Racial and ethnic minority enrollment in randomized clinical trials of behavioural weight loss utilizing technology: a systematic review

Obesity Reviews : an Official Journal of the International Association for the Study of Obesity
D L RosenbaumM L Butryn

Abstract

Many racial and ethnic minority groups (minorities) are disproportionately affected by overweight and obesity; however, minorities are often under-represented in clinical trials of behavioural weight loss (BWL) treatment, potentially limiting the generalizability of these trials' conclusions. Interventions involving technology may be particularly well suited to overcoming the barriers to minority enrollment in BWL trials, such as demanding or unpredictable work schedules, caregiving responsibilities and travel burdens. Thus, this systematic review aimed to describe minority enrollment in trials utilizing technology in interventions, as well as to identify which form(s) of technology yield the highest minority enrollment. Results indicated relatively low enrollment of minorities. Trials integrating smartphone use exhibited significantly greater racial minority enrollment than trials that did not; trials with both smartphone and in-person components exhibited the highest racial minority enrollment. This review is the first to explore how the inclusion of technology in BWL trials relates to minority enrollment and can help address the need to improve minority enrollment in weight loss research.

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Citations

Feb 24, 2018·Translational Behavioral Medicine·Valerie J SilfeeMilagros C Rosal
Jan 11, 2020·Journal of Racial and Ethnic Health Disparities·Dawn M EichenKerri N Boutelle
May 12, 2021·JCO Oncology Practice·Subha PerniRyan D Nipp
Jun 24, 2021·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·Melinda J HutchessonCorneel Vandelanotte

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