Racial and ethnic minority patient participation in N-of-1 trials: perspectives of healthcare providers and patients.

IF 1.7 4区 医学 Q3 PHARMACOLOGY & PHARMACY Personalized medicine Pub Date : 2021-07-01 Epub Date: 2021-05-28 DOI:10.2217/pme-2020-0166
Lyndonna Marrast, Joseph Conigliaro, Camille Chan, Eun Ji Kim, Joan Duer-Hefele, Michael A Diefenbach, Karina W Davidson
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引用次数: 2

Abstract

Aim: Patients from racial and ethnic minority backgrounds in the USA have historically been under-represented in research trials. Understanding their viewpoints regarding participation in N-of-1 trials is imperative as we design and implement these studies. Materials & methods: We conducted six focus groups of racial and ethnic minority patients (n = 25) and providers (n = 9). We used content analysis to identify themes. Results: Our results noted the importance of considering family members in N-of-1 trial recruitment and participation, patients' desire for education as a design feature, for 'lifestyle' changes as a treatment option and for use of nonevidence-based treatments in the design of future N-of-1 trials. Conclusion: Personalized trials have the potential to change the way we deliver primary care and improve disparities for minorities.

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种族和少数民族患者参与N-of-1试验:医疗保健提供者和患者的观点
目的:美国种族和少数民族背景的患者历来在研究试验中代表性不足。在我们设计和实施这些研究时,了解他们对参与N-of-1试验的看法是必不可少的。材料与方法:我们对种族和少数民族患者(n = 25)和提供者(n = 9)进行了六个焦点小组。我们使用内容分析来确定主题。结果:我们的结果指出了在N-of-1试验的招募和参与中考虑家庭成员的重要性,将患者对教育的渴望作为设计特征,将“生活方式”改变作为治疗选择,以及在未来N-of-1试验的设计中使用非循证治疗。结论:个性化试验有可能改变我们提供初级保健的方式,并改善少数群体的差异。
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来源期刊
Personalized medicine
Personalized medicine 医学-药学
CiteScore
3.30
自引率
4.30%
发文量
49
审稿时长
6-12 weeks
期刊介绍: Personalized Medicine (ISSN 1741-0541) translates recent genomic, genetic and proteomic advances into the clinical context. The journal provides an integrated forum for all players involved - academic and clinical researchers, pharmaceutical companies, regulatory authorities, healthcare management organizations, patient organizations and others in the healthcare community. Personalized Medicine assists these parties to shape thefuture of medicine by providing a platform for expert commentary and analysis. The journal addresses scientific, commercial and policy issues in the field of precision medicine and includes news and views, current awareness regarding new biomarkers, concise commentary and analysis, reports from the conference circuit and full review articles.
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