Dataset Information

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

ABSTRACT:

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 pro-white 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 was made 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 pro-white bias after, compared with before, the intervention. Intervention materials were highly rated.

SUBMITTER: Tajeu GS

PROVIDER: S-EPMC9198170 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature

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Publications

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

Tajeu Gabriel S GS Juarez Lucia L Williams Jessica H JH Halanych Jewell J Stepanikova Irena I Agne April A AA Stone Jeff J Cherrington Andrea L AL

Journal of general internal medicine 20220309 8

<h4>Background</h4>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).<h4>Methods</h4>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 ...[more]

PMID: 35266123

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Dataset Information

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

Background

Methods

Results

Conclusions

Publications

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

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