Figure 1.

Patients interact with their families and carry a set of health beliefs that are informed by culture, background, and prior experiences in medicine (A). Providers work within a health care system that may have limited capacity to support clinical research, and even less capacity to support enrollment of diverse patients onto trials (B). Both patients and providers exist as part of a larger community and society and the norms, beliefs, and attitudes that exist through multiple levels collectively influence how patients and providers communicate about cancer therapy and clinical trials (C). Adapted with permission from Paskett et al. ²⁹