Existing research identifies substantial inefficiencies in the conduct of clinical trials, especially related to patient recruitment. However, it has failed to calculate the extent of the recruitment deficit or fully illustrate the barriers and motivators to study participation, especially across race/ethnicity. This study aims to identify key barriers and motivators for clinical trial participation, examine the influence of race/ethnicity on these factors, and develop a simulation model incorporating health information technology components in a decentralized approach to enhance clinical trial efficiency at a systemic level. It involves a mixed methods approach, including calculating the supply and demand of study participants, qualitative interviews, and a quantitative survey (n=798) among diverse prospective study participants. This new model, informed by the findings herein, existing research, and focus on patient engagement, results in improved clinical trial performance with consideration for efficiency and inclusivity.
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