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The Challenges of Vaccine Trial Participation among Underserved and Hard-to-Reach Communities: An Internal Expert Consultation of the VACCELERATE Consortium

D. Poulimeneas, M. Koniordou, D. Kousi, C. Merakou, I. Kopsidas, GC. Tsopela, CD. Argyropoulos, SC. Themistocleous, G. Shiamakkides, M. Constantinou, A. Alexandrou, E. Noula, A. Nearchou, J. Salmanton-García, FA. Stewart, S. Heringer, K. Albus,...

. 2023 ; 11 (12) : . [pub] 20231129

Status neindexováno Jazyk angličtina Země Švýcarsko

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc23022429

Grantová podpora
101037867 European Union's Horizon 2020 Research and Innovation Programme

Underserved and hard-to-reach population groups are under-represented in vaccine trials. Thus, we aimed to identify the challenges of vaccine trial participation of these groups in member countries of the VACCELERATE network. Seventeen National Coordinators (NC), each representing their respective country (15 European countries, Israel, and Turkey), completed an online survey. From 15 eligible groups, those that were more frequently declared underserved/hard-to-reach in vaccine research were ethnic minorities (76.5%), persons experiencing homelessness (70.6%), illegal workers and refugees (64.7%, each). When prioritization for education on vaccine trials was considered, ethnic groups, migrants, and immigrants (5/17, 29.4%) were the groups most frequently identified by the NC as top targets. The most prominent barriers in vaccine trial participation affecting all groups were low levels of health literacy, reluctance to participate in trials due to engagement level, and low levels of trust in vaccines/vaccinations. This study highlighted population groups considered underserved/hard-to-reach in countries contained within the European region, and the respective barriers these groups face when participating in clinical studies. Our findings aid with the design of tailored interventions (within-and across-countries of the European region) and with the development of strategies to overcome major barriers in phase 2 and phase 3 vaccine trial participation.

2nd Department of Pediatrics School of Medicine National and Kapodistrian University of Athens 11527 Athens Greece

Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf Department 1 of Internal Medicine Faculty of Medicine and University Hospital Cologne University of Cologne 50931 Cologne Germany

Center for Molecular Medicine Cologne Faculty of Medicine and University Hospital Cologne University of Cologne 50931 Cologne Germany

Centre for Experimental Pathogen Host Research School of Medicine University College Dublin D04 V1W8 Dublin Ireland

Centro Hospitalar Universitário do Porto 4099 001 Porto Portugal

Centro Nacional de Microbiología Instituto de Salud Carlos 3 28220 Madrid Spain

Clinical Trials Centre Cologne Faculty of Medicine and University Hospital Cologne University of Cologne 50935 Cologne Germany

Collaborative Center for Clinical Epidemiology and Outcomes Research 15451 Athens Greece

Cologne Excellence Cluster on Cellular Stress Responses in Aging Associated Diseases Institute of Translational Research Faculty of Medicine and University Hospital Cologne University of Cologne 50931 Cologne Germany

Czech Clinical Research Infrastructure Network 62500 Brno Czech Republic

Department of Clinical Pharmacology Medical University Vienna 1090 Vienna Austria

Department of Infectious Diseases and Clinical Microbiology Faculty of Medicine Haceteppe University Ankara 06230 Turkey

Department of Infectious Diseases Karolinska University Hospital 17177 Stockholm Sweden

Department of Medicine Division of Infectious Diseases Karolinska Institutet 17177 Stockholm Sweden

Department of Pharmacology Faculty of Medicine Masaryk University 60177 Brno Czech Republic

European Vaccine Initiative 69115 Heidelberg Germany

German Centre for Infection Research Partner Site Bonn Cologne 38124 Cologne Germany

Hospital La Paz Institute for Health Research 28046 Madrid Spain

Infectious Diseases Department of Diagnostic and Public Health University of Verona 37134 Verona Italy

Influenza Centre Department of Clinical Science University of Bergen 5020 Bergen Norway

Institute of Clinical Medicine Medical Faculty Vilnius University 03101 Vilnius Lithuania

Ministry of Health of Israel Jerusalem 1176 Israel

National Koranyi Institute for Pulmonology 1121 Budapest Hungary

School of Medicine European University Cyprus Nicosia 2404 Cyprus

Servicio Madrileño de Salud 28046 Madrid Spain

University Hospital Brno 62500 Brno Czech Republic

VAXINFECTIO Centre of Evaluation of Vaccination Faculty of Medicine and Health Science Universiteit Antwerpen 2610 Antwerp Belgium

Vilnius University Hospital Santaros Klinikos Medical Faculty Vilnius University 03101 Vilnius Lithuania

Citace poskytuje Crossref.org

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