Psychosocial barriers contributing to the under-representation of racial/ethnic minorities in cancer clinical trials

Social Work in Health Care
Anjanette A Wells, Brad Zebrack

Abstract

Various psychosocial barriers currently prevent proportional representation of racial and ethnic minority groups in oncology clinical trials. These barriers can be conceptualized into a Social Ecological Model framework, with particular emphasis on the socio-cultural dimension. The barriers to participation can be summarized into six levels of influence: intrapersonal, interpersonal, environmental, socio-cultural, community, and institutional. Given social workers' multi-systemic approach to assessing and intervening in problems, their positioning at micro-, meso-, and macro-levels of practice, education, policy, and research are appropriate and critical to promoting clinical trial participation.

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Citations

Jul 23, 2013·The Journal of Behavioral Health Services & Research·Anjanette A WellsKathleen Ell
Oct 17, 2013·Journal of Oncology Practice·Paula M FracassoMark S Walker
Dec 25, 2015·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Neal J MeropolMark D Schluchter
May 11, 2017·Pediatric Annals·Mary Ellen Acree
Feb 11, 2019·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Aisha T LangfordMargaret M Byrne
Mar 31, 2015·Journal of Immigrant and Minority Health·Ali SalmanTawna Cooksey-James
Dec 2, 2008·Social Work in Health Care·Brad ZebrackJung-won Lim
Mar 2, 2021·Leukemia & Lymphoma·Kaylin V DanceChristopher R Flowers

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