4313 - FEASIBILITY AND ACCEPTABILITY OF INNOVATIVE IMPLICIT BIAS INTERVENTION FOR HEALTHCARE PROVIDERS

Session: 4308 - UNDERSTANDING AND ADDRESSING THE ROLE OF PROVIDER BIAS IN GLOBAL HEALTHCARE DISPARITIES
AUTHORS:
Hagiwara Nao (University of Virginia ~ Charlottesville, Virginia, ~ United States of America) , Brown-Iannuzzi Jasmin (University of Virginia ~ Charlottesville, Virginia, ~ United States of America) , Adams Gabriell (University of Virginia ~ Charlottesville, Virginia, ~ United States of America) , Cohn Wendy (University of Virginia ~ Charlottesville, Virginia, ~ United States of America) , Dalrymple Sarah (University of Virginia ~ Charlottesville, Virginia, ~ United States of America)
Abstract text:
Despite many US educational institutions' efforts to tackle provider implicit bias, our systematic review uncovered that current implicit bias trainings show limited effectiveness in improving patient outcomes. Findings from extensive research suggest that minoritized patients are likely responding to a constellation of nonverbal/paraverbal communication behaviors displayed by providers, stemming from implicit bias, rather than isolated key behaviors. Managing multiple communication behaviors in a coordinated manner is difficult, which poses scalability challenges. Patients' communication behaviors during clinical encounters are also affected by patient expectations about the medical interactions, which are often negative. To address these challenges, we developed a novel, theory-driven implicit bias intervention—a concise script providers use to start their clinical encounters with new patients. The goal of this mixed methods study using a community engagement approach was to assess the acceptability and feasibility of the script. We conducted four focus groups with 21 Black/African Americans and two expert panel reviews with 6 family medicine physicians to refine the script. In a subsequent survey (N = 304 Black/African Americans, 67.4% women, age M = 45.17), respondents reported trusting a provider who begins an appointment using the script significantly more (M = 4.00, SD = .65, range 1-5) than healthcare providers in general (M = 3.05, SD = .77), t(303) = 19.86, SE = .05, p < .001, d = .83. Respondents also reported strong intentions to adhere to the provider's recommendations (M = 4.15, SD = .69, range 1-5). A pilot study to test the implementation and preliminary efficacy of the script in improving patient-centered outcomes is currently underway. The implications of these findings for future healthcare provider training and policy changes will be discussed.