Barriers and facilitators to recruitment to a culturally-based dietary intervention among urban XXXX survivors.

@entity1 @entity0
PURPOSE: To understand factors related to recruitment to behavioral intervention trials among Spanish-speaking urban @entity0 (BC) survivors. METHODS: Potentially eligible Hispanic BC survivors were recruited from the Columbia University Breast Oncology Clinic, signed informed consent, and completed a screening interview on demographics, medical history, acculturation (Short Acculturation Scale for Hispanics), quality of life (QOL), and perceived benefits/risks of research participation. Trial eligibility criteria included stage 0-III BC, completion of adjuvant treatment, Hispanic, fluency in Spanish, willing to be randomized to active arm (9-session in- @entity1 culturally-based   Cocinar para su salud! dietary modification program) or control arm (written materials). We compared characteristics between eligible @entity1 who did and did not enroll in the trial. RESULTS: 102 @entity1 completed the screening interview and were eligible to participate. Overall mean age was 57.3  9.5 years, mean time since diagnosis was 3.4  2.1 years, 71% reported annual household income < 15,000 and mean acculturation index score was 1.6  0.6 (scale 1-5, low-high). Of the 102 @entity1 , 70 enrolled and 32 declined participation. Reasons stated for non-participation included lack of interest in dietary change, illness, and work constraints. Compared to @entity1 who enrolled, @entity1 who did not enroll were less likely to be employed (P=0.03) and more likely to only read/speak Spanish (P=0.02). Compared to @entity1 who enrolled, non-enrollers were more likely to state that research is costly to @entity1 (P=0.03). CONCLUSION: Lower participation was associated with unemployment, monolingualism, and the perception that research is costly to @entity1 . Future behavioral intervention trials among minority BC survivors need to account for these and other factors that may be related to trial participation.
