Overcoming Research Mistrust in African American Communities by Engaging Community Members as Research Team Members: Challenges and Opportunities

Objectives: We aimed to understand factors surrounding COVID-19 testing in vulnerable urban and rural African American communities in Alabama, which are characterized by mistrust in medical research. Methods: To address widespread mistrust, we trained lay community members as research coordinators (...

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Main Authors: Melissa Ryan, Travaé Hardaway Griffith, Grace Okoro, Tiffany Osborne, Lori Brand Bateman, Janet M. Turan, Raegan W. Durant, Lece Webb, Mona N. Fouad, Gabriela R. Oates
Format: Article
Language:English
Published: Mary Ann Liebert 2024-12-01
Series:Health Equity
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Online Access:https://www.liebertpub.com/doi/10.1089/heq.2024.0050
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author Melissa Ryan
Travaé Hardaway Griffith
Grace Okoro
Tiffany Osborne
Lori Brand Bateman
Janet M. Turan
Raegan W. Durant
Lece Webb
Mona N. Fouad
Gabriela R. Oates
author_facet Melissa Ryan
Travaé Hardaway Griffith
Grace Okoro
Tiffany Osborne
Lori Brand Bateman
Janet M. Turan
Raegan W. Durant
Lece Webb
Mona N. Fouad
Gabriela R. Oates
author_sort Melissa Ryan
collection DOAJ
description Objectives: We aimed to understand factors surrounding COVID-19 testing in vulnerable urban and rural African American communities in Alabama, which are characterized by mistrust in medical research. Methods: To address widespread mistrust, we trained lay community members as research coordinators (Community Engagement Coordinators—CECs) and employed them for study recruitment and data collection. We then explored their experiences through group discussions and individual interviews. Results: Ten CECs (8 in Jefferson, 2 in Dallas County; 8 female, 2 male) completed 5 h of instructor-led training followed by virtual Collaborative Institutional Training Initiative (CITI) Human Subjects Training. In 11 weeks, CECs recruited 318 study participants and administered 303 surveys. After survey data collection was completed, CECs recruited survey respondents for participation in focus groups, enrolling 53 individuals. CECs continued their study engagement by reviewing developed study products. Conclusions: Engaging CECs as research personnel facilitated successful completion of planned enrollment with minimal missing data. Investing in communities by training and employing community members as study personnel can help overcome research mistrust and promote support for research and public health interventions.
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publishDate 2024-12-01
publisher Mary Ann Liebert
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series Health Equity
spelling doaj-art-0bd796af8a684dc9bc9d974b466c28832025-08-20T03:49:37ZengMary Ann LiebertHealth Equity2473-12422024-12-018163964710.1089/heq.2024.0050Overcoming Research Mistrust in African American Communities by Engaging Community Members as Research Team Members: Challenges and OpportunitiesMelissa Ryan0Travaé Hardaway Griffith1Grace Okoro2Tiffany Osborne3Lori Brand Bateman4Janet M. Turan5Raegan W. Durant6Lece Webb7Mona N. Fouad8Gabriela R. Oates9Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama, USA.Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.Objectives: We aimed to understand factors surrounding COVID-19 testing in vulnerable urban and rural African American communities in Alabama, which are characterized by mistrust in medical research. Methods: To address widespread mistrust, we trained lay community members as research coordinators (Community Engagement Coordinators—CECs) and employed them for study recruitment and data collection. We then explored their experiences through group discussions and individual interviews. Results: Ten CECs (8 in Jefferson, 2 in Dallas County; 8 female, 2 male) completed 5 h of instructor-led training followed by virtual Collaborative Institutional Training Initiative (CITI) Human Subjects Training. In 11 weeks, CECs recruited 318 study participants and administered 303 surveys. After survey data collection was completed, CECs recruited survey respondents for participation in focus groups, enrolling 53 individuals. CECs continued their study engagement by reviewing developed study products. Conclusions: Engaging CECs as research personnel facilitated successful completion of planned enrollment with minimal missing data. Investing in communities by training and employing community members as study personnel can help overcome research mistrust and promote support for research and public health interventions.https://www.liebertpub.com/doi/10.1089/heq.2024.0050COVID-19research mistrustcommunity engagementcommunity health workersstudy recruitment
spellingShingle Melissa Ryan
Travaé Hardaway Griffith
Grace Okoro
Tiffany Osborne
Lori Brand Bateman
Janet M. Turan
Raegan W. Durant
Lece Webb
Mona N. Fouad
Gabriela R. Oates
Overcoming Research Mistrust in African American Communities by Engaging Community Members as Research Team Members: Challenges and Opportunities
Health Equity
COVID-19
research mistrust
community engagement
community health workers
study recruitment
title Overcoming Research Mistrust in African American Communities by Engaging Community Members as Research Team Members: Challenges and Opportunities
title_full Overcoming Research Mistrust in African American Communities by Engaging Community Members as Research Team Members: Challenges and Opportunities
title_fullStr Overcoming Research Mistrust in African American Communities by Engaging Community Members as Research Team Members: Challenges and Opportunities
title_full_unstemmed Overcoming Research Mistrust in African American Communities by Engaging Community Members as Research Team Members: Challenges and Opportunities
title_short Overcoming Research Mistrust in African American Communities by Engaging Community Members as Research Team Members: Challenges and Opportunities
title_sort overcoming research mistrust in african american communities by engaging community members as research team members challenges and opportunities
topic COVID-19
research mistrust
community engagement
community health workers
study recruitment
url https://www.liebertpub.com/doi/10.1089/heq.2024.0050
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