202687 Exploring racial differences in attitudes and barriers toward acupuncture trial participation among breast cancer survivors

Monday, November 9, 2009

Rana E. Leed, MPH , Department of Family Medicine and Community Health, University of Pennsylvnaia Health System, Philadelphia, PA
Frances K. Barg, PhD , Family Medicine and Community Health, University of Pennsylvania, Philadelphia, PA
Emma Stein, BA(c) , Department of Family Medicine and Community Health, University of Pennsylvania Health System, Philadelphia, PA
Jun J. Mao, MD, MSCE , Department of Family Medicine and Community Health, University of Pennsylvnaia Health System, Philadelphia, PA
Background: Hot flashes are common among breast cancer survivors, with some symptoms being so severe as to disrupt their daily lives. Significant disparities in symptom burden and management have been demonstrated between Caucasian and African American populations. Given that breast cancer survivors use complementary and alternative medicine (CAM) extensively, rigorous research is needed to establish evidence for these therapies. It is essential that clinical trials are being designed in a culturally-appropriate manner with emphasis on adequate minority recruitment to address health disparities.

Objective: To identify the attitudes and beliefs of breast cancer survivors toward participating in an acupuncture clinical trial for hot flashes with specific examination of racial and social differences in preference for trial design, recruitment, and conduct.

Methods: Semi-structured in-person interviews developed using the Theory of Planned Behavior. Interviews will be taped, transcribed and coded using a modified grounded theory approach coupled with constant comparative methods. Targeted recruitment size is thirty women with comparable participation of Caucasian and African American patients through purposeful sampling; all post-menopausal women with stage I, II, or III breast cancer who have completed primary cancer treatments.

Outcome: We anticipate significant differences based on racial and socio-economic variables regarding beliefs and attitudes towards participation in an acupuncture clinical trial. By understanding these racial and social differences, we can design and conduct culturally-sensitive acupuncture intervention trials to address symptom control disparities in the experience of breast cancer survivorship.

Learning Objectives:
1. Identify the facilitators and barriers that influence the use of acupuncture among breast cancer survivors to treat hot flashes. 2. Explain the racial and socio-economic differences in attitudes and beliefs about participation in an acupuncture clinical trial for hot flashes. 3. Discuss the development of a culturally-sensitive clinical trial focused on acupuncture for breast cancer survivors.

Keywords: Alternative Medicine/Therapies, Cancer

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have worked in clinical research for four years and with my current PI since October of 2008. I have also completed my MPH degree.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.