A Portfolio Analysis of Culturally Tailored Trials to Address Health and Healthcare Disparities

Marisa Torres-Ruiz, Kaitlynn Robinson-Ector, Dionna Attinson, Jamie Trotter, Ayodola Anise and Steven Clauser
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Marisa Torres-Ruiz: Patient-Centered Outcomes Research Institute (PCORI), Washington, DC 20036, USA
Kaitlynn Robinson-Ector: Patient-Centered Outcomes Research Institute (PCORI), Washington, DC 20036, USA
Dionna Attinson: Patient-Centered Outcomes Research Institute (PCORI), Washington, DC 20036, USA
Jamie Trotter: Patient-Centered Outcomes Research Institute (PCORI), Washington, DC 20036, USA
Ayodola Anise: Patient-Centered Outcomes Research Institute (PCORI), Washington, DC 20036, USA
Steven Clauser: Patient-Centered Outcomes Research Institute (PCORI), Washington, DC 20036, USA

IJERPH, 2018, vol. 15, issue 9, 1-14

Abstract: In 2010, Patient-Centered Outcomes Research Institute (PCORI) was authorized by Congress to improve the quality and relevance of evidence available to help patients, caregivers, employers, insurers, and policy makers make better-informed health decisions. We conducted a qualitative analysis of behavioral health trials in the PCORI Addressing Disparities portfolio to examine cultural tailoring strategies across the following priority populations: racial and ethnic minorities, rural populations, people with low-income or low socioeconomic status, individuals with disabilities, people with low health literacy, and lesbian, gay, bisexual, and transgender (LGBT) communities. The Common Strategies for Enhancing Cultural Appropriateness model was used to examine cultural tailoring strategies within trials. We hypothesized increased intersectionality within a patient population at risk for disparities would correlate with the dosage and type of cultural tailoring strategies applied. Thirty-three behavioral health trials applied cultural tailoring strategies and a majority of trials (n = 30) used three or more strategies. Trends in cultural tailoring were associated with certain racial and ethnic groups; however, increased use of tailoring was not associated with the number of priority populations included in a trial. The PCORI Addressing Disparities portfolio demonstrates how a range of cultural tailoring strategies are used, within comparative clinical effectiveness research trials, to address the needs and intersectionality of patients to reduce health and healthcare disparities.

Keywords: Patient-Centered Outcomes Research Institute; cultural tailoring; disparities; intersectionality; comparative clinical effectiveness research (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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