Overcoming Barriers to Engaging Latino Older Adults in an Advance Care Planning Clinical Trial: Perspectives for Researchers and Funders.

Latino individuals are underrepresented in clinical trials, including studies focused on advance care planning (ACP) and palliative care. This special report describes strategies for successfully recruiting Latino older adults into the ENgaging in Advance Care Planning Talks Group Visits study, a mu...

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Publicado en:Journal of Palliative Medicine Vol. 29; no. 1; pp. 6 - 11
Autores principales: Farro, Samantha A., Mino, Ilian, Lum, Hillary D., Kielty, Tatiana, Grengs, Veronica, Patel, Chandni, Haynes, Christine A.
Formato: tables/charts Journal Article
Publicado: Mary Ann Liebert, Inc. Jan2026
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Overcoming Barriers to Engaging Latino Older Adults in an Advance Care Planning Clinical Trial: Perspectives for Researchers and Funders.
      aug:
        au:
          Farro, Samantha A.
          Mino, Ilian
          Lum, Hillary D.
          Kielty, Tatiana
          Grengs, Veronica
          Patel, Chandni
          Haynes, Christine A.
        affil: Department of Medicine, Division of Geriatric Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.
      sug:
        subj:
          Advance Care Planning
          Hispanic Americans In Old Age
          Clinical Trials
          Research Subject Recruitment
          Aged
          Research Personnel Psychosocial Factors
          Palliative Care
          Primary Health Care
          Communication
          Cultural Competence
          Research Subject Retention
          Spanish Language
          Aged: 65+ years
      ab: Latino individuals are underrepresented in clinical trials, including studies focused on advance care planning (ACP) and palliative care. This special report describes strategies for successfully recruiting Latino older adults into the ENgaging in Advance Care Planning Talks Group Visits study, a multi-site clinical trial conducted within primary care settings. We implemented best practices from the literature to facilitate inclusion, emphasizing Spanish-speaking participants. Despite thoughtful implementation of these strategies, we confronted persistent and unique challenges in recruiting Latino and Spanish-speaking older adults, including communication channel difficulties, competing family responsibilities, financial constraints, and apprehension about research. This report outlines these barriers and details the adaptations successfully utilized to overcome them. We provide a call to action based on our experiences to promote effective inclusion of Latino older adults in ACP research and other palliative care clinical trials, highlighting the need for flexibility, culturally sensitive approaches, and sufficient resources to overcome persistent barriers.
      pubtype: Academic Journal
      doctype:
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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