Objective:
To determine the association between race and attitudes towards Parkinson’s Disease (PD) research in people with PD (PwP).
Background:
Prior research shows a lack of diversity in PD research. However, it remains unclear whether attitudes towards research among underrepresented groups (URGs) or the requirements of study participation contribute to this trend.
Design/Methods:
We obtained a convenience sample of PwP at a single site as part of the FIRE-UP PD II study. Participants completed surveys, which included the Trust in Medical Researchers Scale (TIMRS) survey and the 18-item PD Research Participation Survey. Higher scores indicated a greater trust in medical researchers or a greater willingness to enroll in a hypothetical research study, respectively. A linear regression model, adjusted for education, income, and gender, assessed the effect of race on TIMRS score. Wilcoxon Rank-Sum tests evaluated differences in PD Research Participation Survey responses across racial groups.
Results:
Forty-four PwP (50% men) were analyzed, with 9 (20.5%) being Black and 35 (79.5%) White. The Black group (mean [SD]: 23.67 [5.52]) reported significantly lower trust in researchers compared to the White group (mean [SD]: 35.33 [6.26]) (β = -9.85, p < 0.01). Black participants were less willing to enroll in clinical trials requiring a daily pill (Black median = 2, White median = 3; W = 232.5, p = 0.03) or a monthly in-clinic infusion (Black median = 1, White median = 2; W = 223, p = 0.04). For the other 16 study designs, which included lumbar punctures and imaging, there were no differences between the groups (p > 0.05).
Conclusions:
Despite having higher levels of mistrust, Black participants were as willing as White participants to enroll in most hypothetical PD studies. Further research is needed to qualitatively explore URG hesitancy towards studies involving medications and to develop interventions that improve trust.
Disclaimer: Abstracts were not reviewed by Neurology® and do not reflect the views of Neurology® editors or staff.