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Public Trust in Medical Researchers ...
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Wall, Ian F.
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Public Trust in Medical Researchers and Intentions to Participate in Medical Studies: Improving Measurement and Extending Theory with Insights from Racially and Ethnically Diverse Samples.
紀錄類型:
書目-電子資源 : Monograph/item
正題名/作者:
Public Trust in Medical Researchers and Intentions to Participate in Medical Studies: Improving Measurement and Extending Theory with Insights from Racially and Ethnically Diverse Samples./
作者:
Wall, Ian F.
出版者:
Ann Arbor : ProQuest Dissertations & Theses, : 2017,
面頁冊數:
285 p.
附註:
Source: Dissertation Abstracts International, Volume: 78-09(E), Section: A.
Contained By:
Dissertation Abstracts International78-09A(E).
標題:
Sociology. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10278220
ISBN:
9781369742374
Public Trust in Medical Researchers and Intentions to Participate in Medical Studies: Improving Measurement and Extending Theory with Insights from Racially and Ethnically Diverse Samples.
Wall, Ian F.
Public Trust in Medical Researchers and Intentions to Participate in Medical Studies: Improving Measurement and Extending Theory with Insights from Racially and Ethnically Diverse Samples.
- Ann Arbor : ProQuest Dissertations & Theses, 2017 - 285 p.
Source: Dissertation Abstracts International, Volume: 78-09(E), Section: A.
Thesis (Ph.D.)--The University of Wisconsin - Madison, 2017.
Medical advancements are the collective achievement of medical researchers and human subject volunteers. However, participation in medical research is often imbalanced along the dimensions of race/ethnicity, education, income, age, gender, geographic placement, and more, limiting the generalizability of results. In this dissertation, I explore intentions to participate in three types of medical research studies of varying levels of invasiveness and the role of trust in medical researchers (TIMR).
ISBN: 9781369742374Subjects--Topical Terms:
516174
Sociology.
Public Trust in Medical Researchers and Intentions to Participate in Medical Studies: Improving Measurement and Extending Theory with Insights from Racially and Ethnically Diverse Samples.
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Medical advancements are the collective achievement of medical researchers and human subject volunteers. However, participation in medical research is often imbalanced along the dimensions of race/ethnicity, education, income, age, gender, geographic placement, and more, limiting the generalizability of results. In this dissertation, I explore intentions to participate in three types of medical research studies of varying levels of invasiveness and the role of trust in medical researchers (TIMR).
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The first empirical chapter uses an experimental design and cognitive interviewing among a quota sample of black, Latino, American Indian, and white participants (16 each) to assess response tendencies from an agree-disagree (AD) or construct-specific (CS) version of an 11-item scale measuring TIMR. Outcomes include response latencies, behavioral indicators of response difficulties, and indicators for reliability and concurrent validity. Answers to questions and probes were also analyzed qualitatively. The AD scale outperforms the CS scale counter to expectations.
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The second empirical chapter uses the theory of planned behavior (TPB) to predict intentions to participate in research among a convenience sample of 106 black, 100 Latino, 102 American Indian, and 102 white respondents. Structural equation models suggest that the TPB explains high proportions of variation in expressed likelihood of participation (LoP), TIMR can be a useful extension of the TPB, and the extended TPB explains much of the racial/ethnic differences in LoP related to a blood donation study.
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The third empirical chapter provides "doubly robust" estimates of the causal effect of TIMR on LoP. If one were to begin with low TIMR (below the sample median), substantially increasing their TIMR (placing them above the sample median) is estimated to increase respondents' probability of reporting that they are likely to participate by 13.8% (95% CI: 6.2% - 21.5%) in a study involving questions, 10.1% (95% CI: 0.3% - 19.9%) for a blood donation study, and no significant effect (95% CI: -9.9% - 9.5%) for a clinical trial. Results stratified by race/ethnicity reveal more complex relationships.
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Improving public TIMR in the magnitude needed to reduce participation disparities will likely require the long-term investment and attention of research institutions at the community level.
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