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Racial and ethnic minority patient participation in N-of-1 trials: perspectives of healthcare providers and patients.

Lyndonna M MarrastJoseph ConigliaroCamille ChanEun Ji KimJoan Duer-HefeleMichael A DiefenbachKarina W Davidson
Published in: Personalized medicine (2021)
Aim: Patients from racial and ethnic minority backgrounds in the USA have historically been under-represented in research trials. Understanding their viewpoints regarding participation in N-of-1 trials is imperative as we design and implement these studies. Materials & methods: We conducted six focus groups of racial and ethnic minority patients (n = 25) and providers (n = 9). We used content analysis to identify themes. Results: Our results noted the importance of considering family members in N-of-1 trial recruitment and participation, patients' desire for education as a design feature, for 'lifestyle' changes as a treatment option and for use of nonevidence-based treatments in the design of future N-of-1 trials. Conclusion: Personalized trials have the potential to change the way we deliver primary care and improve disparities for minorities.
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