Project Inclusive Genetics: Exploring the impact of patient-centered counseling training on physical disability bias in the prenatal setting.
Project Inclusive Genetics: Exploring the impact of patient-centered counseling training on physical disability bias in the prenatal setting.
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DOI：
10.1371/journal.pone.0255722
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Dasgupta S
中科院分区：
文献类型：
--
作者：
Vaimberg E;Demers L;Ford E;Sabatello M;Stevens B;Dasgupta S
有强有力的研究探讨了种族和社会经济隐性偏见对医疗保健提供者临床决策的负面影响。然而，其他研究不足的重要偏倚也可能影响临床护理。本研究的目的是探讨存在的偏见对身体残疾的人之间的异质组的医护人员和受训人员，并评估这种偏见的影响，内隐联想测试和教育模块。这项研究包括一个小时的网上调查和教育模块。该调查包括明确的残疾偏见评估，残疾内隐关联测试（IAT），人口统计学收集，产前患者情景的模块前和模块后临床小插曲。除了为假设的患者提供咨询外，参与者还表明了他们对基因检测和终止妊娠的个人偏好。教育模块侧重于以病人为中心的咨询原则。收集的数据反映了335名参与者的答复。在这个样本中，对身体残疾的人既有显性的偏见，也有隐性的偏见。在IAT和教育模块之前，当受访者被要求提供基因检测建议时，对基因检测和终止的隐性偏见和个人偏好影响了受访者的临床建议。重要的是，在干预之前，有残疾人的专业经验减少了有偏见的临床建议。在IAT和教育干预下，内隐偏见和个人偏好对临床建议的影响降低。这项研究表明，对边缘化群体的偏见是如何存在于医学界和个人意见可以影响临床咨询。重要的是，我们的研究结果表明，有一些策略可以很容易地实施到课程中，以解决残疾偏见，包括正式的教育干预措施和在医疗保健专业人员培训计划中增加专业经验。
There is robust research examining the negative impact of racial and socioeconomic implicit bias on healthcare provider clinical decision-making. However, other under-studied important biases are likely to impact clinical care as well. The goal of this study was to explore the presence of bias against people with physical disability among a heterogeneous group of healthcare workers and trainees and to evaluate the effect of implicit association testing and an educational module on this bias. The study was composed of a one-hour web-based survey and educational module. The survey included an explicit disability bias assessment, disability Implicit Association Tests (IATs), demographic collection, and pre- and post- module clinical vignettes of prenatal patient scenarios. In addition to providing counseling to hypothetical patients, participants also indicated their personal preferences on genetic testing and termination. The educational module focused on the principles of patient-centered counseling. The collected data reflects responses from 335 participants. Within this sample, there were both explicit and implicit biases towards individuals with physical disabilities. Prior to the IAT and educational module, when respondents were tasked with providing genetic testing recommendations, implicit biases and personal preferences for genetic testing and termination influenced respondents’ clinical recommendations. Importantly, having previous professional experience with individuals with disabilities diminished biased clinical recommendations prior to the intervention. In response to the IAT and educational intervention, the effect of implicit bias and personal preferences on clinical recommendations decreased. This study demonstrates how bias against a marginalized group exists within the medical community and that personal opinions can impact clinical counseling. Importantly, our findings suggest that there are strategies that can be easily implemented into curricula to address disability bias, including formal educational interventions and the addition of professional experiences into healthcare professional training programs.
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DOI：
10.1097/gim.0b013e3181a7e8f8
发表时间：
2009-06
期刊：
Genetics in medicine : official journal of the American College of Medical Genetics
影响因子：
--
作者：
Seaver LH;Irons M;American College of Medical Genetics (ACMG) Professional Practice and Guidelines Committee
通讯作者：
American College of Medical Genetics (ACMG) Professional Practice and Guidelines Committee
DOI：
10.1097/acm.0000000000002386
发表时间：
2018-11
期刊：
Academic medicine : journal of the Association of American Medical Colleges
影响因子：
--
作者：
Gonzalez CM;Garba RJ;Liguori A;Marantz PR;McKee MD;Lypson ML
通讯作者：
Lypson ML
影响因子：
7.6
作者：
Greenwald, AG;Nosek, BA;Banaji, MR
通讯作者：
Banaji, MR
影响因子：
7.6
作者：
Greenwald, AG;McGhee, DE;Schwartz, JLK
通讯作者：
Schwartz, JLK
影响因子：
3.9
作者：
Harrison, Ashley J.;Bradshaw, Laine P.;Campbell, Jonathan M.
通讯作者：
Campbell, Jonathan M.