Table 3.

Unifying Themes and representative codes

Theme		Representative Codes
1.	Racial and ethnic minorities are influenced by varying degrees of skepticism related to trial participation	Distrust Discomfort with inherent uncertainty of trial participation Negative connotation of clinical trials Low education level Language discordance
2.	Potential minority participants often face multi-level barriers that preclude them from being offered an opportunity to participate in a clinical trial.	Unmet transportation needs Inadequate Insurance coverage Low education level Language Discordance Competing obligations limit time for trial participation
3.	Facilitators at both the institutional- and participant-level potentially encourage minority recruitment	Establishment of rapport (Participant-level facilitators) Tailoring approach to meet specific participant needs Assistance with typical barriers at institutional level
4.	Variation between internal and external trial referral procedures may limit clinical trial opportunities for racial and ethnic minorities.	Establish-maintain rapport (External referrals) Feedback important Internal referrals Increasing awareness of opportunities for participation