RNQualitativeEuropean journal of cardiovascular nursing2018

Facilitators and barriers to research participation: perspectives of Latinos with type 2 diabetes.

Janett A Hildebrand, John Billimek, Ellen F Olshansky and 3 others

PMID 29886773

WHAT IT FOUND

Spanish-speaking Latino adults with type 2 diabetes said they joined research when it offered diabetes education, provider access, trusted staff, and schedules that fit family and work.

Being understood in Spanish mattered most.

Key findings

01Participants valued diabetes education and provider access, but logistical and cultural barriers made participation difficult.

02Twenty-three participants were monolingual Spanish speakers, and they felt better understood when staff were bilingual; interpreters were described as a barrier.

03Trust in the provider and individual face-to-face recruitment were important, while a hurried attitude was described as a barrier to building trust.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Twenty-five participants were already enrolled in a research study, so the sample was limited to people who had chosen to participate. Information from non-enrollees was not captured, so barriers among people who did not participate are not reported. All interviews were conducted in Spanish by one interviewer, and the principal investigator was also a primary care provider in the clinic. The sample came from one federally qualified health center and included only Spanish-speaking Latinos, so it may not represent all Latino subcultures or settings. The study reported patient themes from interviews, not measured effects of recruitment or clinical strategies.

Declared interests

The authors declared no conflict of interest. No funding source is reported.

The easy way to misread this

Do not read these themes as proof that bilingual staff, provider access, or trusted relationships improve diabetes outcomes or research participation. The study interviewed 25 patients who had already joined a research study and did not test whether these factors change health or enrollment rates.

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