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Nutrients
Volume 16
Issue 21
10.3390/nu16213592
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Article

Community-Engaged Approaches for Improving the Inclusion of Diverse Communities in a Nutrition Clinical Trial

by
Mopelola A. Adeyemo
1,*,
Jessica Trinh
2,
Darian Perez
3,
Estabon Bozeman
4,
Ejiro Ntekume
1,
Jachael Gardner
1,
Gail Thames
1,
Tiffany Luong
1,
Savanna L. Carson
1,
Stefanie Vassar
1,
Keith Norris
1,
Zhaoping Li
1,5,
Arleen F. Brown
1 and
Alejandra Casillas
1
1
Department of Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA 90095, USA
2
Mayo Clinic Alix School of Medicine Minnesota Campus, Rochester, MN 55905, USA
3
Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA
4
School of Public and Population Health, Boise State University, Boise, ID 83706, USA
5
Department of Medicine, VA Greater Los Angeles Health Care System, Los Angeles, CA 90073, USA
*
Author to whom correspondence should be addressed.
Nutrients 2024, 16(21), 3592; https://doi.org/10.3390/nu16213592
Submission received: 19 September 2024 / Revised: 13 October 2024 / Accepted: 16 October 2024 / Published: 23 October 2024
(This article belongs to the Special Issue Dietary Interventions to Advance Equity in Cardiometabolic Health)
Versions Notes

Abstract

Background: Cardiometabolic disease (CMD) disproportionately affects African American/Black (AA) and Latino communities. CMD disparities are exacerbated by their underrepresentation in clinical trials for CMD treatments including nutritional interventions. The study aimed to (1) form a precision nutrition community consultant panel (PNCCP) representative of Latino and AA communities in Los Angeles to identify barriers and facilitators to recruitment and retention of diverse communities into nutrition clinical trials and (2) develop culturally informed strategies to improve trial diversity. Methods: A deliberative community engagement approach was used to form a PNCCP for the Nutrition for Precision Health (NPH) trial, part of the of the All of Us research initiative. The PNCCP included individuals that provide services for Latino and AA communities who met during 11 virtual sessions over 1 year. Discussion topics included enhancing recruitment and cultural acceptance of the NPH trial. We summarized CCP recommendations by theme using an inductive qualitative approach. Results: The PNCCP included 17 adults (35% AA, 47% Latino). Four thematic recommendations emerged: reducing structural barriers to recruitment, the need for recruitment materials to be culturally tailored and participant-centered, community-engaged trial recruitment, and making nutrition trial procedures inclusive and acceptable. We outlined the study response to feedback, including the constraints that limited implementation of suggestions. Conclusion: This study centers community voices regarding the recruitment and retention of AA and Latino communities into a nutrition clinical trial. It highlights the importance of community engagement early on in protocol development and maintaining flexibility to enhance inclusion of diverse communities in nutrition clinical trials.
Keywords: health disparities; cardiometabolic diseases; nutrition interventions health disparities; cardiometabolic diseases; nutrition interventions

Share and Cite

MDPI and ACS Style

Adeyemo, M.A.; Trinh, J.; Perez, D.; Bozeman, E.; Ntekume, E.; Gardner, J.; Thames, G.; Luong, T.; Carson, S.L.; Vassar, S.; et al. Community-Engaged Approaches for Improving the Inclusion of Diverse Communities in a Nutrition Clinical Trial. Nutrients 2024, 16, 3592. https://doi.org/10.3390/nu16213592

AMA Style

Adeyemo MA, Trinh J, Perez D, Bozeman E, Ntekume E, Gardner J, Thames G, Luong T, Carson SL, Vassar S, et al. Community-Engaged Approaches for Improving the Inclusion of Diverse Communities in a Nutrition Clinical Trial. Nutrients. 2024; 16(21):3592. https://doi.org/10.3390/nu16213592

Chicago/Turabian Style

Adeyemo, Mopelola A., Jessica Trinh, Darian Perez, Estabon Bozeman, Ejiro Ntekume, Jachael Gardner, Gail Thames, Tiffany Luong, Savanna L. Carson, Stefanie Vassar, and et al. 2024. "Community-Engaged Approaches for Improving the Inclusion of Diverse Communities in a Nutrition Clinical Trial" Nutrients 16, no. 21: 3592. https://doi.org/10.3390/nu16213592

APA Style

Adeyemo, M. A., Trinh, J., Perez, D., Bozeman, E., Ntekume, E., Gardner, J., Thames, G., Luong, T., Carson, S. L., Vassar, S., Norris, K., Li, Z., Brown, A. F., & Casillas, A. (2024). Community-Engaged Approaches for Improving the Inclusion of Diverse Communities in a Nutrition Clinical Trial. Nutrients, 16(21), 3592. https://doi.org/10.3390/nu16213592

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