title: Attitudes of primary care physicians toward cancer-prevention trials: a focus group analysis.
abstract: OBJECTIVE
  Recruitment of low-income and minority women to cancer-prevention trials requires a joint effort from specialists and primary care providers. We sought to assess primary care providers' attitudes toward participating in cancer-prevention trial recruitment.
  
  
  METHODS
  We conducted a focus group with seven Boston-based primary care providers serving low-income and minority women. Providers discussed knowledge, attitudes, and beliefs regarding their role in recruitment to prevention trials.
  
  
  RESULTS
  A qualitative analysis of the focus group transcript revealed nine categories. Three categories related specifically to the primary care physician: 1) the dual role physicians play as advocates for both patient and research; 2) threats to maintaining the primary care relationship; and 3) general philosophy toward prevention. An additional six categories could be subdivided as they apply to the primary care physician, the patient, and the community: 4) trust/commitment; 5) benefits of the research; 6) access to the research; 7) knowledge and recall of the research; 8) influences of media coverage about the research; and 9) cultural sensitivity.
  
  
  CONCLUSIONS
  Investigators conducting cancer-prevention trials must address the concerns of primary care physicians to optimize recruitment of subjects- especially low-income and minority women-into trials.
authors.affiliation: Department of Veterans Affairs, Boston, Massachusetts, USA.
authors.forename: S M
authors.initials: SM
authors.lastname: Frayne
authors.forename: M
authors.initials: M
authors.lastname: Mancuso
authors.forename: M N
authors.initials: MN
authors.lastname: Prout
authors.forename: K M
authors.initials: KM
authors.lastname: Freund
mesh_terms: D001291:Attitude of Health Personnel; D002986:Clinical Trials as Topic; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000517:prevention & control*; D010821:Physicians, Family