Key Insights

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  Traditional usability metrics like time on task are insufficient to address systemic racism in clinical trial recruitment.

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  Black and Hispanic Latino communities have historical trauma and deep mistrust toward medical institutions that impact digital interactions.

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  Building digital trust requires creating a reciprocal relationship, not just collecting data from users.

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  Visible diverse leadership on ‘About Us’ pages significantly affects users’ trust and willingness to participate.

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  A lack of diverse organizational representation is a major usability barrier beyond UI issues.

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  Including culturally specific community statistics and rich testimonials increases engagement and perceived relevance.

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  Participants have multiple, valid motivations for joining trials, including financial incentives, and these shouldn't be dismissed.

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  Being upfront about paid participation signals respect and builds trust among marginalized groups.

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  User researchers must be willing to expand their scope beyond simplistic mandates and advocate for systemic equity.

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  Boldness and sharing authentic participant stories empower researchers to confront client biases and people-pleasing tendencies.

Notable Quotes