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addressing obstacles logistical complexities social stigma impact historical traumas essential successful inclusion underrepresented groups health research article reviews engagement interview techniques used ethically engage recently settled afghan refugees oklahoma rural mexicanborn women illinois research paper concludes reflective discussion challenges lessons learned creative strategies engage hardtoreach populations research included considering participants socioeconomic cultural contexts interactions developing community partnerships establish trust obtain reliable data engagement strategies communicating participants preferred language providing assistance reading responding study questions low literacy employing research staff population interest recruiting specific locations populations interest live community engagement essential stages research building trust hardtoreach populations achieving inclusivity health research ensuring interventions culturally sensitive effective