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Please use this identifier to cite or link to this item: https://hdl.handle.net/11055/938
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dc.contributor.authorWoodward-Kron Ren_US
dc.contributor.authorHughson Jen_US
dc.contributor.authorParker Aen_US
dc.contributor.authorBresin Aen_US
dc.contributor.authorHajek Jen_US
dc.contributor.authorKnoch Uen_US
dc.contributor.authorPhan Ten_US
dc.contributor.authorStory DAen_US
dc.date2016-04-26-
dc.date.accessioned2020-07-01T04:30:51Z-
dc.date.available2020-07-01T04:30:51Z-
dc.identifier.citation5(1):667en_US
dc.identifier.urihttp://hdl.handle.net/11055/938-
dc.description.abstractLow-participation of culturally and linguistically diverse (CALD) patients in medical research remains a problem in migrant and refugee destination countries such as Australia. The aims of this study were to explore i) CALD persons' perceptions and experiences of the medical system and medical research, in this case, older Italian Australians; and ii) the views of research professionals on CALD patient participation in medical research. DESIGN AND METHODS: A qualitative study was conducted in Melbourne, Australia, in 2015 utilising in-depth interviews and focus groups with four stakeholder groups: older Italian Australians (n=21); adult children of older Italian Australians (n=10); hospital Human Research Ethics Committee administrators (n=4); and clinical researchers (n=4). The data were analysed for content and thematic analysis. RESULTS: Themes for the CALD and family group were getting by in medical interactions; receptivity to medical research: testing the waters; and, receptivity to technology for support: passive versus active. Themes for the researcher and HREC groups about CALD patient participation in research were: exclusion; cultural factors; and e-consent. CONCLUSIONS: Our findings from four stakeholder perspectives and experiences confirm that there were considerable cultural, linguistic, and resourcing barriers hindering the participation of older Italian-Australians in medical research. Furthermore, our findings showed that in this study setting there were few enabling strategies in place to address these barriers despite the national ethics guidelines for equitable participation in research. The findings informed the creation of a multimedia tool whose purpose is to address and improve representation of CALD groups in clinical research. Significance for public healthMany people from culturally and linguistically diverse (CALD) backgrounds remain excluded from medical research such as clinical trials due to a range of language and cultural factors that can be amplified when this population is ageing. This exclusion has implications for the ability of CALD populations to benefit from participating in medical research and for applying research findings to CALD populations. It is essential to develop and implement strategies to include CALD communities in medical research and to uphold the ethical obligation of obtaining informed consent to research. The findings of this study have guided the development of a tablet-based resource which can be used in clinical and community contexts to raise awareness about the purpose of medical research. The resource has been carefully designed to be appropriate for participants' cultural background as well as their preferred language and literacy level. Such a resource has potential to address some of the cultural and linguistic barriers to clinical trial participation of CALD populations.en_US
dc.subjectCulturally and linguistically diverseen_US
dc.subjectMigrant healthen_US
dc.subjectCALDen_US
dc.titleCulturally and linguistically diverse populations in medical research: perceptions and experiences of older Italians, their families, ethics administrators and researchers.en_US
dc.typeJournal Articleen_US
dc.type.contentTexten_US
dc.identifier.journaltitleJournal of Public Health Researchen_US
dc.identifier.doi10.4081/jphr.2016.667en_US
dc.description.affiliatesUniversity of Melbourneen_US
dc.description.affiliatesSt. Vincent's Hospitalen_US
dc.description.pubmedurihttps://www.ncbi.nlm.nih.gov/pubmed/27190978en_US
dc.type.studyortrialStudyen_US
dc.ispartof.anzcaresearchfoundationYesen_US
item.cerifentitytypePublications-
item.grantfulltextnone-
item.openairetypeJournal Article-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.fulltextNo Fulltext-
Appears in Collections:Scholarly and Clinical
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