title: Psychosocial barriers contributing to the under-representation of racial/ethnic minorities in cancer clinical trials.
abstract: Various psychosocial barriers currently prevent proportional representation of racial and ethnic minority groups in oncology clinical trials. These barriers can be conceptualized into a Social Ecological Model framework, with particular emphasis on the socio-cultural dimension. The barriers to participation can be summarized into six levels of influence: intrapersonal, interpersonal, environmental, socio-cultural, community, and institutional. Given social workers' multi-systemic approach to assessing and intervening in problems, their positioning at micro-, meso-, and macro-levels of practice, education, policy, and research are appropriate and critical to promoting clinical trial participation.
authors.affiliation: USC School of Social Work, 669 West 334th St, 102M, Los Angeles, CA 90089, USA.
authors.forename: Anjanette A
authors.initials: AA
authors.lastname: Wells
authors.forename: Brad
authors.initials: B
authors.lastname: Zebrack
mesh_terms: D002986:Clinical Trials as Topic; D005006:Ethnicity / Q000523:psychology*; D006801:Humans; D009369:Neoplasms; D010358:Patient Participation; D018579:Patient Selection; D011584:Psychology; D044469:Racial Groups / Q000523:psychology*; D014481:United States