From study plans to capacity building: a journey towards health equity in cancer survivorship

Cancer Causes Control. 2023 Dec;34(Suppl 1):7-13. doi: 10.1007/s10552-023-01808-6. Epub 2023 Oct 18.

Abstract

This article highlights the importance of pausing and reflecting on one's motivation, capacity, and positionality when engaging in health equity research and encourages researchers to engage in critical self-reflection and contribute to the ongoing dialogue on the ethical conduct of health equity-focused cancer research. In response to the urgent need to address health disparities and improve health equity in cancer survivorship care, the Cancer Prevention and Control Research Network (CPCRN) Survivorship workgroup discussed developing a study focused on understanding how racism impacts patient engagement in cancer survivorship care. However, during the study's development, the workgroup recognized limitations in research team composition and infrastructure. The workgroup engaged in critical self-reflections, individually and collectively, leading to the halting of the research study. Consequently, they redirected their efforts towards strengthening the necessary infrastructure for conducting such research, including diverse investigator representation and equitable partnerships with cancer survivors. The description of this process, along with suggestions for reflection, may be helpful and informative to other researchers and research networks seeking to center marginalized voices and work in partnership to address healthcare and health equity.

Keywords: Community engagement; Health equity; Reflexivity; Survivorship.

MeSH terms

  • Cancer Survivors*
  • Capacity Building
  • Health Equity*
  • Humans
  • Neoplasms* / therapy
  • Patient Participation