Incorporating Cultural Competence and Cultural Humility in Cardiovascular Clinical Trials to Increase Diversity Among Participants
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Otherwise, diet disparities may continue to widen.
“Otherwise, diet disparities may continue to widen.130,131”
From Popular dietary patterns: alignment with American Heart Association 2021 dietary guidance: a scientific statement from the American Heart Association. (2023) · cites this paper as [130]
Health equity through dietary pattern research will require profound cultural humility from the majority of health researchers and professionals, including the redressing of perceived power imbalances, lifelong learning, and constant self-reflection, if progress is to be achieved.
“Health equity through dietary pattern research will require profound cultural humility from the majority of health researchers and professionals, including the redressing of perceived power imbalances, lifelong learning, and constant self-reflection, if progress is to be achieved.129,130”
From Popular dietary patterns: alignment with American Heart Association 2021 dietary guidance: a scientific statement from the American Heart Association. (2023) · cites this paper as [130]
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Cites
Tervalon, M., & Murray-García, J. (1998) · Journal of Health Care for the Poor and Underserved · doi:10.1353/hpu.2010.0233 · Cited by 3,646 · see citing works
Whitelaw, S., Sullivan, K., Eliya, Y., Alruwayeh, M., Thabane, L., Yancy, C. W., Mehran, R., Mamas, M. A., & Spall, H. G. C. V. (2020) · European Journal of Heart Failure · doi:10.1002/ejhf.2034 · Cited by 120 · see citing works
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Spall, H. G. C. V., Lala, A., Deering, T. F., Casadei, B., Zannad, F. M., Kaul, P., Mehran, R., Pearson, G. D., Shah, M., Gulati, M., et al. (2021) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2021.04.038 · Cited by 82 · see citing works
Self-citationWei, S., Le, N., Zhu, J. W., Breathett, K. K., Greene, S. J., Mamas, M. A., Zannad, F. M., & Spall, H. G. C. V. (2021) · Circulation Heart Failure · doi:10.1161/circheartfailure.121.008685 · Cited by 63 · see citing works
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Russell, C. A. (2016) · Philosophy Compass · doi:10.1111/phc3.12302 · Cited by 37 · see citing works
Zhu, J. W., Le, N., Wei, S., Zuhlke, L. J., Lópes, R. D., Zannad, F. M., & Spall, H. G. C. V. (2021) · European Heart Journal - Quality of Care and Clinical Outcomes · doi:10.1093/ehjqcco/qcab058 · Cited by 27 · see citing works
Self-citationEliya, Y., Whitelaw, S., Thabane, L., Voors, A. A., Douglas, P. S., & Spall, H. G. C. V. (2021) · Circulation Heart Failure · doi:10.1161/circheartfailure.120.008064 · Cited by 19 · see citing works
Questions Raised About Measles Vaccine Trial
Marwick, C. S. (1996) · JAMA · doi:10.1001/jama.1996.03540160010004 · Cited by 10 · see citing works
Questions raised about measles vaccine trial
Marwick, C. (1996) · JAMA · doi:10.1001/jama.276.16.1288 · Cited by 3 · see citing works
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Research works printed but not linked: 1
- Mega JL, Simon T, Collet J-P, et al. Reduced- function CYP2C19 genotype and risk of adverse clinical outcomes among patients treated with clopidogrel predominantly for PCI: a meta anal- ysis. J Am Coll Cardiol. 2010;304(16):1821-1830.
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Monserratt, L. H., Morales, J. A., Mohammed, A., Ovalle-Eliseo, S., Islas-Huerta, G., Perez, L. A., & Díaz‐Santos, M. (2025) · Alzheimer s & Dementia · doi:10.1002/alz.70918 · Cited by 2 · see citing works
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Pal, N., Makkad, B., & Kertai, M. D. (2025) · Journal of Cardiothoracic and Vascular Anesthesia · doi:10.1053/j.jvca.2025.03.004
Wilson, H. P., Kuaban, A., Kitchen, C., & Goldenberg, N. A. (2026) · Blood Advances · doi:10.1182/bloodadvances.2025017931
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- Authors
- Zhu, J. W., D'Angelo, F., Miranda, J. J., Yancy, C. W., Cupido, B., Zannad, F., & Van Spall, H. G. C.
- Affiliations
- McMaster University (CA)
- Universidad Peruana Cayetano Heredia (PE)
- Northwestern University (US)
- University of Cape Town (ZA)
- Inserm (FR)
- ORCID
- Venue
- Journal of the American College of Cardiology
- Publisher
- Elsevier BV
- Published
- 2022-07
- Volume
- 80
- Issue
- 1
- Pages
- 89-92
- ISSN
- 0735-1097 (ISSN-L)
- OpenAlex
- W4283774637
- Cited by
- 26
- References
- 10
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 7 · 2023: 4 · 2022: 1
- FWCI
- 4.64
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of the American College of Cardiology (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics in Clinical Research
- Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Race, Genetics, and Society
- Keywords
- cultural competence, cultural humility, cardiovascular clinical trials, structural racism, research ethics, participant recruitment
- MeSH terms
- Cardiovascular Diseases, Clinical Trials as Topic, Humans, Cultural Diversity, Cultural Competency
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