Update to 2019–2022 ONS Research Agenda: Rapid Review to Address Structural Racism and Health Inequities

Jones, Randy; Hirschey, Rachel; Campbell, Grace; Cooley, Mary E.; Lally, Robin M.; Somayaji, Darryl; Rueter, Erik K.; Gullatte, Mary Magee

doi:10.1188/21.onf.589-600

Cited by 11 publications

(8 citation statements)

References 49 publications

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“…There is a need for the development and testing of interventions that target bidirectional communication in SDM to enhance patients’ healthcare experiences. [ 49 ]…”

Section: Discussionmentioning

confidence: 99%

Exploration of shared decision making in oncology within the United States: a scoping review

Bennett

DeGuzman

LeBaron

et al. 2022

Support Care Cancer

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Purpose Shared decision making (SDM) among the oncology population is highly important due to complex screening and treatment decisions. SDM among patients with cancer, caregivers, and clinicians has gained more attention and importance, yet few articles have systematically examined SDM, specifically in the adult oncology population. This review aims to explore SDM within the oncology literature and help identify major gaps and concerns, with the goal to provide guidance in the development of clear SDM definitions and interventions. Methods We conducted a scoping review using the Arksey and O’Malley approach along with the PRISMA Extension for Scoping Reviews Checklist. A systematic search was conducted in four databases that included publications since 2016. Results Of the 364 initial articles, eleven publications met the inclusion criteria. We included articles that were original research, cancer related, and focused on shared decision making. Most studies were limited in defining SDM and operationalizing a model of SDM. There were several concerns revealed related to SDM: (1) racial inequality, (2) quality and preference of the patient, caregiver, and clinician communication is important, and (3) the use of a decision-making aid or tool provides value to the patient experience. Conclusion Inconsistencies regarding the meaning and operationalization of SDM and inequality of the SDM process among patients from different racial/ethnic backgrounds impact the health and quality of care patients receive. Future studies should clearly and consistently define the meaning of SDM and develop decision aids that incorporate bidirectional, interactive communication between patients, caregivers, and clinicians that account for the diversity of racial, ethnic, and sociocultural backgrounds and preferences. Supplementary information The online version contains supplementary material available at 10.1007/s00520-022-07556-8.

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“…There is a need for the development and testing of interventions that target bidirectional communication in SDM to enhance patients’ healthcare experiences. [ 49 ]…”

Section: Discussionmentioning

confidence: 99%

Exploration of shared decision making in oncology within the United States: a scoping review

Bennett

DeGuzman

LeBaron

et al. 2022

Support Care Cancer

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“…For example, medical and research systems are not trustworthy for Black and African American systems because of significant abuse and neglect in these settings (Jones et al, 2021a(Jones et al, , 2021b. In addition, these systems are primarily composed of White researchers and clinicians who do not understand the root causes of how injustice and racism operate to create health disparities (Jones et al, 2021a(Jones et al, , 2021b. Consequently, a fundamental shift in research practices is needed to mitigate cancer disparities: centering a field of researchers who are racially and ethnically representative of the population they study and requiring partnership with community members in all aspects of the research process (Jones et al, 2021a).…”

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confidence: 99%

“…In addition, these systems are primarily composed of White researchers and clinicians who do not understand the root causes of how injustice and racism operate to create health disparities (Jones et al, 2021a(Jones et al, , 2021b. Consequently, a fundamental shift in research practices is needed to mitigate cancer disparities: centering a field of researchers who are racially and ethnically representative of the population they study and requiring partnership with community members in all aspects of the research process (Jones et al, 2021a). The success of such community partnerships requires nurses to practice cultural humility, engage in lifelong self-reflection, and commit to addressing power imbalances to develop meaningful relationships with community members (Nolan et al, 2021).…”

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confidence: 99%

Development of a Community Advisory Board to Guide Research About Cancer Disparities in the Black and African American Community

et al. 2022

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BackgroundResearchers who aim to serve a community (i.e., racial, gender, ethnic group) of which they are not a part must do foundational work to understand that community and build intentional, thoughtful collaborations with the community to guide their work.ObjectivesThis article aims to share a case exemplar of the formation period of a community advisory board (CAB) that conducts research focused on improving health equity in the Black and African American community.MethodsCAB development has three phases: formation, operation, and maintenance. Previous work has described and provided best practices for each phase. This article focused on the first phase, formation. Guided by critical race theory, with guidance from her mentor, a researcher partnered with a research assistant and a community health educator to develop a CAB. Details of their processes—which apply to the formation of other CABs—are presented.DiscussionDuring the board formation period, the major focus has been relationship building and developing a shared mission: “To work in partnership with researchers at the University of North Carolina to reduce cancer disparities in Black/African American communities by informing research and program development. As a liaison between the community and researchers, the Community Advisory Board will identify community needs, promote evidence-based interventions and information, raise awareness about health disparities in communities, and educate researchers.” CAB formation is nuanced and unique, dependent upon the nature of the research to be conducted and the characteristics of the community and researchers. This case exemplar provides valuable insights to other researchers working to build community partnerships.

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“…It is important for research investigators to conduct clinical trials that examine, develop, and test interventions through the lens of racial equity and inclusion. 11 Factors that are associated with treatment regret among men with prostate cancer affect quality of life and therapeutic relationships among patient, caregiver, and clinician. It is imperative for clinicians to be aware of patients' comfort in the patient-clinician interaction, assess patients' treatment outcome expectations, provide realistic treatment expectations, use interactive decision aids to enhance communication, and provide guidance through difficult treatment decisions to decrease decisional regret and increase quality of life.…”

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confidence: 99%

“…In particular, racism and mistrust have been noted to decrease the satisfaction and interaction with clinicians, which could lead to increased regret. It is important for research investigators to conduct clinical trials that examine, develop, and test interventions through the lens of racial equity and inclusion …”

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confidence: 99%

Decisional Regret Among Men With Prostate Cancer

Jones

2022

JAMA Oncol

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Update to 2019–2022 ONS Research Agenda: Rapid Review to Address Structural Racism and Health Inequities

Cited by 11 publications

References 49 publications

Exploration of shared decision making in oncology within the United States: a scoping review

Exploration of shared decision making in oncology within the United States: a scoping review

Development of a Community Advisory Board to Guide Research About Cancer Disparities in the Black and African American Community

Decisional Regret Among Men With Prostate Cancer

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