Volunteers Needed: Understanding African Americans' Perceptions of Clinical Trials and Intentions to Participate.

Goal: African Americans lack participation in clinical trials, and therefore, are underrepresented in medical initiatives that can provide life-saving treatment. This research examines the attitudes, beliefs, and perceptions of African Americans toward participation in clinical trials. Methods: Rese...

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Publicado en:Journal of Healthcare Management Vol. 70; no. 5; pp. 317 - 337
Autores principales: Ricks, Joe M., Porter III, McDowell, Kemp, Elyria
Formato: research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Sep/Oct2025
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Volunteers Needed: Understanding African Americans' Perceptions of Clinical Trials and Intentions to Participate.
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          Ricks, Joe M.
          Porter III, McDowell
          Kemp, Elyria
        affil: Division of Business, Xavier University of Louisiana, New Orleans, Louisiana
      sug:
        subj:
          African Americans Psychosocial Factors
          Intention
          Research Subjects Psychosocial Factors
          Clinical Trials
          Patient Participation Psychosocial Factors
          Patient Attitudes
          Health Knowledge
          Human
          Funding Source
          United States
          Louisiana
          Male
          Female
          Adult
          Adolescence
          Middle Age
          Aged
          Aged, 80 and Over
          Cross Sectional Studies
          Questionnaires
          Factor Analysis
          Motivation
          Risk Assessment
          Models, Theoretical
          Attitude to Risk
          Health Behavior
          Educational Status
          Decision Making
          Descriptive Statistics
          Data Analysis Software
          Confidence Intervals
          Multiple Regression
          Structural Equation Modeling
          Post Hoc Analysis
          Ajzen-Fishbein Theory of Reasoned Action
          Adult: 19-44 years
          Adolescent: 13-18 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Goal: African Americans lack participation in clinical trials, and therefore, are underrepresented in medical initiatives that can provide life-saving treatment. This research examines the attitudes, beliefs, and perceptions of African Americans toward participation in clinical trials. Methods: Researchers conducted a survey using a representative sample of African Americans in the United States (n = 1,260). Structural equation modeling was used to analyze the data. Principal Findings: Findings indicate that behavioral beliefs about clinical trials are positively related to attitudes about participating in clinical trials. Furthermore, attitudes are positively related to intentions to participate in clinical trials. Participation in clinical trials is also dictated by social influence. Results indicate that what "important others" think about participation in clinical trials is positively related to trial participation; however, risk perceptions are negatively related to trial participation. Findings reveal that gender and educational attainment moderate risk perceptions. African American women and those with less educational attainment possess risk perceptions, which negatively influence their intention to participate in clinical trials. Practical Applications: This research highlights how behavioral beliefs and attitudes are positively linked to participation intentions, while subjective norms further reinforce the influence of social pressures on decision-making. Importantly, risk perceptions serve as a significant barrier to participation, particularly among African American women and individuals with lower educational attainment. These findings point to the need for targeted interventions that address specific concerns and build trust through culturally informed, accessible communication. By developing communication strategies that enhance positive beliefs, leverage community influence, and reduce perceived risks, research and healthcare communities can take meaningful steps toward fostering inclusion and trust.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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