| The lack of participation among African Americans in cancer clinical research perpetuates a number of cancer-related disparities. In addition to being a medical predicament, this also poses a social justice dilemma. This descriptive qualitative case study delineated the process and outcomes of 14 women associated with a nonprofit, grassroots, breast health advocacy group, African American Women in Touch (WIT), who participated in a culturally relevant, action-oriented assessment of the group's preparedness and motivation to act in response to the underrepresentation of African Americans in cancer clinical research phenomenon. The case study illustrates a comprehensive integration of constructs and conceptualizations representing theories and perspectives including critical theory, action research, participatory, advocacy, and empowerment perspectives, and community-based processes. Qualitative data were collected through participatory techniques including small- and large-group discussions and production of group responses. Data were then analyzed using the grounded inductive approach for content and theme analysis. According to the data, study participants deemed WIT prepared and motivated to act by incorporating accurate and appropriate cancer clinical trial information into its existing culturally relevant, community-based outreach activities. The broadest implication for social change is that community action and advocacy hold unlimited potential for contributing to positive health outcomes and improved health status for traditionally oppressed, marginalized, and medically underserved population groups. |
