Promoting Race and Ethnic Diversity in a Hospital-Based Randomized Clinical Trial to Address Untreated Alcohol Use Disorder: Initial Lessons Learned.
Objective: This study aimed to describe initial experiences and lessons learned conducting a trial focused on recruiting racially and ethnically diverse hospitalized patients with untreated alcohol use disorder (AUD). Methods: The parent trial is comparing the effectiveness of strategies including B...
| Publicado en: | Journal of Addiction Medicine Vol. 19; no. 3; pp. 334 - 338 |
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| Autores principales: | , , , , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
May/Jun2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=185657102&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 185657102 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 19320620 3BL0 jtl: Journal of Addiction Medicine issn: 19320620 maglogo: N pubinfo: dt: May/Jun2025 vid: 19 iid: 3 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 185657102 185657102 185657102 10.1097/ADM.0000000000001400 185657102 ppf: 334 ppct: 4 formats: tig: atl: Promoting Race and Ethnic Diversity in a Hospital-Based Randomized Clinical Trial to Address Untreated Alcohol Use Disorder: Initial Lessons Learned. aug: au: Edelman, E. Jennifer Frankforter, Tami Rojas-Perez, Oscar F. Ablondi, Karen Castro, Carla Corvino, Joanne Garcia, Isabel Gordon, Derrick M. Jaramillo, Yudilyn Johnson, Natrina L. Jordan, Ayana Nich, Charla Paris Jr, Manuel Pagano, David Weimer, Melissa B. Williams, Emily C. Kiluk, Brian D. affil: Department of Internal Medicine, Yale School of Medicine, New Haven, CT (EJE, KA, DP, MBW) sug: subj: Diversity, Equity, Inclusion Race Factors Ethnic Groups Hospitals, Psychiatric Alcoholism Therapy Randomized Controlled Trials Research Subject Recruitment Human Comparative Studies Questionnaires Cognitive Therapy Methods Patient Participation Conceptual Framework Electronic Health Records Systemic Racism Psychosocial Factors Language Culture Internet Access Health Resource Allocation Social Determinants of Health Research Subject Retention Health Inequities ab: Objective: This study aimed to describe initial experiences and lessons learned conducting a trial focused on recruiting racially and ethnically diverse hospitalized patients with untreated alcohol use disorder (AUD). Methods: The parent trial is comparing the effectiveness of strategies including Brief Negotiation Interview (BNI), facilitated initiation of medications for AUD, and computer-based training for cognitive behavioral therapy (CBT4CBT) on AUD treatment engagement post-hospitalization. Guided by the Framework for Reporting Adaptations and Modifications—Enhanced, we catalogued protocol changes and evaluated outcomes using study and electronic medical record data during the first 18 months of recruitment. Results: Recipients : (1) Selected entry criterion to intentionally include individuals most likely impacted by structural racism, (2) developed multipronged recruitment approaches, and (3) selected bilingual, multicultural, and ethnically diverse research staff. Intervention : (1) Added scripts in the BNI to consider how cultural factors influence and how racism may impact, alcohol use, and AUD treatment engagement, (2) offered tablets as a compensation alternative with support for CBT4CBT initiation (as relevant), and (3) anticipate and troubleshoot internet access challenges. Setting : (1) Identified community-based AUD treatment options with Spanish-speaking services and (2) identified resources to address social determinants of health. Study : (1) Audited data to monitor whether diverse enrollment is occurring. Among n = 132 randomized as of March 1, 2024, 25% endorsed Black, 24% endorsed Latine, 58% endorsed White, 1% endorsed Indigenous, and 15% endorsed race not listed or declined to disclose. We observed no difference by race or ethnicity in recruitment or retention experiences. Conclusions: Multilevel practices within a hospital-based AUD-focused trial can promote recruitment and retention of a racially and ethnically diverse sample. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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