Development of a Multicomponent Intervention to Decrease Racial
Bias Among Healthcare Staff

J 2022

Development of a Multicomponent Intervention to Decrease Racial Bias Among Healthcare Staff

TAJEU, Gabriel S., Lucia JUAREZ, Jessica H. WILLIAMS, Jewell HALANYCH, Irena ŠTĚPANÍKOVÁ et. al.

Basic information

Original name

Development of a Multicomponent Intervention to Decrease Racial Bias Among Healthcare Staff

Authors

TAJEU, Gabriel S., Lucia JUAREZ, Jessica H. WILLIAMS, Jewell HALANYCH, Irena ŠTĚPANÍKOVÁ (203 Czech Republic, guarantor, belonging to the institution), April A. AGNE, Jeff STONE and Andrea L. CHERRINGTON

Edition

JOURNAL OF GENERAL INTERNAL MEDICINE, UNITED STATES, SPRINGER, 2022, 0884-8734

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30218 General and internal medicine

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 5.700

RIV identification code

RIV/00216224:14310/22:00126425

Organization unit

Faculty of Science

DOI

http://dx.doi.org/10.1007/s11606-022-07464-x

UT WoS

000766424800001

Keywords in English

CULTURAL COMPETENCE; TREATMENT RECOMMENDATIONS; AFRICAN-AMERICAN; RISK-FACTORS; RACE; PHYSICIANS

Abstract

V originále

BACKGROUND: Real or perceived discrimination contributes to lower quality of care for Black compared to white patients. Some forms of discrimination come from non-physician and non-nursing (non-MD/RN) staff members (e.g., receptionists). METHODS: Utilizing the Burgess Model as a framework for racial bias intervention development, we developed an online intervention with five, 30-min modules: (1) history and effects of discrimination and racial disparities in healthcare, (2) implicit bias and how it may influence interactions with patients, (3) strategies to handle stress at work, (4) strategies to improve communication and interactions with patients, and (5) personal biases. Modules were designed to increase understanding of bias, enhance internal motivation to overcome bias, enhance emotional regulation skills, and increase empathy in patient interactions. Participants were non-MD/RN staff in nine primary care clinics. Effectiveness of the intervention was assessed using Implicit Association Test and Symbolic Racism Scale, to measure implicit and explicit racial bias, respectively, before and after the intervention. Acceptability was assessed through quantitative and qualitative feedback. RESULTS: Fifty-eight non-MD/RN staff enrolled. Out of these, 24 completed pre- and post-intervention assessments and were included. Among participants who reported characteristics, most were Black, with less than college education and average age of 43.2 years. The baseline implicit bias d-score was 0.22, indicating slight prowhite bias. After the intervention, the implicit bias score decreased to -0.06 (p=0.01), a neutral score indicating no pro-white or Black bias. Participant rating of the intervention, scored from 1 (strongly disagree) to 5 (strongly agree), for questions including whether "it wasmade clear how to apply the presented content in practice" and "this module was worth the time spent" was >= 4.1 for all modules. CONCLUSIONS: There was a decrease in implicit prowhite bias after, compared with before, the intervention. Intervention materials were highly rated.

Citovat

TAJEU, Gabriel S., Lucia JUAREZ, Jessica H. WILLIAMS, Jewell HALANYCH, Irena ŠTĚPANÍKOVÁ, April A. AGNE, Jeff STONE and Andrea L. CHERRINGTON. Development of a Multicomponent Intervention to Decrease Racial Bias Among Healthcare Staff. JOURNAL OF GENERAL INTERNAL MEDICINE. UNITED STATES: SPRINGER, 2022, vol. 37, No 8, p. 1970-1979. ISSN 0884-8734. Available from: https://dx.doi.org/10.1007/s11606-022-07464-x.

@article{2211081,
   author = {Tajeu, Gabriel S. and Juarez, Lucia and Williams, Jessica H. and Halanych, Jewell and Štěpaníková, Irena and Agne, April A. and Stone, Jeff and Cherrington, Andrea L.},
   article_location = {UNITED STATES},
   article_number = {8},
   doi = {http://dx.doi.org/10.1007/s11606-022-07464-x},
   keywords = {CULTURAL COMPETENCE; TREATMENT RECOMMENDATIONS; AFRICAN-AMERICAN; RISK-FACTORS; RACE; PHYSICIANS},
   language = {eng},
   issn = {0884-8734},
   journal = {JOURNAL OF GENERAL INTERNAL MEDICINE},
   title = {Development of a Multicomponent Intervention to Decrease Racial Bias Among Healthcare Staff},
   url = {https://link.springer.com/article/10.1007/s11606-022-07464-x},
   volume = {37},
   year = {2022}
}

TY  - JOUR
ID  - 2211081
AU  - Tajeu, Gabriel S. - Juarez, Lucia - Williams, Jessica H. - Halanych, Jewell - Štěpaníková, Irena - Agne, April A. - Stone, Jeff - Cherrington, Andrea L.
PY  - 2022
TI  - Development of a Multicomponent Intervention to Decrease Racial Bias Among Healthcare Staff
JF  - JOURNAL OF GENERAL INTERNAL MEDICINE
VL  - 37
IS  - 8
SP  - 1970-1979
EP  - 1970-1979
PB  - SPRINGER
SN  - 08848734
KW  - CULTURAL COMPETENCE
KW  - TREATMENT RECOMMENDATIONS
KW  - AFRICAN-AMERICAN
KW  - RISK-FACTORS
KW  - RACE
KW  - PHYSICIANS
UR  - https://link.springer.com/article/10.1007/s11606-022-07464-x
N2  - BACKGROUND: Real or perceived discrimination contributes to lower quality of care for Black compared to white patients. Some forms of discrimination come from non-physician and non-nursing (non-MD/RN) staff members (e.g., receptionists). METHODS: Utilizing the Burgess Model as a framework for racial bias intervention development, we developed an online intervention with five, 30-min modules: (1) history and effects of discrimination and racial disparities in healthcare, (2) implicit bias and how it may influence interactions with patients, (3) strategies to handle stress at work, (4) strategies to improve communication and interactions with patients, and (5) personal biases. Modules were designed to increase understanding of bias, enhance internal motivation to overcome bias, enhance emotional regulation skills, and increase empathy in patient interactions. Participants were non-MD/RN staff in nine primary care clinics. Effectiveness of the intervention was assessed using Implicit Association Test and Symbolic Racism Scale, to measure implicit and explicit racial bias, respectively, before and after the intervention. Acceptability was assessed through quantitative and qualitative feedback. RESULTS: Fifty-eight non-MD/RN staff enrolled. Out of these, 24 completed pre- and post-intervention assessments and were included. Among participants who reported characteristics, most were Black, with less than college education and average age of 43.2 years. The baseline implicit bias d-score was 0.22, indicating slight prowhite bias. After the intervention, the implicit bias score decreased to -0.06 (p=0.01), a neutral score indicating no pro-white or Black bias. Participant rating of the intervention, scored from 1 (strongly disagree) to 5 (strongly agree), for questions including whether "it wasmade clear how to apply the presented content in practice" and "this module was worth the time spent" was >= 4.1 for all modules. CONCLUSIONS: There was a decrease in implicit prowhite bias after, compared with before, the intervention. Intervention materials were highly rated.
ER  -

TAJEU, Gabriel S., Lucia JUAREZ, Jessica H. WILLIAMS, Jewell HALANYCH, Irena ŠTĚPANÍKOVÁ, April A. AGNE, Jeff STONE and Andrea L. CHERRINGTON. Development of a Multicomponent Intervention to Decrease Racial Bias Among Healthcare Staff. \textit{JOURNAL OF GENERAL INTERNAL MEDICINE}. UNITED STATES: SPRINGER, 2022, vol.~37, No~8, p.~1970-1979. ISSN~0884-8734. Available from: https://dx.doi.org/10.1007/s11606-022-07464-x.

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