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Ewing AT, Turner AD, Sakyi KS, Elmi A, Towson M, Slade JL, Dobs AS, Ford JG, Erby LH. Amplifying Their Voices: Advice, Guidance, and Perceived Value of Cancer Biobanking Research Among an Older, Diverse Cohort. J Cancer Educ 2022; 37:683-693. [PMID: 32975747 DOI: 10.1007/s13187-020-01869-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 09/04/2020] [Indexed: 06/11/2023]
Abstract
The use of biobanks may accelerate scientists' chances of developing cures and treatments that are tailored to individuals' biological makeup-a function of the precision medicine movement. However, given the underrepresentation of certain populations in biobanks, the benefits of these resources may not be equitable for all groups, including older, multi-ethnic populations. The objective of this study was to better understand older, multi-ethnic populations' (1) perceptions of the value of cancer biobanking research, (2) study design preferences, and (3) guidance on ways to promote and increase participation. This study was designed using a community-based participatory research (CBPR) approach and involved eight FGDs with 67 older (65-74 years old) black and white residents from Baltimore City and Prince George's County, MD. FGDs lasted between 90 and 120 min, and participants received a $25 Target gift card for their participation. Analysis involved an inductive approach in which we went through a series of open and axial coding techniques to generate themes and subthemes. Multiple themes emerged from the FGDs for the development of future cancer-related biobanking research including (1) expectations/anticipated benefits, (2) biobanking design preferences, and (3) ways to optimize participation. Overall, most participants were willing to provide biospecimens and favored cancer-related biobank. To increase participation of older, diverse participants in biobanking protocols, researchers need to engage older, diverse persons as consultants in order to better understand the value of biobanking research to individuals from the various populations. Scientists should also incorporate suggestions from the community on garnering trust and increasing comfort with study design.
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Affiliation(s)
- Altovise T Ewing
- Global Health Equity and Population Science, Roche Genentech, 1 DNA Way, South San Francisco, CA, 94404, USA.
| | - Arlener D Turner
- Department of Psychiatry, Center for Sleep and Brain Health, New York University School of Medicine, New York, NY, USA
| | - Kwame S Sakyi
- Public and Environment Wellness Department, School of Health Sciences, Oakland University, Rochester, MI, USA
| | - Ahmed Elmi
- All of Us Research Program, National Institutes of Health (NIH), Rockville, MD, USA
| | - Michele Towson
- Maxwell Enterprises, 211 East Lombard Street, Baltimore, MD, #300, USA
| | - Jimmie L Slade
- Community Ministry of Prince George's County, P.O. Box 250, Upper Marlboro, MD, USA
| | - Adrian S Dobs
- Division of Endocrinology, Diabetes and Metabolism, The Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | | | - Lori H Erby
- Department of Health Behavior, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
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Mbah O, Ford JG, Qiu M, Wenzel J, Bone L, Bowie J, Elmi A, Slade JL, Towson M, Dobs AS. Mobilizing social support networks to improve cancer screening: the COACH randomized controlled trial study design. BMC Cancer 2015; 15:907. [PMID: 26573809 PMCID: PMC4647280 DOI: 10.1186/s12885-015-1920-7] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2015] [Accepted: 11/10/2015] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Disadvantaged populations face many barriers to cancer care, including limited support in navigating through the complexities of the healthcare system. Family members play an integral role in caring for patients and provide valuable care coordination; however, the effect of family navigators on adherence to cancer screening has not previously been evaluated. Training and evaluating trusted family members and other support persons may improve cancer outcomes for vulnerable patients. METHODS Guided by principles of community based participatory research (CBPR), "Evaluating Coaches of Older Adults for Cancer Care and Healthy Behaviors (COACH)" is a community-based randomized controlled trial to assess the effectiveness of a trained participant-designated coach (support person or care giver) in navigating cancer-screening for older African American adults, 50-74 years old. Participants are randomly assigned as dyads (participant+coach pair) to receiving either printed educational materials only (PEM--control group) or educational materials plus coach training (COACH--intervention group). We defined a coach as family member, friend, or other lay support person designated by the older adult. The coach training is designed as a one-time, 35- to 40-minute training consisting of: 1) a didactic session that covers the role of the coach, basic facts about colorectal, breast and cervical cancers (including risk factors, signs and symptoms and screening modalities), engaging the healthcare provider in cancer screening, insurance coverage for screening, and related healthcare issues, 2) three video skits addressing misconceptions about and planning for cancer screening, and 3) an interactive role-play session with the trainer to reinforce and practice strategies for encouraging the participant to get screened. The primary study outcome is the difference in the proportion of participants completing at least one of the recommended screenings (for breast, cervix or colorectal cancer) between the control and intervention groups. DISCUSSION Building on trusted patient contacts to encourage cancer screening, COACH is a highly sustainable intervention in a high-risk population. It has the potential to minimize the effect of mistrust of the medical establishment on screening behaviors by mobilizing participants' existing support networks. If effective, the intervention could have a high impact on health care disparities research across multiple diseases. TRIAL REGISTRATION ClinicalTrials.gov ( NCT01613430 ). Registered June 5, 2012.
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Affiliation(s)
- Olive Mbah
- Department of Oncology, Johns Hopkins School of Medicine, Baltimore, MD, USA.
| | - Jean G Ford
- Department of Medicine, Einstein Healthcare Network, Philadelphia, PA, USA.
| | - Miaozhen Qiu
- Medical Oncology Department, Cancer Center of Sun Yat-sen University, Guangzhou, China.
| | - Jennifer Wenzel
- Department of Oncology, Johns Hopkins School of Medicine, Baltimore, MD, USA. .,Department of Acute and Chronic Care, Johns Hopkins School of Nursing, Baltimore, MD, USA.
| | - Lee Bone
- Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
| | - Janice Bowie
- Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
| | - Ahmed Elmi
- Department of Oncology, Johns Hopkins School of Medicine, Baltimore, MD, USA.
| | - Jimmie L Slade
- Community Ministry of Prince George's County, Upper Marlboro, MD, USA.
| | | | - Adrian S Dobs
- Department of Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA.
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