Racial Biases in Pain Treatment: Tests of pain-care recommendations, treatment biases, and race perception mechanisms

项目总结/摘要 E.佩奇劳埃德，博士是一个社会心理学家，其最终的职业目标是利用她的专业知识在团体间 调查健康差距的社会心理基础，并制定干预措施， 减少治疗差距，促进公平护理。她提出的研究标题是，“种族偏见， 疼痛治疗：疼痛护理建议、治疗偏差和种族感知延展性的测试 过程”解决了文献中的空白，提供了实际的见解，并提供了一个发展平台。 研究：疼痛是一种普遍和重要的健康问题。然而，疼痛护理并不是平均分配的; 例如，与黑人相比，白色美国人接受的疼痛治疗更积极，更有针对性 美国人虽然有一致的证据疼痛护理的差异，有没有工作整合模型 种族知觉或实验研究这些过程的贡献疼痛护理决策。的 本研究的总体目标是识别和减弱有问题的种族知觉过程 导致了疼痛治疗中的种族偏见为了测试这一目标，劳埃德博士将继续进行以下具体工作： 目的：目的#1：调查白色、黑色和白色患者疼痛护理中临床医生偏见的存在和模式， 多种族黑人/白色假设患者，目的#2：检查个人感知 过程与假定的黑色、白色和黑色/白色的处理建议相关联 目标#3：实证测试一种旨在减弱种族感知偏见的新型干预措施。三 采用小插曲、标准化患者和干预设计的补充研究将1）检查疼痛 黑人、白色和黑人/白色多种族假设患者的护理偏见，2）种族感知 告知治疗建议的机制，以及3）种族认知偏见的潜在解决方案。 培训：拟议的职业发展计划将建立在劳埃德博士以前的培训基础上， 培训目标：1）扩大测量和统计专业知识，包括种族评估 分类和非语言偏见，2）获得专业知识的道德，理论和方法的健康 与差异相关的服务研究3）学习开发和实施翻译 干预措施。劳埃德博士和她的导师团队提出了具体的培训活动，教学和体验， 这将使她能够获得必要的技能，以完成拟议的研究和开发， 独立科学家这一培训将得到一个经验丰富和成功的多学科团队的支持。 博士劳埃德的机构和部门、丹佛大学和心理学系是 致力于她的成功，并提供了广泛的资源，以促进她的生产力和培训。 该奖项将为劳埃德博士提供寻求R 01资金所需的培训和试点数据， 国家认可的独立调查员，并作出科学贡献，促进公平的照顾。

PROJECT SUMMARY/ABSTRACT E. Paige Lloyd, PhD is a social psychologist whose ultimate career goal is to use her expertise in intergroup relations to investigate the social psychological underpinnings of health disparities and create interventions that reduce treatment disparities and promote equitable care. The research she proposes titled, “Racial biases in pain treatment: Tests of pain-care recommendations, treatment biases, and the malleability of race perception processes” addresses gaps in the literature, offers practical insights, and provides a platform for development. Research: Pain is a prevalent and consequential health concern. However, pain care is not equally distributed; for example, White Americans receive more aggressive and guideline-directed pain care than Black Americans. Although there is consistent evidence of pain care disparities, there is no work integrating models of race perception or experimentally examining the contribution of these processes to pain care decisions. The overall objective of this research is to identify and attenuate problematic race-perception processes contributing to racial biases in pain treatment. To test this objective, Dr. Lloyd will pursue the following Specific Aims: Aim #1: To investigate the presence and pattern of clinician biases in pain care for White, Black, and multiracial Black/White hypothetical patients, Aim #2: To examine the extent to which person perception processes are associated with treatment recommendations for hypothetical Black, White, and Black/White patients, Aim #3: To empirically test a novel intervention designed to attenuate race perception biases. Three complementary studies employing vignette, standardized patient, and intervention designs will 1) examine pain care biases across Black, White, and Black/White multiracial hypothetical patients, 2) the race perception mechanisms that inform treatment recommendations, and 3) potential solutions to biases in race perception. Training: The proposed career development plan will build upon Dr. Lloyd’s previous training with three training goals: 1) expand measurement and statistical expertise to encompass assessment of race categorization and nonverbal biases, 2) gain expertise in the ethics, theory, and methodologies of health services research relevant to disparities 3) learn about developing and implementing translational interventions. Dr. Lloyd and her mentorship team propose specific training activities, didactic and experiential, that will enable her to gain the skills necessary to complete the proposed research and develop as an independent scientist. This training will be supported by an experienced and successful multidisciplinary team. Dr. Lloyd’s institution and department, the University of Denver and the Department of Psychology, are committed to her success and have provided extensive resources to promote her productivity and training. This award will provide Dr. Lloyd with the training and pilot data required to seek R01 funding, become a nationally-recognized independent investigator, and make scientific contributions that promote equitable care.