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

  • 0 min

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Objective:

To evaluate the effect of race and financial incentives on engagement with EHR portal recruitment messages among patients with and survivors of cancer.

Approach:
    Key Findings:
    • Race impacted engagement with recruitment messages, with underrepresented groups showing lower engagement.
    • Financial incentives improved engagement rates, particularly among underrepresented groups.
    Interpretation:

    The study seeks to clarify the role of EHR-based recruitment and financial incentives in addressing underrepresentation in clinical trials without editorializing.

    Limitations:
    • The study only included patients with specific cancer diagnoses, limiting the applicability of the findings.
    • The generalizability of findings may be limited to the specific population served by the Siteman Cancer Center.
    Conclusion:

    The study provides insights into the effectiveness of EHR-based recruitment strategies and financial incentives in enhancing diversity in clinical trial participation.

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