Browsing by Author "Vogel, Katherine"

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    Examining recollections of Black women with breast cancer who participated in clinical trials: A grounded practical theory study of patient-provider communication
    (Elsevier, 2024-11-25) Ridley-Merriweather, Katherine E.; Okoruwa, Oseme Precious; Vogel, Katherine; Medicine, School of Medicine
    The presence of strong barriers to research participation for Black women is indisputable. However, existing evidence supports the possibility of equal levels of participation among members of minoritized populations in past breast cancer (BC) clinical trials (CTs), demonstrating that while these participation barriers undoubtedly exist but are not insurmountable. This work aims to investigate patient-provider conversations to try to illuminate how providers can better engage Black women in communication that will positively influence their perceptions of breast cancer clinical trial participation. Fourteen women (N = 14) who self-identified as Black, Black American, or African American and who had previously or were currently involved in a BC CT participated in the grounded theory-guided study. These women were recruited through emails and social media platforms and interviewed regarding their communication with their medical providers and their pathway to CT participation. Findings revealed three primary categories: 1) participants reported the following provider types as most effective communicators: attentive, matter-of-fact, warm, or above-and beyond; 2) participants frequently received no information about CTs from their providers; and 3) cultural constructs including faith, word of mouth, and storytelling are important to the recruitment of these Black women to BC CTs. Our findings demonstrate the importance of healthcare providers adjusting their communication to meet one of the preferred provider archetypes of communication styles, understanding and incorporating cultural constructs in their communication, and providing information about BC CTs to Black women. Through improved patient-provider communication, healthcare providers may positively influence Black women's perceptions of and participation in BC CTs.
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    Fetal Injury from Maternal Penetrating Abdominal Trauma in Pregnancy
    (2023-03-24) Barron, Emily; Jeffries, Alison; Pelton, Sarah; Vogel, Katherine; Byrne, Bobbi
    Relevant Background Information: Pregnant women are particularly vulnerable to abuse, and trauma during pregnancy is the leading cause of non-obstetric maternal mortality. Penetrating abdominal trauma, which is less common than blunt trauma, is associated with higher rates of fetal injury and mortality. Case Description: We report a rare case of penetrating abdominal trauma that resulted in fetal injury following child-to-parent violence. A male infant was born at 36+4 weeks gestation via emergent cesarean section following multiple maternal abdominal stab wounds, one of which penetrated the uterus. Upon arrival at the emergency department, fetal heart tracing displayed decelerations. The infant was delivered with Apgar scores of 7 and 8 at 1 and 5 minutes, respectively. Exam revealed a 1.5 cm laceration over his left buttock, 2 cm from the anus, penetrating 1-2 cm into his subcutaneous tissue. He was transferred to a nearby children’s hospital for surgical evaluation where his wound was inspected, irrigated with normal saline, and reapproximated with sutures. Barium enema study demonstrated no evidence of rectal perforation, and brain MRI was normal without evidence of head trauma. He was discharged at 4 days old and has remained well; no significant issues were noted by his pediatrician at 19 months of age. Conclusions: This case demonstrates the importance of immediate cesarean delivery in a penetrating injury to a gravid woman experiencing fetal distress. Following delivery, a thorough evaluation of the infant is imperative to identify and treat any non-obvious traumatic injuries. Clinical Significance: In addition to harming the mother, physical injury can potentially jeopardize the pregnancy and fetus’ health and may lead to separation during a critical period for mother-baby bonding. Healthcare providers should work to identify women during the antenatal period who are at risk of interpersonal violence and facilitate access to resources and interventions.
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    Gender-Affirming OB/GYN Care: A Case Study of IUD Placement in a Non-Binary Individual​
    (2024-03-27) Vogel, Katherine; McGuire, Evelyn; Karki, Savin; Salter, Lucy; Henderson, Ric
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    Latinas’ Perspectives on Donating Healthy Breast Tissue: Implications for Recruitment Methods and Messaging
    (2024-04-26) Vogel, Katherine; Ridley-Merriweather, Katherine
    BACKGROUND AND OBJECTIVES: Breast Cancer is the most common cause of cancer death for Latinas in the United States; however, researchers do not use recruitment messaging focused on increasing Latina participation, a lapse clearly demonstrated by Latinos’ accounting for only 1.3% of cancer- related clinical trial participants. The purpose of this study is to improve the understanding of Latinas’ decisions to participate in a preventative breast cancer clinical trial and to propose future recruitment methods based upon their responses. METHODS: Twenty women (N= 20) who self-identified as Latina or Hispanic, were interviewed to learn more about their reasoning and motivations in deciding to donate their healthy breast tissue for medical research. Each transcribed interview was coded using thematic analysis through the framework of constructivist grounded theory. RESULTS: Findings revealed three primary themes: (1) participants viewed bilingual recruitment materials and personnel on the research team as important motivators to participate, (2) participants viewed the knowledge of their under-representation in medical research AND the knowledge that their participation will help future Latinos as reasons to participate, and (3) negative feedback from family or friends regarding their research participation did not cause them to reconsider their decision to donate. CONCLUSIONS: Understanding the motivations of Latinas who have participated in cancer clinical trials can allow researchers to create targeted recruitment messaging to increase the number of Latina participants. Increasing cancer clinical trial participation of Latinas may decrease health disparities for Latinas in the United States.