A Portfolio Analysis of Culturally Tailored Trials to Address Health and Healthcare Disparities

International Journal of Environmental Research and Public Health
Marisa Torres-RuizSteven Clauser

Abstract

In 2010, Patient-Centered Outcomes Research Institute (PCORI) was authorized by Congress to improve the quality and relevance of evidence available to help patients, caregivers, employers, insurers, and policy makers make better-informed health decisions. We conducted a qualitative analysis of behavioral health trials in the PCORI Addressing Disparities portfolio to examine cultural tailoring strategies across the following priority populations: racial and ethnic minorities, rural populations, people with low-income or low socioeconomic status, individuals with disabilities, people with low health literacy, and lesbian, gay, bisexual, and transgender (LGBT) communities. The Common Strategies for Enhancing Cultural Appropriateness model was used to examine cultural tailoring strategies within trials. We hypothesized increased intersectionality within a patient population at risk for disparities would correlate with the dosage and type of cultural tailoring strategies applied. Thirty-three behavioral health trials applied cultural tailoring strategies and a majority of trials (n = 30) used three or more strategies. Trends in cultural tailoring were associated with certain racial and ethnic groups; however, increased use of tailor...Continue Reading

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Citations

Apr 17, 2020·Current Medical Research and Opinion·Xi TanSwapnil Rajpathak
Nov 13, 2020·Journal of the International Neuropsychological Society : JINS·Luis D MedinaPaul T Cirino
Aug 14, 2021·Nursing Open·Jee Young Joo, Megan F Liu

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