N/A
N=201
Breaking Implicit Bias Habits: An Individuation Pilot Study In Rheumatology
Systemic Lupus Erythematosus · Rheumatoid Arthritis · Inflammatory Arthritis · Osteoarthritis
Bottom Line
View on ClinicalTrials.gov: NCT05116163 ↗Enrolled (actual)
201
Serious AEs
0.0%
Results posted
Nov 2025
Primary outcome: Primary: Percent of Quality Metrics Achieved — 62.14; 54.31 Percent of Quality Metrics Achieved — p=<0.001
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Individuation Intervention plus implicit bias educational modules (Behavioral); Implicit bias educational modules (Other)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Brigham and Women's Hospital
- Primary completion
- Sep 2024
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percent of Quality Metrics Achieved |
62.14; 54.31 | <0.001 sig |
| SECONDARY Perception of Patient Centeredness |
27.5; 23.4 | 0.1164 |
| SECONDARY Patient Satisfaction |
50.4; 51.5 | 0.6781 |
| SECONDARY Everyday Discrimination Scale |
0.96; 1.16 | 0.4795 |
| SECONDARY Adherence |
54.96; 55.99 | 0.056 |
| SECONDARY Provider Communication: Positive Emotion Words |
0.99; 0.66 | 0.017 sig |
| SECONDARY Patient Trust |
16.4; 17.6 | 0.3957 |
| SECONDARY Incidence Rate Ratio of Emergency Departments Visits |
0.398; 0.390 | — |
| SECONDARY Incidence Rate Ratio of Outpatient Visits. |
7.34; 6.05 | — |
| SECONDARY Incidence Rate Ratio of Hospitalizations |
0.316; 0.779 | — |
| SECONDARY Implicit Association Test (IAT) Scores- Socioeconomic Status Stereotyping |
0.50; 0.15 | 0.3882 |
| SECONDARY Implicit Association Test (IAT) Scores- Race Implicit Bias |
-0.27; 0.12 | 0.3615 |
| SECONDARY Implicit Association Test (IAT) Scores- Race Stereotyping. |
-0.25; -0.39 | 0.9432 |
| SECONDARY Implicit Association Test (IAT) Scores- Socioeconomic Status Bias |
0.48; 0.60 | 0.1453 |
Summary
The first aim of this study is to test the efficacy of a real-time provider-based individuation intervention to improve the receipt of high-quality rheumatic disease care among Black/African American and lower socioeconomic status (SES) individuals. The second aim is to determine the effect of the individuation intervention on provider-patient communication, adherence, provider trust and care satisfaction.
Eligibility Criteria
Inclusion Criteria
- Providers: Providers will be male or female adult rheumatologists with >=1 clinical sessions/week at BWH/FH or MGH main campus and satellite clinic sites. The providers will aim to include a range of provider ages and years in practice.
- Patients: The study team will include male and female patients of the participating providers who are able to provide consent, English-speaking, >=18 years old, Black or African American or insured by Medicaid/Mass Health (as a proxy for low socioeconomic status), have a diagnosis of SLE, osteoarthritis, or inflammatory arthritis which includes RA (or referred to rheumatology because of high suspicion for these conditions), and have been seen <2 times in the past year by the provider.
Exclusion Criteria
- Providers: Drs. Feldman and Schoenfeld (and their respective patients) will be excluded from this study.
- Patients: The providers will exclude patients who incarcerated or unable to consent. The providers will exclude any patient from our searches who has opted out of research.
Data sourced from ClinicalTrials.gov (NCT05116163). 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.