1. Enrolling people of color to evaluate a practice intervention: lessons from the shared decision-making for atrial fibrillation (SDM4AFib) trial
- Author
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Angela Sivly, Haeshik S. Gorr, Derek Gravholt, Megan E. Branda, Mark Linzer, Peter Noseworthy, Ian Hargraves, Marleen Kunneman, Chyke A. Doubeni, Takeki Suzuki, Juan P. Brito, Elizabeth A. Jackson, Bruce Burnett, Mike Wambua, Victor M. Montori, and for the Shared Decision-Making for Atrial Fibrillation (SDM4AFib) Trial Investigators
- Subjects
Diversity ,Minorities ,Equity ,Enrollment ,Practice-based trials ,Complex interventions ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background Trial recruitment of Black, indigenous, and people of color (BIPOC) is key for interventions that interact with socioeconomic factors and cultural norms, preferences, and values. We report on our experience enrolling BIPOC participants into a multicenter trial of a shared decision-making intervention about anticoagulation to prevent strokes, in patients with atrial fibrillation (AF). Methods We enrolled patients with AF and their clinicians in 5 healthcare systems (three academic medical centers, an urban/suburban community medical center, and a safety-net inner-city medical center) located in three states (Minnesota, Alabama, and Mississippi) in the United States. Clinical encounters were randomized to usual care with or without a shared decision-making tool about anticoagulation. Analysis We analyzed BIPOC patient enrollment by site, categorized reasons for non-enrollment, and examined how enrollment of BIPOC patients was promoted across sites. Results Of 2247 patients assessed, 922 were enrolled of which 147 (16%) were BIPOC patients. Eligible Black participants were significantly less likely (p
- Published
- 2022
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