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Reducing Cancer Disparities for Minorities: A Multidisciplinary Research Agenda to Improve Patient Access to Health Systems, Clinical Trials, and Effective Cancer Therapy

Deborah Watkins Bruner, Michele Jones, David Buchanan, Jose Russo

From the University of Pennsylvania School of Nursing; Population Science, Fox Chase Cancer Center, Philadelphia, PA; and the School of Public Health & Health Sciences, University of Massachusetts, Amherst, MA.

Address reprint requests to Deborah Watkins Bruner, PhD, University of Pennsylvania School of Nursing, Room 352 NEB, 420 Guardian Drive, Philadelphia, PA, 19104-6096; e-mail: wbruner{at}nursing.upenn.edu

Ethnic diversity in recruitment is a vital prerequisite to eliminating health disparities in cancer treatment, control and prevention programs. Much anecdotal reporting, but little scientific rigor, has been applied to the study of methods to improve the recruitment of minorities into cancer control or treatment trials. Even the most innovative research is stymied by the lack of representative samples of the populations that the research is designed to serve. The goals of this article are to describe a theory-driven framework for improving minority recruitment to clinical and cancer control trials, to explain organizational prerequisites to improving minority recruitment, and to provide empirical evidence of success in initial efforts to recruit to cancer control studies. These programs are offered as models for improving minority recruitment to cancer-control and -treatment trials, and minority access to cancer treatment in general.

Supported in part by a grant from the Pennsylvania Tobacco Formula-Funds.

This article is solely the responsibility of the authors and does not necessarily represent the official views of Pennsylvania Department of Health.

Authors' disclosures of potential conflicts of interest and author contributions are found at the end of this article.

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