Health Promotion Practice
March 2016 Vol. 17, No. (2) 199–208
DOI: 10.1177/1524839915621545
© 2015 Society for Public Health Education
199
Developing Cultural Competence
Clinical trial (CT) participation is low among African
Americans (AAs). To better communicate with AAs
about the importance of CTs, the purpose of this study
was to explore the communication sources and per-
ceived effective communication channels and strategies
through which the general public, AAs, and White indi-
viduals receive CT information. A quantitative telephone
survey was conducted with AAs and Whites in one
Southern state (N = 511). The measures assessed CT
sources of information, perceived effectiveness of com-
munication channels and strategies, CT understanding,
and CT participation. Descriptive and bivariate analyses
were used to compare responses overall and by race. AAs
reported being exposed to more CT information than
Whites. AAs received CT information most often through
television, social media, and doctors compared to Whites.
Perceived effectiveness of communication strategies and
channels varied by race. AAs preferred simple and easy-
to-understand CT information distributed through faith-
based organizations. Whites preferred to receive CT
information through a trustworthy source (e.g., doctor).
There were no significant differences between AAs and
Whites in their perceived effectiveness of media sources
(e.g., Internet). Recommendations are provided to help
health promotion practitioners and CT recruiters tailor
information and communicate it effectively to potential
AA and White CT participants.
Keywords: clinical trials; communication; African
Americans; Whites
>
BACKGROUND
Clinical trials (CTs), defined as biomedical or health-
related studies using human volunteers, are considered
the gold standard for evaluating the effectiveness of
treatment or preventive medical procedures (National
Institutes of Health [NIH], 2012). Participant recruitment
for CTs, however, is often an overwhelming challenge for
clinical researchers (Mackenzie et al., 2010), with less
than 5% of adult patients participating (Ravikoff, Cole,
& Korzenik, 2012; Weckstein et al., 2011). Although CTs
are vital to the progress of public health and medical
research, recruitment failures can postpone the develop-
ment and evaluation of new treatments for patients
(Dean-Clower et al., 2000; Embi et al., 2005).
621545HPP XX X 10.1177/1524839915621545Health Promotion PracticeTanner et al. / COMMUNICATING ABOUT CLINICAL TRIALS WITH AFRICAN AMERICAN COMMUNITIES
research-article 2015
1
University of South Carolina, Columbia, SC, USA
2
College of Charleston, Charleston, SC, USA
Authors’ Note: Research funded by Health Sciences South
Carolina. Address correspondence to Andrea Tanner, PhD,
School of Journalism and Mass Communications, University of
South Carolina, 800 Sumter Street, Room 322B, Columbia, SC
29208, USA; e-mail: atanner@sc.edu.
Communicating Effectively About Clinical Trials
With African American Communities: A
Comparison of African American and White
Information Sources and Needs
Andrea Tanner, PhD
1
Caroline D. Bergeron, DrPH
1
Yue Zheng, MS
1
Daniela B. Friedman, PhD
1
Sei-Hill Kim, PhD
1
Caroline B. Foster, PhD
2
at UNIVERSITY OF SOUTH CAROLINA on March 22, 2016 hpp.sagepub.com Downloaded from