Cargando…

Stigma as a Barrier to Participant Recruitment of Minority Populations in Diabetes Research: Development of a Community-Centered Recruitment Approach

BACKGROUND: The development of evidence-based care geared towards Black and Latina women living with uncontrolled type 2 diabetes is contingent upon their active recruitment into clinical interventions. Well-documented impediments to recruitment include a historical mistrust of the research communit...

Descripción completa

Detalles Bibliográficos
Autores principales: Mitchell, Suzanne, Bragg, Alexa, Moldovan, Ioana, Woods, Shakiyla, Melo, Katherine, Martin-Howard, Jessica, Gardiner, Paula
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8129881/
https://www.ncbi.nlm.nih.gov/pubmed/33938811
http://dx.doi.org/10.2196/26965
_version_ 1783694395646672896
author Mitchell, Suzanne
Bragg, Alexa
Moldovan, Ioana
Woods, Shakiyla
Melo, Katherine
Martin-Howard, Jessica
Gardiner, Paula
author_facet Mitchell, Suzanne
Bragg, Alexa
Moldovan, Ioana
Woods, Shakiyla
Melo, Katherine
Martin-Howard, Jessica
Gardiner, Paula
author_sort Mitchell, Suzanne
collection PubMed
description BACKGROUND: The development of evidence-based care geared towards Black and Latina women living with uncontrolled type 2 diabetes is contingent upon their active recruitment into clinical interventions. Well-documented impediments to recruitment include a historical mistrust of the research community and socioeconomic factors that limit awareness and access to research studies. Although sociocultural and socioeconomic factors deter minorities from participating in clinical research, it is equally important to consider the role of stigma in chronic disease intervention studies. OBJECTIVE: We aim to share our discovery of diabetes-related stigma as an underrecognized impediment to recruitment for the Women in Control 2.0 virtual diabetes self-management education study. METHODS: Our initial recruitment plan used traditional strategies to recruit minority women with uncontrolled type 2 diabetes, which included letters and phone calls to targeted patients, referrals from clinicians, and posted flyers. After engaging a patient advisory group and consulting with experts in community advocacy, diabetes-related stigma emerged as a prominent barrier to recruitment. The study team reviewed and revised recruitment scripts and outreach material in order to better align with the lived experience and needs of potential enrollees. RESULTS: Using a more nuanced, community-centered recruitment approach, we achieved our target recruitment goal, enrolling 309 participants into the study, exceeding our target of 212. CONCLUSIONS: There is a need for updated recruitment methods that can increase research participation of patients who experience internalized diabetes stigma. To address disparities in minority health, further research is needed to better understand diabetes-related stigma and devise strategies to avert or address it.
format Online
Article
Text
id pubmed-8129881
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher JMIR Publications
record_format MEDLINE/PubMed
spelling pubmed-81298812021-05-24 Stigma as a Barrier to Participant Recruitment of Minority Populations in Diabetes Research: Development of a Community-Centered Recruitment Approach Mitchell, Suzanne Bragg, Alexa Moldovan, Ioana Woods, Shakiyla Melo, Katherine Martin-Howard, Jessica Gardiner, Paula JMIR Diabetes Original Paper BACKGROUND: The development of evidence-based care geared towards Black and Latina women living with uncontrolled type 2 diabetes is contingent upon their active recruitment into clinical interventions. Well-documented impediments to recruitment include a historical mistrust of the research community and socioeconomic factors that limit awareness and access to research studies. Although sociocultural and socioeconomic factors deter minorities from participating in clinical research, it is equally important to consider the role of stigma in chronic disease intervention studies. OBJECTIVE: We aim to share our discovery of diabetes-related stigma as an underrecognized impediment to recruitment for the Women in Control 2.0 virtual diabetes self-management education study. METHODS: Our initial recruitment plan used traditional strategies to recruit minority women with uncontrolled type 2 diabetes, which included letters and phone calls to targeted patients, referrals from clinicians, and posted flyers. After engaging a patient advisory group and consulting with experts in community advocacy, diabetes-related stigma emerged as a prominent barrier to recruitment. The study team reviewed and revised recruitment scripts and outreach material in order to better align with the lived experience and needs of potential enrollees. RESULTS: Using a more nuanced, community-centered recruitment approach, we achieved our target recruitment goal, enrolling 309 participants into the study, exceeding our target of 212. CONCLUSIONS: There is a need for updated recruitment methods that can increase research participation of patients who experience internalized diabetes stigma. To address disparities in minority health, further research is needed to better understand diabetes-related stigma and devise strategies to avert or address it. JMIR Publications 2021-05-03 /pmc/articles/PMC8129881/ /pubmed/33938811 http://dx.doi.org/10.2196/26965 Text en ©Suzanne Mitchell, Alexa Bragg, Ioana Moldovan, Shakiyla Woods, Katherine Melo, Jessica Martin-Howard, Paula Gardiner. Originally published in JMIR Diabetes (https://diabetes.jmir.org), 03.05.2021. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Diabetes, is properly cited. The complete bibliographic information, a link to the original publication on http://diabetes.jmir.org/, as well as this copyright and license information must be included.
spellingShingle Original Paper
Mitchell, Suzanne
Bragg, Alexa
Moldovan, Ioana
Woods, Shakiyla
Melo, Katherine
Martin-Howard, Jessica
Gardiner, Paula
Stigma as a Barrier to Participant Recruitment of Minority Populations in Diabetes Research: Development of a Community-Centered Recruitment Approach
title Stigma as a Barrier to Participant Recruitment of Minority Populations in Diabetes Research: Development of a Community-Centered Recruitment Approach
title_full Stigma as a Barrier to Participant Recruitment of Minority Populations in Diabetes Research: Development of a Community-Centered Recruitment Approach
title_fullStr Stigma as a Barrier to Participant Recruitment of Minority Populations in Diabetes Research: Development of a Community-Centered Recruitment Approach
title_full_unstemmed Stigma as a Barrier to Participant Recruitment of Minority Populations in Diabetes Research: Development of a Community-Centered Recruitment Approach
title_short Stigma as a Barrier to Participant Recruitment of Minority Populations in Diabetes Research: Development of a Community-Centered Recruitment Approach
title_sort stigma as a barrier to participant recruitment of minority populations in diabetes research: development of a community-centered recruitment approach
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8129881/
https://www.ncbi.nlm.nih.gov/pubmed/33938811
http://dx.doi.org/10.2196/26965
work_keys_str_mv AT mitchellsuzanne stigmaasabarriertoparticipantrecruitmentofminoritypopulationsindiabetesresearchdevelopmentofacommunitycenteredrecruitmentapproach
AT braggalexa stigmaasabarriertoparticipantrecruitmentofminoritypopulationsindiabetesresearchdevelopmentofacommunitycenteredrecruitmentapproach
AT moldovanioana stigmaasabarriertoparticipantrecruitmentofminoritypopulationsindiabetesresearchdevelopmentofacommunitycenteredrecruitmentapproach
AT woodsshakiyla stigmaasabarriertoparticipantrecruitmentofminoritypopulationsindiabetesresearchdevelopmentofacommunitycenteredrecruitmentapproach
AT melokatherine stigmaasabarriertoparticipantrecruitmentofminoritypopulationsindiabetesresearchdevelopmentofacommunitycenteredrecruitmentapproach
AT martinhowardjessica stigmaasabarriertoparticipantrecruitmentofminoritypopulationsindiabetesresearchdevelopmentofacommunitycenteredrecruitmentapproach
AT gardinerpaula stigmaasabarriertoparticipantrecruitmentofminoritypopulationsindiabetesresearchdevelopmentofacommunitycenteredrecruitmentapproach