Evidence map›Paper›PMID 39122387›Full record

SynthesisBMJ open2024

Recruitment, retention and reporting of variables related to ethnic diversity in randomised controlled trials: an umbrella review.

Ebenezer Owusu-Addo, Deborah M Bennor, Aaron Michael Orkin, An-Wen Chan, Vivian A Welch, Shaun Treweek, Heidi Green, Peter Feldman, Davina Ghersi, Bianca Brijnath and 1 more

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Trial
  2. The ethical permissibility of financial incentives.Medicine, health care, and philosophy · 2026
    Article
  3. Article
  4. Article
  5. Article
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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

11 authors.

Ebenezer Owusu-AddoBureau of Integrated Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ashanti, Ghana.
Deborah M BennorBureau of Integrated Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ashanti, Ghana.
Aaron Michael OrkinDepartment of Family and Community Medicine and Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
An-Wen ChanWomen's College Research Institute and Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Vivian A WelchMethods Centre, Bruyere Research Institute, Ottawa, Ontario, Canada.ORCID 0000-0002-5238-7097
Shaun TreweekHealth Services Research Unit, University of Aberdeen, Aberdeen, Scotland, UK.
Heidi GreenCOUCH Health, Manchester, UK.
Peter FeldmanSocial Gerontology, National Ageing Research Institute Inc, Parkville, Victoria, Australia.
Davina GhersiSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Bianca BrijnathSocial Gerontology, National Ageing Research Institute Inc, Parkville, Victoria, Australia B.Brijnath@nari.edu.au.ORCID 0000-0002-0536-6859
RECONSIDER Extension Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis umbrella review synthesises evidence on the methods used to recruit and retain ethnically diverse participants and report and analyse variables related to ethnic diversity in randomised controlled trials.

designUmbrella review. DATA SOURCES: Ovid MEDLINE, Ovid Embase, CINAHL, PsycINFO and Cochrane and Campbell Libraries for review papers published between 1 January 2010 and 13 May 2024. ELIGIBILITY CRITERIA: English language systematic reviews focusing on inclusion and reporting of ethnicity variables. Methodological quality was assessed using the AMSTAR 2 tool.

resultsSixty-two systematic reviews were included. Findings point to limited representation and reporting of ethnic diversity in trials. Recruitment strategies commonly reported by the reviews were community engagement, advertisement, face-to-face recruitment, cultural targeting, clinical referral, community presentation, use of technology, incentives and research partnership with communities. Retention strategies highlighted by the reviews included frequent follow-ups on participants to check how they are doing in the study, provision of incentives, use of tailored approaches and culturally appropriate interventions. The findings point to a limited focus on the analysis of variables relevant to ethnic diversity in trials even when they are reported in trials.

conclusionSignificant improvements are required in enhancing the recruitment and retention of ethnically diverse participants in trials as well as analysis and reporting of variables relating to diversity in clinical trials. PROSPERO REGISTRATION NUMBER: CRD42022325241.

Indexed as

Cultural DiversityEthnicityPatient SelectionRandomized Controlled Trials as TopicHumansClinical TrialHealth EquityReview

Identifiers

PMID39122387
PMCPMC11340254

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.