Evidence map›Paper›PMID 39585656›Full record

ArticleJNCI cancer spectrum2025

Cancer clinical trial participation: a qualitative study of Black/African American communities' and patient/survivors' recommendations.

Linda Kaljee, Sylvester Antwi, Doreen Dankerlui, Donna Harris, Barbara Israel, Denise White-Perkins, Valerie Ofori Aboah, Livingstone Aduse-Poku, Harriet Larrious-Lartey, Barbara Brush and 10 more

Abstract read
In one paragraph

Article in JNCI cancer spectrum, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

20 authors.

Linda KaljeeHenry Ford Health, Global Health Initiative, Detroit, MI 48202, United States.
Sylvester AntwiHenry Ford Health, Detroit, MI 48202, United States.ORCID 0009-0005-2055-8938
Doreen DankerluiHenry Ford Health, Global Health Initiative, Detroit, MI 48202, United States.ORCID 0000-0003-0330-0757
Donna HarrisGrace Learning Center, Detroit, MI 48228, United States.ORCID 0009-0001-4772-4642
Barbara IsraelUniversity of Michigan Detroit Urban Research Center, Ann Arbor, MI 48109, United States.
Denise White-PerkinsDepartment of Family Medicine, Henry Ford Health, Detroit, MI 49224, United States.ORCID 0000-0003-1868-2161
Valerie Ofori AboahHenry Ford Health, Detroit, MI 48202, United States.
Livingstone Aduse-PokuUniversity of Florida, Gainesville, FL 32611, United States.ORCID 0000-0001-9787-1731
Harriet Larrious-LarteyHenry Ford Health, Detroit, MI 48202, United States.
Barbara BrushUniversity of Michigan Detroit Urban Research Center, Ann Arbor, MI 48109, United States.
Chris CoombeUniversity of Michigan Detroit Urban Research Center, Ann Arbor, MI 48109, United States.ORCID 0000-0002-3697-2456
La'Toshia PatmanOur Wellness Hub, Detroit, MI 48214, United States.
Nayomi CawthorneEastside Community Network, Detroit, MI 48215, United States.ORCID 0009-0009-0797-176X
Sophia ChueCaribbean Community Service Center, Detroit, MI 48224, United States.
Zachary RoweFriends of Parkside, Detroit, MI 48213, United States.ORCID 0000-0003-2778-4362
Cassandra MillsHenry Ford Health, Detroit, MI 48202, United States.ORCID 0000-0002-1480-8030
Kurt FernandoHenry Ford Health, Detroit, MI 48202, United States.ORCID 0009-0005-1796-154X
Gwendolyn DanielsInstitute for Population Health, Detroit, MI 48202, United States.
Eleanor M WalkerHenry Ford Health, Detroit, MI 48202, United States.
Evelyn JiaggeHenry Ford Health, Detroit, MI 48202, United States.ORCID 0000-0002-5708-0326

Funding

Genentech
6 · The paper itself

Abstract

backgroundBlack/African Americans experience disproportionate cancer burden and mortality rates. Racial and ethnic variation in cancer burden reflects systemic and health-care inequities, cancer risk factors, and heredity and genomic diversity. Multiple systemic, sociocultural, economic, and individual factors also contribute to disproportionately low Black/African American participation in cancer clinical trials.

methodsThe Participatory Action for Access to Clinical Trials project used a community-based participatory research approach inclusive of Black/African American community-based organizations, Henry Ford Health, and the University of Michigan Urban Research Center. The project aims were to understand Black/African Americans' behavioral intentions to participate in cancer clinical trials and to obtain recommendations for improving participation. Audio-recorded focus group data were transcribed and coded, and searches were conducted to identify themes and subthemes. Representative text was extracted from the transcripts.

resultsSix community focus group discussions (70 participants) and 6 Henry Ford Health patient/survivor focus group discussions (29 participants) were completed. General themes related to trial participation were identified, including (1) systemic issues related to racism, health disparities, and trust in government, health systems, and clinical research; (2) firsthand experiences with health care and health systems; (3) perceived and experienced advantages and disadvantages of clinical trial participation; and (4) recruitment procedures and personal decision-making processes. Specific recommendations on how to address barriers were obtained.

conclusionsCommunity-based participatory research is effective in bringing communities equitably to the table. To build trust, health systems must provide opportunities for patients and communities to jointly identify factors affecting cancer clinical trial participation, implement recommendations, and address health disparities.

Indexed as

Black or African AmericanClinical Trials as TopicNeoplasmsPatient ParticipationAdultAgedCommunity-Based Participatory ResearchFemaleFocus GroupsHealthcare DisparitiesHealth Status DisparitiesHumansMaleMichiganMiddle AgedPatient Selection

Identifiers

PMID39585656
PMCPMC11781321

What OpenQuestion holds

Textmetadata
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.