Disparities · USUniversity of Florida · USUniversity of North Carolina at Chapel Hill · USUniversity of Texas Health Science Center at Dallas · US

Funding

SWOG NCORP Research BaseUG1CA189974 · NCI · THE HOPE FOUNDATION · PI CHARLES D. BLANKE, DAWN HERSHMAN · 2014 to 2026
$80.6M
Proteomics CoreP30DK123704 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI DON C. ROCKEY · 2020 to 2026
$8.8M
Parkinson's Disease Clinical Trial: Statistical CenterU01NS043127 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI LUO, SHENG · 2001 to 2015
$8.0M
South Carolina Cancer Disparities Research Center (SC CaDRe)U54CA210963 · NCI · SOUTH CAROLINA STATE UNIVERSITY · PI MCCRARY-QUARLES, AUDREY · 2017 to 2023
$6.1M
A Randomized Recruitment InterventionU24MD006941 · NIMHD · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI TILLEY, BARBARA C. · 2011 to 2016
$5.3M
SC Cooperative for Healthy Aging in Minority PopulationsP30AG021677 · NIA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI TILLEY, BARBARA C · 2002 to 2006
$3.5M
NCI NIH HHS U54 CA210963NCI NIH HHS UG1 CA189974NIA NIH HHS P30 AG021677NIDDK NIH HHS P30 DK123704NIMHD NIH HHS U24 MD006941NINDS NIH HHS U01 NS043127
6 · The paper itself

Abstract

While extensive literature exists on barriers and strategies to increase minority participation in clinical trials, progress is limited. Few strategies were evaluated in randomized trials. We studied the impact of RECRUIT, a trust-based, cluster randomized minority recruitment trial layered on top of four traditional NIH-funded parent trials (BMT CTN, CABANA, PACES, STEADY-PD III; fifty specialty sites). RECRUIT was conducted from July 2013 through April 2017. Intervention sites implemented trust-based approaches customized to individual sites, promoting relationships between physician-investigators and minority-serving physicians and their minority patients. Control sites implemented only parent trials' recruitment procedures. Adjusting for within-site clustering, we detected no overall intervention effect, odds ratio 1.3 (95% confidence limits 0.7,2.4). Heterogeneity among parent trials may have obscured the effect. Of the four parent trials, three enrolled more minorities in intervention versus control sites. CABANA odds ratio = 4.2 (adjusted 95%CL 1.5,11.3). PACES intervention sites enrolled 63% (10/16) minorities; control sites enrolled one participant in total, a minority, yielding an incalculable odds ratio. STEADY-PD III odds ratio = 2.2 (adjusted 95%CL 0.6,8.5). BMT CTN odds ratio < 1, 0.8 (adjusted 95%CL 0.4,1.8). In conclusion, RECRUIT findings suggest the unique trust-based intervention increased minority recruitment to intervention trials in ¾ of studied trials. Physician-investigators' participation was critical to recruitment success. Lack of commitment to minority recruitment remained a barrier for some physician-investigators, especially in control sites. We recommend prospective physician investigators commit to minority recruitment activities prior to selection as site investigators and trial funding include some compensation for minority recruitment efforts. TRIAL REGISTRATION ClinicalTrials.govNCT01911208.

Indexed as

Minority GroupsTrustHumansPatient SelectionPilot ProjectsProspective StudiesCluster-randomized trialContinuous quality improvementIntervention mappingMinority recruitmentSpecialty clinics

Identifiers

PMID34333138
PMCPMC8665835
OpenAlexW3190746651

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.