Design and pilot test of an implicit bias mitigation curriculum for clinicians Article Swipe
YOU?
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· 2024
· Open Access
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· DOI: https://doi.org/10.3389/fmed.2024.1316475
Introduction Clinician implicit racial bias (IB) may lead to lower quality care and adverse health outcomes for Black patients. Educational efforts to train clinicians to mitigate IB vary widely and have insufficient evidence of impact. We developed and pilot-tested an evidence-based clinician IB curriculum, “REACHing Equity.” Methods To assess acceptability and feasibility, we conducted an uncontrolled one-arm pilot trial with post-intervention assessments. REACHing Equity is designed for clinicians to: (1) acquire knowledge about IB and its impact on healthcare, (2) increase awareness of one's own capacity for IB, and (3) develop skills to mitigate IB in the clinical encounter. We delivered REACHing Equity virtually in three facilitated, interactive sessions over 7–9 weeks. Participants were health care providers who completed baseline and end-of-study evaluation surveys. Results Of approximately 1,592 clinicians invited, 37 participated, of whom 29 self-identified as women and 24 as non-Hispanic White. Attendance averaged 90% per session; 78% attended all 3 sessions. Response rate for evaluation surveys was 67%. Most respondents agreed or strongly agreed that the curriculum objectives were met, and that REACHing Equity equipped them to mitigate the impact of implicit bias in clinical care. Participants consistently reported higher self-efficacy for mitigating IB after compared to before completing the curriculum. Conclusions Despite apparent barriers to clinician participation, we demonstrated feasibility and acceptability of the REACHing Equity intervention. Further research is needed to develop objective measures of uptake and clinician skill, test the impact of REACHing Equity on clinically relevant outcomes, and refine the curriculum for uptake and dissemination. ClinicalTrials.gov ID: NCT03415308.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/fmed.2024.1316475
- https://www.frontiersin.org/articles/10.3389/fmed.2024.1316475/pdf?isPublishedV2=False
- OA Status
- gold
- Cited By
- 3
- References
- 54
- Related Works
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- OpenAlex ID
- https://openalex.org/W4399524055
Raw OpenAlex JSON
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https://openalex.org/W4399524055Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3389/fmed.2024.1316475Digital Object Identifier
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Design and pilot test of an implicit bias mitigation curriculum for cliniciansWork title
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articleOpenAlex work type
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enPrimary language
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2024Year of publication
- Publication date
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2024-06-06Full publication date if available
- Authors
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Laura P. Svetkey, Gary G. Bennett, Benjamin Reese, Leonor Corsino, Sandro O. Pinheiro, Jonathan Fischer, Judy Seidenstein, Maren K. Olsen, Tyson H. Brown, Natalie Ezem, Evan Liu, Alesha Majors, Karen E. Steinhauser, Brandy H. Sullivan, Michelle van Ryn, Sarah M. Wilson, Hongqiu Yang, Kimberly S. JohnsonList of authors in order
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https://doi.org/10.3389/fmed.2024.1316475Publisher landing page
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https://www.frontiersin.org/articles/10.3389/fmed.2024.1316475/pdf?isPublishedV2=FalseDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://www.frontiersin.org/articles/10.3389/fmed.2024.1316475/pdf?isPublishedV2=FalseDirect OA link when available
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Test (biology), Curriculum, Psychology, Medical education, Computer science, Applied psychology, Medical physics, Reliability engineering, Medicine, Engineering, Pedagogy, Geology, PaleontologyTop concepts (fields/topics) attached by OpenAlex
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3Total citation count in OpenAlex
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2025: 3Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.about | 72 |
| abstract_inverted_index.after | 196 |
| abstract_inverted_index.care. | 187 |
| abstract_inverted_index.lower | 9 |
| abstract_inverted_index.one's | 83 |
| abstract_inverted_index.pilot | 57 |
| abstract_inverted_index.three | 105 |
| abstract_inverted_index.train | 22 |
| abstract_inverted_index.trial | 58 |
| abstract_inverted_index.women | 137 |
| abstract_inverted_index.Equity | 63, 102, 175, 218, 238 |
| abstract_inverted_index.White. | 142 |
| abstract_inverted_index.agreed | 162, 165 |
| abstract_inverted_index.assess | 48 |
| abstract_inverted_index.before | 199 |
| abstract_inverted_index.health | 14, 114 |
| abstract_inverted_index.higher | 191 |
| abstract_inverted_index.impact | 76, 181, 235 |
| abstract_inverted_index.needed | 223 |
| abstract_inverted_index.racial | 3 |
| abstract_inverted_index.refine | 244 |
| abstract_inverted_index.skill, | 232 |
| abstract_inverted_index.skills | 91 |
| abstract_inverted_index.uptake | 229, 248 |
| abstract_inverted_index.weeks. | 111 |
| abstract_inverted_index.widely | 28 |
| abstract_inverted_index.Despite | 204 |
| abstract_inverted_index.Further | 220 |
| abstract_inverted_index.Methods | 46 |
| abstract_inverted_index.Results | 124 |
| abstract_inverted_index.acquire | 70 |
| abstract_inverted_index.adverse | 13 |
| abstract_inverted_index.develop | 90, 225 |
| abstract_inverted_index.efforts | 20 |
| abstract_inverted_index.impact. | 34 |
| abstract_inverted_index.one-arm | 56 |
| abstract_inverted_index.quality | 10 |
| abstract_inverted_index.surveys | 157 |
| abstract_inverted_index.REACHing | 62, 101, 174, 217, 237 |
| abstract_inverted_index.Response | 153 |
| abstract_inverted_index.apparent | 205 |
| abstract_inverted_index.attended | 149 |
| abstract_inverted_index.averaged | 144 |
| abstract_inverted_index.barriers | 206 |
| abstract_inverted_index.baseline | 119 |
| abstract_inverted_index.capacity | 85 |
| abstract_inverted_index.clinical | 97, 186 |
| abstract_inverted_index.compared | 197 |
| abstract_inverted_index.designed | 65 |
| abstract_inverted_index.equipped | 176 |
| abstract_inverted_index.evidence | 32 |
| abstract_inverted_index.implicit | 2, 183 |
| abstract_inverted_index.increase | 80 |
| abstract_inverted_index.invited, | 129 |
| abstract_inverted_index.measures | 227 |
| abstract_inverted_index.mitigate | 25, 93, 179 |
| abstract_inverted_index.outcomes | 15 |
| abstract_inverted_index.relevant | 241 |
| abstract_inverted_index.reported | 190 |
| abstract_inverted_index.research | 221 |
| abstract_inverted_index.session; | 147 |
| abstract_inverted_index.sessions | 108 |
| abstract_inverted_index.strongly | 164 |
| abstract_inverted_index.surveys. | 123 |
| abstract_inverted_index.Clinician | 1 |
| abstract_inverted_index.awareness | 81 |
| abstract_inverted_index.clinician | 41, 208, 231 |
| abstract_inverted_index.completed | 118 |
| abstract_inverted_index.conducted | 53 |
| abstract_inverted_index.delivered | 100 |
| abstract_inverted_index.developed | 36 |
| abstract_inverted_index.knowledge | 71 |
| abstract_inverted_index.objective | 226 |
| abstract_inverted_index.outcomes, | 242 |
| abstract_inverted_index.patients. | 18 |
| abstract_inverted_index.providers | 116 |
| abstract_inverted_index.sessions. | 152 |
| abstract_inverted_index.virtually | 103 |
| abstract_inverted_index.Attendance | 143 |
| abstract_inverted_index.Equity.” | 45 |
| abstract_inverted_index.clinically | 240 |
| abstract_inverted_index.clinicians | 23, 67, 128 |
| abstract_inverted_index.completing | 200 |
| abstract_inverted_index.curriculum | 168, 246 |
| abstract_inverted_index.encounter. | 98 |
| abstract_inverted_index.evaluation | 122, 156 |
| abstract_inverted_index.mitigating | 194 |
| abstract_inverted_index.objectives | 169 |
| abstract_inverted_index.Conclusions | 203 |
| abstract_inverted_index.Educational | 19 |
| abstract_inverted_index.curriculum, | 43 |
| abstract_inverted_index.curriculum. | 202 |
| abstract_inverted_index.feasibility | 212 |
| abstract_inverted_index.healthcare, | 78 |
| abstract_inverted_index.interactive | 107 |
| abstract_inverted_index.respondents | 161 |
| abstract_inverted_index.“REACHing | 44 |
| abstract_inverted_index.Introduction | 0 |
| abstract_inverted_index.NCT03415308. | 253 |
| abstract_inverted_index.Participants | 112, 188 |
| abstract_inverted_index.assessments. | 61 |
| abstract_inverted_index.consistently | 189 |
| abstract_inverted_index.demonstrated | 211 |
| abstract_inverted_index.end-of-study | 121 |
| abstract_inverted_index.facilitated, | 106 |
| abstract_inverted_index.feasibility, | 51 |
| abstract_inverted_index.insufficient | 31 |
| abstract_inverted_index.non-Hispanic | 141 |
| abstract_inverted_index.pilot-tested | 38 |
| abstract_inverted_index.uncontrolled | 55 |
| abstract_inverted_index.acceptability | 49, 214 |
| abstract_inverted_index.approximately | 126 |
| abstract_inverted_index.intervention. | 219 |
| abstract_inverted_index.participated, | 131 |
| abstract_inverted_index.self-efficacy | 192 |
| abstract_inverted_index.dissemination. | 250 |
| abstract_inverted_index.evidence-based | 40 |
| abstract_inverted_index.participation, | 209 |
| abstract_inverted_index.self-identified | 135 |
| abstract_inverted_index.post-intervention | 60 |
| abstract_inverted_index.ClinicalTrials.gov | 251 |
| cited_by_percentile_year.max | 97 |
| cited_by_percentile_year.min | 96 |
| corresponding_author_ids | https://openalex.org/A5003039743 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 18 |
| corresponding_institution_ids | https://openalex.org/I170897317 |
| citation_normalized_percentile.value | 0.8686966 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |