Evidence map›Paper›PMID 35962351›Full record

Trial reportBMC health services research2022

Enrolling people of color to evaluate a practice intervention: lessons from the shared decision-making for atrial fibrillation (SDM4AFib) trial.

Angela Sivly, Haeshik S Gorr, Derek Gravholt, Megan E Branda, Mark Linzer, Peter Noseworthy, Ian Hargraves, Marleen Kunneman, Chyke A Doubeni, Takeki Suzuki and 6 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02905032 (Shared Decision Making for Stroke Prevention in Atrial Fibrillation), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT02905032 nacompletednot on this map

Shared Decision Making for Stroke Prevention in Atrial Fibrillation (SDM4Afib): A Randomized Trial

TypeinterventionalSponsorMayo ClinicRan2016 to 2020Enrolled1,186ConditionsAtrial FibrillationArmsDecision Aid
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

16 authors.

Angela SivlyKnowledge and Evaluation Research Unit, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Haeshik S GorrHennepin Healthcare, 730 South 8th Street, Minneapolis, MN, 55415, USA.
Derek GravholtKnowledge and Evaluation Research Unit, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Megan E BrandaKnowledge and Evaluation Research Unit, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Mark LinzerHennepin Healthcare, 730 South 8th Street, Minneapolis, MN, 55415, USA.
Peter NoseworthyKnowledge and Evaluation Research Unit, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Ian HargravesKnowledge and Evaluation Research Unit, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Marleen KunnemanKnowledge and Evaluation Research Unit, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Chyke A DoubeniMayo Clinic Center for Health Equity and Community Engagement Research, Mayo Clinic, Rochester, MN, 55905, USA.
Takeki SuzukiIndiana University School of Medicine, Indianapolis, IN, 46202, USA.
Juan P BritoKnowledge and Evaluation Research Unit, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Elizabeth A JacksonDivision of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, AL, 32594, USA.
Bruce BurnettHealth Partners, Park Nicollet, 8170 33rd Ave S, Bloomington, MN, 55425, USA.
Mike WambuaHennepin Healthcare, 730 South 8th Street, Minneapolis, MN, 55415, USA.
Victor M MontoriKnowledge and Evaluation Research Unit, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. Montori.victor@mayo.edu.
Shared Decision-Making for Atrial Fibrillation (SDM4AFib) Trial Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTrial recruitment of Black, indigenous, and people of color (BIPOC) is key for interventions that interact with socioeconomic factors and cultural norms, preferences, and values. We report on our experience enrolling BIPOC participants into a multicenter trial of a shared decision-making intervention about anticoagulation to prevent strokes, in patients with atrial fibrillation (AF).

methodsWe enrolled patients with AF and their clinicians in 5 healthcare systems (three academic medical centers, an urban/suburban community medical center, and a safety-net inner-city medical center) located in three states (Minnesota, Alabama, and Mississippi) in the United States. Clinical encounters were randomized to usual care with or without a shared decision-making tool about anticoagulation. ANALYSIS: We analyzed BIPOC patient enrollment by site, categorized reasons for non-enrollment, and examined how enrollment of BIPOC patients was promoted across sites.

resultsOf 2247 patients assessed, 922 were enrolled of which 147 (16%) were BIPOC patients. Eligible Black participants were significantly less likely (p < .001) to enroll (102, 11%) than trial-eligible White participants (185, 15%). The enrollment rate of BIPOC patients varied by site. The inclusion and prioritization of clinical practices that care for more BIPOC patients contributed to a higher enrollment rate into the trial. Specific efforts to reach BIPOC clinic attendees and prioritize their enrollment had lower yield.

conclusionsBest practices to optimize the enrollment of BIPOC participants into trials that examined complex and culturally sensitive interventions remain to be developed. This study suggests a high yield from enrolling BIPOC patients from practices that prioritize their care.

trial registrationClinicalTrials.gov (NCT02905032).

Indexed as

Atrial FibrillationStrokeAnticoagulantsBlack or African AmericanDecision Making, SharedEthnic and Racial MinoritiesHumansIndigenous PeoplesPatient SelectionUnited StatesAnticoagulantsBIPOCComplex interventionsDiversityEnrollmentEquityMinoritiesPractice-based trialsShared decision-making

Identifiers

PMID35962351
PMCPMC9375357

What OpenQuestion holds

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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.