Impact of Race Versus Education and Race Versus Income on Patients' Motivation to Participate in Clinical Trials.

Authors

Anita Kurt PhD, RN, Lehigh Valley Health NetworkFollow
Hope Kincaid MPH, CPH, Lehigh Valley Health NetworkFollow
Lauren Semler, Lehigh Valley Health NetworkFollow
Jeanne L. Jacoby MD, Lehigh Valley Health NetworkFollow
Melanie B. Johnson MPA, Lehigh Valley Health NetworkFollow
Beth Careyva M.D., Lehigh Valley Health NetworkFollow
Brian Stello MD, Lehigh Valley Health NetworkFollow
Timothy J. Friel MD, Lehigh Valley Health NetworkFollow
John C. Smulian MD, MPH, Lehigh Valley Health NetworkFollow
Mark Knouse MD, Lehigh Valley Health NetworkFollow

Publication/Presentation Date

10-2018

Abstract

Our study investigates whether levels of motivation and barriers to participation in clinical trials vary with patients' education and income. A self-administered survey asked outpatients to rank potential influential factors on a "0" to "4" significance scale for their motivation to participate in clinical trials. Principal component analysis (PCA), analysis of variance (ANOVA), Kruskal-Wallis, and Mann-Whitney U tests analyzed the impact of race, education, and income on their motivation to participate. Analysis included 1841 surveys; most respondents had a high school education or some college, and listed annual income < $30,000. There was a significant interaction between race and income on our motivation scale 1 scores (p = .0261). Compared with their counterparts, subjects with less education/lower income ranked monetary compensation (p = .0420 and p < .0001, respectively) as a higher motivator. Minorities and patients with less education and lower income appear to be more influenced by their desire to please the doctor, the race and sex of the doctor, and the language spoken by the doctor being the same as theirs. For all races, education appeared to have a direct relationship with motivation to participate, except for African-Americans, whose motivation appeared to decline with more education. Income appeared to have an inverse relationship with motivation to participate for all races.

Volume

5

Issue

5

First Page

1042

Last Page

1051

ISSN

2196-8837

Published In/Presented At

Kurt, A., Kincaid, H., Semler, L., Jacoby, J. L., Johnson, M. B., Careyva, B. A., & ... Knouse, M. C. (2017). Impact of Race Versus Education and Race Versus Income on Patients' Motivation to Participate in Clinical Trials. Journal Of Racial And Ethnic Health Disparities, 5(5), 1042-1051. doi:10.1007/s40615-017-0452-z

Disciplines

Emergency Medicine

PubMedID

29280106

Department(s)

Administration and Leadership, Department of Emergency Medicine, Department of Emergency Medicine Faculty, Department of Family Medicine, Department of Family Medicine Faculty, Department of Medicine, Department of Medicine Faculty, Network Office of Research and Innovation, Research

Document Type

Article