Evidence map›Paper›PMID 36991364›Full record

ArticleBMC nephrology2023

Qualitative analysis of stakeholder perspectives on engaging Latinx patients in kidney-related research.

Flor Alvarado, Cynthia Delgado, Susanne B Nicholas, Allison Jaure, Lilia Cervantes

Abstract read
In one paragraph

Article in BMC nephrology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

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

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 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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.

Flor AlvaradoSection of Nephrology and Hypertension, Department of Medicine, Tulane University, 1430 Tulane Avenue #8545, New Orleans, LA, 70112, USA. falvarado@tulane.edu.
Cynthia DelgadoSection of Nephrology, San Francisco VA Medical Center and University of California San Francisco, San Francisco, CA, USA.
Susanne B NicholasDivision of Nephrology, Department of Medicine, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, CA, USA.
Allison JaureCentre for Kidney Research, Children's Hospital at Westmead, Westmead, NSW, Australia.
Lilia CervantesDepartment of Medicine, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA.

Funding

Community Health Worker-Led Church-Based Intervention for Eliminating Cardiovascular Health Disparities in African AmericansUG3HL151309 · NHLBI · TULANE UNIVERSITY OF LOUISIANA · PI HE, JIANG · 2020 to 2022
$4.0M
Improving Outcomes for Latinos on Hemodialysis with Limited English ProficiencyK23DK117018 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI CERVANTES, LILIA · 2018 to 2022
$1.1M
NHLBI NIH HHS UG3 HL151309NIDDK NIH HHS K23 DK117018
6 · The paper itself

Abstract

backgroundLatinx individuals are disproportionally burdened by kidney diseases compared to non-Latinx White individuals and are underrepresented in kidney-related research. We aimed to describe stakeholder perspectives on Latinx patient engagement in kidney-related research.

methodsWe conducted a thematic analysis of two online moderated discussions and an interactive online survey with open-text responses involving participants (i.e. stakeholders), with personal and/or professional experiences with Latinx patients with kidney diseases and their families/caregivers.

resultsAmong the eight stakeholders (Female:75%; Latinx ethnicity:88%), there were three physicians, one nurse, one patient with kidney disease who received a kidney transplant, one policy maker, one Doctor of Philosophy, and one executive director of a non-profit health organization. We identified five themes. The majority of themes and their respective subthemes (in parentheses) reflected barriers to engagement: Lack of personal relevance (unable to relate to research staff and marketing resources, and unclear benefit of research to self, family, and community); fear and vulnerability (immigration concerns, stigma with seeking care, skepticism of Western medicine); logistical and financial barriers (limited opportunities to enroll in clinical trials, out-of-pocket costs, transportation issues); and distrust and asymmetry of power (related to limited English proficiency or health literacy, and provider bias). The last theme centered on stimulating interest and establishing trust in the research process.

conclusionsTo overcome barriers to engagement in kidney-related research and establish trust among potential Latinx research participants, stakeholders recommended employing cultural responsiveness and community-based strategies. These strategies can help identify local health priorities, enhance research recruitment and retention strategies, and establish partnerships that continue to elevate research endeavors aiming to enhance the health of Latinx individuals with kidney diseases.

Indexed as

Health LiteracyKidney DiseasesCaregiversFemaleHumansKidneyPatient ParticipationQualitative ResearchBarriersCommunity-based participatory researchCultural responsivenessDisparitiesEngagementHealth equityKidney diseaseResearch participation

Identifiers

PMID36991364
PMCPMC10061843

What OpenQuestion holds

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LicenceCC BY
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.