Impact of Financial Incentives on Electronic Health Record–Driven Recruitment of Underrepresented Communities in Research: Randomized Controlled Trial - Scorecard - MDSpire

Impact of Financial Incentives on Electronic Health Record–Driven Recruitment of Underrepresented Communities in Research: Randomized Controlled Trial

  • By

  • Christina Ping

  • Andrew A Davis

  • Waishun Gema

  • Foluso Ademuyiwa

  • Mark Fiala

  • June 22, 2026

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Clinical Scorecard: Effects of Financial Incentives on Recruitment of Underrepresented Populations in Research via Electronic Health Records: A Randomized Controlled Study

At a Glance

CategoryDetail
ConditionRecruitment Strategies in Clinical Research
Key MechanismsUse of Electronic Health Records (EHR) for patient recruitment and financial incentives to enhance engagement.
Target PopulationAdults (≥18 years) with breast, colorectal, lung, or prostate cancer.
Care SettingSiteman Cancer Center, a National Cancer Institute–designated Comprehensive Cancer Center.

Key Highlights

  • EHR-based recruitment strategies may improve engagement but could also exacerbate disparities.
  • Financial incentives have been shown to improve research engagement by a median of 12%.
  • The study oversampled historically underrepresented racial or ethnic groups to evaluate engagement differences.

Guideline-Based Recommendations

Diagnosis

  • Eligible participants must have a diagnosis of breast, colorectal, lung, or prostate cancer.

Management

  • Utilize EHR portals for recruitment to enhance participation in clinical trials.

Monitoring & Follow-up

  • Assess engagement rates based on race and financial incentive impact.

Risks

  • Potential exacerbation of existing disparities in clinical trial participation.

Patient & Prescribing Data

Patients with active EHR portal accounts and recent clinic visits.

Incentives may improve response rates among historically underrepresented groups.

Clinical Best Practices

  • Implement EHR-based recruitment strategies to enhance scalability.
  • Consider financial incentives to improve engagement in clinical research.

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