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01-03-2015 | Reflection

Five Principles for Effective Cancer Clinical Trial Education Within the Community Setting

Authors: Margo Michaels, Natasha Blakeney, Aisha T. Langford, Marvella E. Ford

Published in: Journal of Cancer Education | Issue 1/2015

Abstract

Participation in cancer clinical trials (CCTs) is a key measure for delivery of quality cancer care. Yet, adult cancer patient participation in CCTs remains at about 3 %, and participation rates are even lower among ethnic and racial minorities and the medically underserved. Social justice demands better representation of all populations in CCTs to ensure equal access to clinical trials and to ensure greater generalizability of trial results. Using a conceptual framework, this paper outlines a set of guiding principles deemed essential for effective and ethical implementation of community-based education in CCTs. Also described are examples of interventions related to this framework that have been used to overcome key barriers to trial enrollment among underserved populations. Application of the key principles, combined with ongoing engagement of cancer care institutions, suggests promise in enhancing trial participation.

As described in the Belmont Report,: justice “means the sense of ‘fairness in distribution’ or ‘what is deserved.’” An injustice occurs when some benefit to which a person is entitled is denied without good reason or when some burden is imposed unduly. “Questions of justice have long been associated with social practices such as punishment, taxation and political representation…and have not generally been associated with scientific research. However, conceptions of justice are relevant to research involving human subjects” (http://www.hhs.gov/ohrp/humansubjects/guidance/belmont.htm).

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Blakeney N, Michaels M, Green M, Richmond A, Long D, Robinson WS, Spicer C, Elliott-Bynum S, Corbie-Smith G (in press) Collaborative development of clinical trials education programs for African-American community-based organizations. J Canc Educ

Title: Five Principles for Effective Cancer Clinical Trial Education Within the Community Setting
Authors: Margo Michaels
Natasha Blakeney
Aisha T. Langford
Marvella E. Ford
Publication date: 01-03-2015
Publisher: Springer US
Published in: Journal of Cancer Education / Issue 1/2015
Print ISSN: 0885-8195
Electronic ISSN: 1543-0154
DOI: https://doi.org/10.1007/s13187-014-0699-6

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