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N/A N=114

REACH Implicit Bias Training Project

Communication · Bias, Racial · Relation, Doctor Patient

Enrolled (actual)
114
Serious AEs
0.0%
Results posted
Mar 2024
Primary outcome: Primary: Feasibility of Training Measured by Participation

Study Design & Population

Study type
Observational
Phase
N/A
Interventions
Focus Groups (Other); Cognitive Interviews (Other); Pilot Testing of Implicit Bias Training (Other)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Duke University
Primary completion
Jun 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Feasibility of Training Measured by Participation
PRIMARY
Acceptability
29
SECONDARY
Variability in Any Trial Outcomes by Provider-related Characteristics
SECONDARY
Change in IAT Outcomes From Baseline to Immediately Post-intervention

Summary

The overall goal and theme of the Duke Center for Research to Advance Equity in Healthcare is to reduce racial and ethnic disparities in health through interventions that affect the clinical encounter. To achieve this goal, there is an urgent need for interventions that address implicit bias in healthcare. Implicit bias training is widely used to raise self-awareness and provide self-management tools. The overall objective is to test the hypothesis that implicit bias training for healthcare providers will reduce racial and ethnic disparities in patient- centered care. The proposed project will lay the groundwork for testing that hypothesis by using patient focus groups to garner a deeper understanding of perceptions of implicit bias in the clinical encounter; provider and health system stakeholder semi-structured interviews to inform refinement of the existing implicit bias training at Duke; and perform a pilot study of implicit bias training for providers. At the conclusion of this study, the investigators will have the necessary preliminary data to propose a definitive trial to determine the impact of an implicit bias training intervention for providers on racial and ethnic disparities in patient-centered care. This research will ultimately lead to the delivery of equitable, evidence-based, patient-centered care for all.

Eligibility Criteria

Inclusion Criteria

Aim 1:

  • Had at least 2 non-urgent ambulatory care visits any Healthcare facility in the past year (via self-report)
  • Proficient in English

Aim 2:

  • Providers from Durham-based ambulatory clinics in the Duke Health System or Stakeholder

Aim 3:

  • Providers from the Duke Health System providing care to a continuity patient panel.

Exclusion Criteria

Aim 1:

  • Less than 2 non-urgent visits
  • Patient not identifying as black, white or Hispanic
  • Non-English speaking

Aim 2:

  • Not a Duke provider or stakeholder

Aim 3:

  • Not a Duke Health system provider/affiliated provider
  • Does not provide clinical care at a Duke affiliated facility
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03415308). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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