Racial and ethnic minority enrollment in randomized clinical trials of behavioural weight loss utilizing technology: a systematic review
Summary Many racial and ethnic minority groups (minorities) are disproportionately affected by overweight and obesity; however, minorities are often under‐represented in clinical trials of behavioural weight loss (BWL) treatment, potentially limiting the generalizability of these trials' conclu...
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| Veröffentlicht in: | Obesity reviews 2017-07, Vol.18 (7), p.808-817 |
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| container_title | Obesity reviews |
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| creator | Rosenbaum, D. L Piers, A. D Schumacher, L. M Kase, C. A Butryn, M. L |
| description | Summary
Many racial and ethnic minority groups (minorities) are disproportionately affected by overweight and obesity; however, minorities are often under‐represented in clinical trials of behavioural weight loss (BWL) treatment, potentially limiting the generalizability of these trials' conclusions. Interventions involving technology may be particularly well suited to overcoming the barriers to minority enrollment in BWL trials, such as demanding or unpredictable work schedules, caregiving responsibilities and travel burdens. Thus, this systematic review aimed to describe minority enrollment in trials utilizing technology in interventions, as well as to identify which form(s) of technology yield the highest minority enrollment. Results indicated relatively low enrollment of minorities. Trials integrating smartphone use exhibited significantly greater racial minority enrollment than trials that did not; trials with both smartphone and in‐person components exhibited the highest racial minority enrollment. This review is the first to explore how the inclusion of technology in BWL trials relates to minority enrollment and can help address the need to improve minority enrollment in weight loss research. |
| doi_str_mv | 10.1111/obr.12545 |
| format | Article |
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Many racial and ethnic minority groups (minorities) are disproportionately affected by overweight and obesity; however, minorities are often under‐represented in clinical trials of behavioural weight loss (BWL) treatment, potentially limiting the generalizability of these trials' conclusions. Interventions involving technology may be particularly well suited to overcoming the barriers to minority enrollment in BWL trials, such as demanding or unpredictable work schedules, caregiving responsibilities and travel burdens. Thus, this systematic review aimed to describe minority enrollment in trials utilizing technology in interventions, as well as to identify which form(s) of technology yield the highest minority enrollment. Results indicated relatively low enrollment of minorities. Trials integrating smartphone use exhibited significantly greater racial minority enrollment than trials that did not; trials with both smartphone and in‐person components exhibited the highest racial minority enrollment. This review is the first to explore how the inclusion of technology in BWL trials relates to minority enrollment and can help address the need to improve minority enrollment in weight loss research.</description><identifier>ISSN: 1467-7881</identifier><identifier>EISSN: 1467-789X</identifier><identifier>DOI: 10.1111/obr.12545</identifier><identifier>PMID: 28524643</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Admissions policies ; Adult ; Aged ; Behavior Therapy ; Behavioural weight loss ; Body Mass Index ; Body weight ; Clinical trials ; Continental Population Groups ; Enrollment management ; Ethnic Groups ; Health Services Accessibility - statistics & numerical data ; Humans ; Medical research ; Middle Aged ; minority ; Minority & ethnic groups ; Minority Groups ; Minority students ; Obesity ; Obesity - ethnology ; Obesity - therapy ; Overweight ; Overweight - therapy ; Patient Selection ; Randomized Controlled Trials as Topic ; Reviews ; Schedules ; Systematic review ; technology ; Technology utilization ; Travel ; Vulnerable Populations ; Weight Loss ; Yield</subject><ispartof>Obesity reviews, 2017-07, Vol.18 (7), p.808-817</ispartof><rights>2017 World Obesity Federation</rights><rights>2017 World Obesity Federation.</rights><rights>2017 World Obesity</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3535-3aaf95a5b5be3b53e50903585c1695b53a3ffe8771dd9c95308bd5c8a9f116773</citedby><cites>FETCH-LOGICAL-c3535-3aaf95a5b5be3b53e50903585c1695b53a3ffe8771dd9c95308bd5c8a9f116773</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1411,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28524643$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rosenbaum, D. L</creatorcontrib><creatorcontrib>Piers, A. D</creatorcontrib><creatorcontrib>Schumacher, L. M</creatorcontrib><creatorcontrib>Kase, C. A</creatorcontrib><creatorcontrib>Butryn, M. L</creatorcontrib><title>Racial and ethnic minority enrollment in randomized clinical trials of behavioural weight loss utilizing technology: a systematic review</title><title>Obesity reviews</title><addtitle>Obes Rev</addtitle><description>Summary
Many racial and ethnic minority groups (minorities) are disproportionately affected by overweight and obesity; however, minorities are often under‐represented in clinical trials of behavioural weight loss (BWL) treatment, potentially limiting the generalizability of these trials' conclusions. Interventions involving technology may be particularly well suited to overcoming the barriers to minority enrollment in BWL trials, such as demanding or unpredictable work schedules, caregiving responsibilities and travel burdens. Thus, this systematic review aimed to describe minority enrollment in trials utilizing technology in interventions, as well as to identify which form(s) of technology yield the highest minority enrollment. Results indicated relatively low enrollment of minorities. Trials integrating smartphone use exhibited significantly greater racial minority enrollment than trials that did not; trials with both smartphone and in‐person components exhibited the highest racial minority enrollment. This review is the first to explore how the inclusion of technology in BWL trials relates to minority enrollment and can help address the need to improve minority enrollment in weight loss research.</description><subject>Admissions policies</subject><subject>Adult</subject><subject>Aged</subject><subject>Behavior Therapy</subject><subject>Behavioural weight loss</subject><subject>Body Mass Index</subject><subject>Body weight</subject><subject>Clinical trials</subject><subject>Continental Population Groups</subject><subject>Enrollment management</subject><subject>Ethnic Groups</subject><subject>Health Services Accessibility - statistics & numerical data</subject><subject>Humans</subject><subject>Medical research</subject><subject>Middle Aged</subject><subject>minority</subject><subject>Minority & ethnic groups</subject><subject>Minority Groups</subject><subject>Minority students</subject><subject>Obesity</subject><subject>Obesity - ethnology</subject><subject>Obesity - therapy</subject><subject>Overweight</subject><subject>Overweight - therapy</subject><subject>Patient Selection</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Reviews</subject><subject>Schedules</subject><subject>Systematic review</subject><subject>technology</subject><subject>Technology utilization</subject><subject>Travel</subject><subject>Vulnerable Populations</subject><subject>Weight Loss</subject><subject>Yield</subject><issn>1467-7881</issn><issn>1467-789X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc9qGzEQh0VpaJw_h75AEfSSHJxIlrW76q0NaVIwBEICuS1a7aytoJVcSRuzeYI-did16kMgukgM33yj4UfIZ87OOJ7z0MQzPpNz-YFM-Lwop2WlHj7u3hXfJwcpPTLGSyX4J7I_q-RsXszFhPy51cZqR7VvKeSVt4b21odo80jBx-BcDz5T62lEJPT2GVpqnEUQu3LE3kRDRxtY6ScbhojVDdjlKlMXUqJDts4-W7-kGczKBxeW4zeqaRpThl5nnBfhycLmiOx16ILj1_uQ3P-8vLu4ni5urn5dfF9MjZBCToXWnZJaNrIB0UgBkikmZCUNLxRWhRZdB1VZ8rZVRknBqqaVptKq47woS3FITrbedQy_B0i57m0y4Jz2EIZUc8VYJUrGGKJf36CPuKDH371QhRAz9CF1uqVMxIUjdPU62l7Hseasfomnxnjqf_Eg--XVODQ9tDvyfx4InG-BjXUwvm-qb37cbpV_AcE_m84</recordid><startdate>201707</startdate><enddate>201707</enddate><creator>Rosenbaum, D. L</creator><creator>Piers, A. D</creator><creator>Schumacher, L. M</creator><creator>Kase, C. A</creator><creator>Butryn, M. L</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7TS</scope><scope>C1K</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201707</creationdate><title>Racial and ethnic minority enrollment in randomized clinical trials of behavioural weight loss utilizing technology: a systematic review</title><author>Rosenbaum, D. L ; Piers, A. D ; Schumacher, L. M ; Kase, C. A ; Butryn, M. L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3535-3aaf95a5b5be3b53e50903585c1695b53a3ffe8771dd9c95308bd5c8a9f116773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Admissions policies</topic><topic>Adult</topic><topic>Aged</topic><topic>Behavior Therapy</topic><topic>Behavioural weight loss</topic><topic>Body Mass Index</topic><topic>Body weight</topic><topic>Clinical trials</topic><topic>Continental Population Groups</topic><topic>Enrollment management</topic><topic>Ethnic Groups</topic><topic>Health Services Accessibility - statistics & numerical data</topic><topic>Humans</topic><topic>Medical research</topic><topic>Middle Aged</topic><topic>minority</topic><topic>Minority & ethnic groups</topic><topic>Minority Groups</topic><topic>Minority students</topic><topic>Obesity</topic><topic>Obesity - ethnology</topic><topic>Obesity - therapy</topic><topic>Overweight</topic><topic>Overweight - therapy</topic><topic>Patient Selection</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Reviews</topic><topic>Schedules</topic><topic>Systematic review</topic><topic>technology</topic><topic>Technology utilization</topic><topic>Travel</topic><topic>Vulnerable Populations</topic><topic>Weight Loss</topic><topic>Yield</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rosenbaum, D. L</creatorcontrib><creatorcontrib>Piers, A. D</creatorcontrib><creatorcontrib>Schumacher, L. M</creatorcontrib><creatorcontrib>Kase, C. A</creatorcontrib><creatorcontrib>Butryn, M. L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Physical Education Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity reviews</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rosenbaum, D. L</au><au>Piers, A. D</au><au>Schumacher, L. M</au><au>Kase, C. A</au><au>Butryn, M. L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Racial and ethnic minority enrollment in randomized clinical trials of behavioural weight loss utilizing technology: a systematic review</atitle><jtitle>Obesity reviews</jtitle><addtitle>Obes Rev</addtitle><date>2017-07</date><risdate>2017</risdate><volume>18</volume><issue>7</issue><spage>808</spage><epage>817</epage><pages>808-817</pages><issn>1467-7881</issn><eissn>1467-789X</eissn><abstract>Summary
Many racial and ethnic minority groups (minorities) are disproportionately affected by overweight and obesity; however, minorities are often under‐represented in clinical trials of behavioural weight loss (BWL) treatment, potentially limiting the generalizability of these trials' conclusions. Interventions involving technology may be particularly well suited to overcoming the barriers to minority enrollment in BWL trials, such as demanding or unpredictable work schedules, caregiving responsibilities and travel burdens. Thus, this systematic review aimed to describe minority enrollment in trials utilizing technology in interventions, as well as to identify which form(s) of technology yield the highest minority enrollment. Results indicated relatively low enrollment of minorities. Trials integrating smartphone use exhibited significantly greater racial minority enrollment than trials that did not; trials with both smartphone and in‐person components exhibited the highest racial minority enrollment. This review is the first to explore how the inclusion of technology in BWL trials relates to minority enrollment and can help address the need to improve minority enrollment in weight loss research.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28524643</pmid><doi>10.1111/obr.12545</doi><tpages>10</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Admissions policies Adult Aged Behavior Therapy Behavioural weight loss Body Mass Index Body weight Clinical trials Continental Population Groups Enrollment management Ethnic Groups Health Services Accessibility - statistics & numerical data Humans Medical research Middle Aged minority Minority & ethnic groups Minority Groups Minority students Obesity Obesity - ethnology Obesity - therapy Overweight Overweight - therapy Patient Selection Randomized Controlled Trials as Topic Reviews Schedules Systematic review technology Technology utilization Travel Vulnerable Populations Weight Loss Yield |
| title | Racial and ethnic minority enrollment in randomized clinical trials of behavioural weight loss utilizing technology: a systematic review |
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