为临床医生设计和试点测试一个隐性偏见缓解课程
Laura P Svetkey1, Gary G Bennett2, Benjamin Reese3
1Department of Medicine, Duke University Medical School, Durham, NC, United States.
Frontiers in medicine
|June 21, 2024
概括
"REACH"公平课程试点项目证明了培训临床医生减轻隐性种族偏见 (IB) 的可行性和可接受性. 需要进一步的研究来评估其对临床结果的影响.
科学领域:
- 医疗保健教育 医疗保健教育
- 健康差距 研究 研究 研究 研究
- 医学培训 医学培训 医学培训
背景情况:
- 在临床医生中隐含的种族偏见 (IB) 可以对黑人患者的护理质量和健康结果产生负面影响.
- 现有的教育干预措施来缓解临床IB缺乏有效性的强有力的证据.
- REACH公平课程是为了解决基于证据的培训方面的差距而开发的.
研究的目的:
- 评估基于证据的临床医师IB课程的可接受性和可行性,REACHing Equity.
- 在参与REACH公平计划后,评估临床医生在缓解IB方面的自我有效性.
主要方法:
- 与医疗保健提供者进行了一项不受控制的单臂试点试验.
- REACH公平课程在三个互动会议中几乎在7-9周内交付.
- 参与者完成了介入前和介入后的评估调查,评估有关IB的知识,意识,技能和自我有效性.
主要成果:
- 37名临床医生参与,出席率很高 (每次会议平均为90%).
- 大多数参与者都认为课程实现了目标,并帮助他们减轻IB.
- 自我报告的缓解IB的自我有效性在课程后显著增加.
结论:
- 在REACH的公平干预是可行的和可接受的临床医生培训,以减轻隐含的种族偏见.
- 进一步的研究应侧重于客观的结果措施和更广泛的传播.
- 建议改进课程并测试其对临床结果的影响.
更多相关视频
06:42Continuous Theta Burst Stimulation of the Posterior Medial Frontal Cortex to Experimentally Reduce Ideological Threat Responses
Published on: September 28, 2018
11.6K
06:58Highlighting and Reducing the Impact of Negative Aging Stereotypes During Older Adults' Cognitive Testing
Published on: January 24, 2020
7.3K
相关概念视频
02:55Stereotypes, Prejudice, and Discrimination
90.1K
Humans are very diverse and although we share many similarities, we also have many differences. The social groups we belong to help form our identities (Tajfel, 1974). These differences may be difficult for some people to reconcile, which may lead to prejudice toward people who are different. Prejudice is a negative attitude and feeling toward an individual based solely on one’s membership in a particular social group (Allport, 1954; Brown, 2010). Prejudice is common against people who...
90.1K
02:16Stereotype Content Model
14.7K
The Stereotype Content Model (SCM) was first proposed by Susan Fiske and her colleagues (Fiske, Cuddy, Glick & Xu, 2002; see also Fiske, 2012 and Fiske, 2017). The SCM specifies that when someone encounters a new group, they will stereotype them based on two metrics: warmth—or that group’s perceived intent, and how likely they are to provide help or inflict harm—and competence—or their ability to carry out that objective. Depending on the warmth-competence...
14.7K
01:11Blinding
2.4K
Blinding is a commonly used method of not telling participants which treatment a subject is receiving. Blinding is a critical part of a randomized control trial or RCT. It reduces the bias that affects the results. In an RCT, blinding is used in the form of a placebo. A placebo effect occurs when untreated subjects falsely believe they have received the treatment and report improved symptoms. A placebo or a dummy treatment is administered to subjects to negate the bias caused by such an effect.
2.4K
01:22Bias
4.2K
Bias refers to any tendency that prevents a question from being considered unprejudiced. In research, bias occurs when one outcome or answer is selected or encouraged over others in sampling or testing. Bias can occur during any research phase, including study design, data collection, analysis, and publication.
In statistics, a sampling bias is created when a sample is collected from a population, and some members of the population are not as likely to be chosen as others (remember, each member...
In statistics, a sampling bias is created when a sample is collected from a population, and some members of the population are not as likely to be chosen as others (remember, each member...
4.2K
01:31Confirmation Biases
5.5K
The confirmation bias is the tendency to focus on information that confirms our existing beliefs and ignore information that is inconsistent with our expectations. For example, if you think that your professor is not very nice, you notice all of the instances of rude behavior exhibited by the professor while ignoring the countless pleasant interactions he is involved in on a daily basis. Have you ever fallen prey to the confirmation bias, either as the source or target of such bias?
5.5K
02:07Blind Procedures
10.6K
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
10.6K