N/A
N=114
REACH Implicit Bias Training Project
Communication · Bias, Racial · Relation, Doctor Patient
Bottom Line
View on ClinicalTrials.gov: NCT03415308 ↗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
| Outcome | Result | p-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
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.