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Willingness to participate in clinical trials among patients of Chinese heritage: a meta-synthesis.

dc.contributor.author Limkakeng, Alexander
dc.contributor.author Phadtare, Amruta
dc.contributor.author Pietrobon, Ricardo Santos
dc.contributor.author Shah, Anand
dc.contributor.author Shah, Jatin
dc.contributor.author Vaghasia, Meenakshi
dc.contributor.author Wei, Ding Ying
dc.contributor.editor Cameron, D William
dc.date.accessioned 2018-05-07T23:54:02Z
dc.date.available 2018-05-07T23:54:02Z
dc.date.issued 2013-01-17
dc.identifier.issn 1932-6203
dc.identifier.issn 1932-6203
dc.identifier.uri https://hdl.handle.net/10161/16689
dc.description.abstract BACKGROUND: Subjects of Chinese heritage have been found to participate in clinical research at lower rates than other groups despite growing in numbers as a population. While much research has examined research participants' motivation, there has not been a comprehensive synthesis of this information with respect to participants of Chinese descent. We sought to identify the factors that promote and hinder participation in clinical research among participants of Chinese heritage. METHODOLOGY/PRINCIPAL FINDINGS: We conducted a systematic review of the literature in Pubmed, OpenJGATE, SCIRUS, and COCHRANE databases and performed a meta-synthesis of retrieved articles. We extracted qualitative data, such as quotes to identify emerging themes. We identified five studies that met our selection criteria. Of them, only one (1/5) was conducted in China while other studies involved Chinese emigrants in USA (3/5) and Singapore (1/5). Participants from China were similar to emigrants with regard to factors that either promoted or decreased research participation. Four studies reported data exclusively on Chinese subjects. Three of the five studies involved qualitative interviews while the others were conducted using a survey design. Six themes favoring research participation were identified: Personal Benefit to Participants, Financial Incentives, Participant Sense of Altruism, Family or Physician Recommendations, Advertisements, and Convenience to the Participant. Five factors were seen as a barrier to participation in clinical trials: Mistrust of Researchers, Language Barrier, Lack of Financial and Other Support, Cultural and Social Barriers, Lack of Knowledge about Clinical Trials. CONCLUSIONS/SIGNIFICANCE: Chinese heritage clinical research participants value personal benefit, financial incentives, the ability to help others, recommendations of others, advertisements, and convenience when considering clinical research participation. In addition, the establishment of trust and addressing knowledge deficits are important factors to them. Investigators seeking to optimize enrolment in these populations should incorporate these findings into their study design and subject handouts.
dc.language eng
dc.relation.ispartof PloS one
dc.relation.isversionof 10.1371/journal.pone.0051328
dc.subject Humans
dc.subject Attitude to Health
dc.subject Language
dc.subject Social Behavior
dc.subject Asian Continental Ancestry Group
dc.subject Advertising as Topic
dc.subject Clinical Trials as Topic
dc.title Willingness to participate in clinical trials among patients of Chinese heritage: a meta-synthesis.
dc.type Journal article
dc.date.updated 2018-05-07T23:54:01Z
pubs.issue 1
pubs.organisational-group School of Medicine
pubs.organisational-group Duke
pubs.organisational-group Surgery, Emergency Medicine
pubs.organisational-group Surgery
pubs.organisational-group Clinical Science Departments
pubs.organisational-group Faculty
pubs.publication-status Published
pubs.volume 8


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