Barriers and facilitators to recruitment of rural patients to cancer clinical trials.
Background: Rural patients are significantly underrepresented in cancer clinical trials. A proper understanding of the barriers and facilitators to rural patient participation in cancer clinical trials is essential, especially in states like Texas where rural-urban disparity is prominent. Methods: E...
| Publicado en: | Baylor University Medical Center Proceedings Vol. 38; no. 6; pp. 929 - 937 |
|---|---|
| Autores principales: | , , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Nov2025
|
| 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=188804453&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188804453 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08998280 1XEP jtl: Baylor University Medical Center Proceedings issn: 08998280 maglogo: N pubinfo: dt: Nov2025 vid: 38 iid: 6 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 188804453 187523451 188804453 188804453 10.1080/08998280.2025.2547162 188804453 ppf: 929 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Barriers and facilitators to recruitment of rural patients to cancer clinical trials. aug: au: Thapar, Ruhi Mulley, Rebecca Ferriola, Nathaniel Luan, Tiffany Sanker, Richard Wong, Lucas Abel, Erika L. Go, Lisa affil: Department of Student Affairs, Baylor College of Medicine, Houston, Texas, USA sug: subj: Research Subject Recruitment Healthcare Disparities Patient Participation Cancer Patients Psychosocial Factors Rural Population Psychosocial Factors Clinical Trials Urban Areas Human Texas Systematic Review Medline Embase CINAHL Database Cochrane Library Psycinfo Health Knowledge Oncologists Transportation of Patients Communication Eligibility Determination Caregiver Support Support, Social Descriptive Statistics Odds Ratio Thematic Analysis ab: Background: Rural patients are significantly underrepresented in cancer clinical trials. A proper understanding of the barriers and facilitators to rural patient participation in cancer clinical trials is essential, especially in states like Texas where rural-urban disparity is prominent. Methods: EBSCO Medline, Embase, CINAHL, Cochrane, and PsycInfo were systematically searched for articles. A total of 2663 articles were screened, yielding 20 articles for study. Results: A systematic review of the literature revealed that barriers and facilitators to cancer clinical trial participation by rural populations are present at the patient, physician, and healthcare system levels. Notable barriers found in this review include the burden of travel, lack of patient knowledge about clinical trial participation, insufficient provider communication and awareness of current trials, and strict eligibility criteria. Promising facilitators include caregiver support, close physician support and contact, and programs to increase patient understanding of clinical trials. Conclusion: Further elucidating barriers to ascertain why rural patients have less participation in clinical trials, and exploring which facilitators need to be further explored, could allow for effectively harnessing the power of facilitators in the pursuit of lessening disparities and improving cancer outcomes for rural patients. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|