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Which factors most influence an adult participant's decision to enroll…
Which factors most influence an adult participant's decision to enroll in a clinical trial, and do these factors vary by United States region?
Objective 1. To identify and categorize most frequently cited barriers to clinical trial enrollment from the participant perspective.
Knowledge and Awareness Barriers
Health literacy
Awareness of clinical trials as a healthcare option
Awareness of clinical trails available locally
Psychosocial and Cultural Barriers
Trust
Ethical concerns
Privacy
Structural and Logistical Barriers
Geographic access and travel burden
Restrictive study-specific inclusion criteria
Trial time constraints
Objective 4. To make industry-level recommendations in addressing most heavily cited barriers to clinical trial enrollment to facilitate increased clinical trial participation.
Knowledge and Awareness Facilitators
Psychosocial and Cultural Facilitators
Structural and Logistical Facilitators
Unites States Regions
Northeast: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont, New Jersey, New York, Pennsylvania
Midwest: Illinois, Indiana, Michigan, Ohio, Wisconsin, Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, South Dakota
South: Delaware, Florida, Georgia, Maryland, North Carolina, South Carolina, Virginia, West Virginia, Alabama, Kentucky, Mississippi, Tennessee, Arkansas, Louisiana, Oklahoma, Texas
West: Arizona, Colorado, Idaho, Montana, Nevada, New Mexico, Utah, Wyoming, Alaska, California, Hawaii, Oregon, Washington
Objective 2. To assess which barriers are most greatly impacting a participant's decision to enroll in a clinical trial and understand how these barriers may vary by geographic region.
Mixed-methods survey
Quantitative: likert scale digital questionnaire
Qualitative: free text response for additional barriers not cited
Results stratified by region of United States
Three groups of participants
Adults in the United States who have been approached for clinical trial enrollment in the past and have participated in at least one clinical trial
Adults in the United States who have not been approached for clinical trial enrollment in the past
Adults in the United States who have been approached for clinical trial enrollment in the past but have no participated in a clinical trial
Objective 3. To evaluate whether perceived barriers to clinical trial enrollment are impacted by participant prior experience with clinical research.
not approached, not enrolled
approached, not enrolled
approached, enrolled