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Knowledge and Attitudes of Guam Residents towards Cancer Clinical Trial Participation

Taafaki, Munirih R ; Brown, Amy C ; Cassel, Kevin D ; Chen, John J ; Lim, Eunjung ; Paulino, Yvette C

International journal of environmental research and public health, 2022-11, Vol.19 (23), p.15917 [Peer Reviewed Journal]

Switzerland: MDPI AG

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Title:
Knowledge and Attitudes of Guam Residents towards Cancer Clinical Trial Participation
Author: Taafaki, Munirih R ; Brown, Amy C ; Cassel, Kevin D ; Chen, John J ; Lim, Eunjung ; Paulino, Yvette C
Subjects: Anthologies ; Attitude surveys ; Attitudes ; Cancer ; Clinical trials ; Clinical Trials as Topic ; Confidence intervals ; Data analysis ; Demographics ; Education ; Employment ; Enrollments ; Ethnicity ; Guam - epidemiology ; Guinea pigs ; Health insurance ; Health Knowledge, Attitudes, Practice - ethnology ; Humans ; Insurance coverage ; Knowledge ; Language ; Likert scale ; Minority & ethnic groups ; Mortality ; Neoplasms - therapy ; Non-English languages ; Pacific Islander people ; Participation ; Patient Participation - psychology ; Personal income ; Polls & surveys ; Population ; Regression analysis ; Regression models ; Statistical analysis ; Surveys ; Variables
Is Part Of: International journal of environmental research and public health, 2022-11, Vol.19 (23), p.15917
Notes: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Description: (1) Background: Currently there are no cancer clinical trials in Guam, where CHamoru people suffer the highest rates of cancer mortality, and interest to do so is growing. This study investigated the knowledge and attitudes of Guam residents towards cancer clinical trial participation prior to implementation. (2) Methods: A telephone survey was developed, tested, and conducted among Guam resident adults, 18 years of age and older. Survey questions were summarized by descriptive statistics. Logistic regression models were used to investigate the associations between Guam residents' demographics and their clinical trial knowledge and attitudes. Adjusted odds ratios (aOR) and associated 95% confidence intervals (CI) were calculated. (3) Results: One hundred fifty-two people participated in the survey, most of whom were CHamoru (47.0%). Fifty-three percent had heard the term 'clinical trial'; 73.7% would take part in a trial if they had cancer; and 59.9% believed they would receive good quality treatment from a trial offered in Guam. CHamoru were more likely than Whites to associate out-of-pocket expenses with clinical trial participation (aOR = 5.34, 95% CI = 1.68-17.00). Physician ethnicity was important to 30% of non-Whites and significantly associated with those who spoke a language other than English (aOR = 3.40, 95% CI = 1.29-8.95). Most people (65.0%) did not believe clinical trials participants were 'guinea pigs'. (4) Conclusion: Though knowledge about cancer clinical trials is limited, attitudes were primarily positive towards participating in cancer clinical trials offered in Guam. Future delivery of cancer clinical trials will benefit from identifying potential barriers to recruitment and adopting an approach suited to Guam's population.
Publisher: Switzerland: MDPI AG
Language: English

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Knowledge and Attitudes of Guam Residents towards Cancer Clinical Trial Participation

Taafaki, Munirih R ; Brown, Amy C ; Cassel, Kevin D ; Chen, John J ; Lim, Eunjung ; Paulino, Yvette C

Switzerland: MDPI AG

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