Disparities, Culture and Health: An E-Learning Course

差异、文化与健康：电子学习课程

• 批准号: 7539068
• 负责人: EILEEN A VAN SCHAIK
• 金额: $ 72.78万
• 依托单位: TALARIA, INC.
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2010-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7539068
• 关键词: Address; American Medical Association; Attitude; Awareness; Back; Caring; Clinical; Code; Cognitive; Communication; Communities; Complex; Computer software; Data; Databases; Decision Making; Development; Dimensions; Education; Educational Curriculum; Educational process of instructing; Effectiveness; Ethnic Origin; Evaluation; Evaluation Studies; Evidence based treatment; Feedback; Goals; Grant; Guidelines; Health; Health Personnel; Healthcare; Healthcare Systems; Implicit Association Test; Individual; Institute of Medicine (U.S.); Instruction; Joints; Knowledge; Learning; Link; Marketing; Measures; Medical; Minority; Minority Groups; Modeling; Nature; Numbers; Online Systems; Outcome; Patients; Phase; Physicians; Play; Policies; Pre-Post Tests; Professional Organizations; Provider; Public Health; Published Comment; Publishing; Purpose; Race; Randomized; Randomized Controlled Clinical Trials; Randomized Controlled Trials; Recommendation; Reporting; Residencies; Resources; Role; Roter; Score; Self Perception; Small Business Funding Mechanisms; Small Business Innovation Research Grant; Social Impacts; Stereotyping; Systems Analysis; Testing; Training; Training Programs; Unconscious Personality Factor; Unconscious State; United States Dept. of Health and Human Services; Vendor; Work; base; design; experience; health disparity; improved; innovation; medical schools; programs; racial and ethnic; racial and ethnic disparities; response; skills; usability; virtual

DESCRIPTION (provided by applicant): This Phase II SBIR grant will complete the development and evaluation of Healthcare Disparities: Patients & Providers, an e-learning course for physicians and physicians in training. The Phase I module, Healthcare Disparities, provides instruction in the evidence and causes of disparities and examines the changing meaning of race in healthcare. In Phase II, the Race IAT (Implicit Associations Test) followed by a debriefing will be incorporated in a second module on unconscious biases. The third module of the course will provide data on racial/ethnic perspectives on healthcare and will include instruction in skills for improving dimensions of the patient-provider relationship that have been linked to healthcare disparities. Version 2 of the Healthcare Disparities Knowledge Test and a Virtual Patient Assessment will be developed for use in the outcome evaluation and will be included in the final product. The goals of the completed course are to increase self awareness of racial attitudes, improve knowledge of racial/ethnic disparities, and enhance skills for patient-provider communication in order to eliminate healthcare disparities that are attributable to the patient-provider relationship. The completed e-learning course will be evaluated in an online study with resident physicians using a four group, pre-post randomized design with multiple measures. Study measures will include demographic information, the revised knowledge test piloted in Phase I, scores on the Roter Interaction Analysis System (RIAS) used for coding audio recorded interactions in the Virtual Patient Assessment, a Liking Scale, and user evaluations of the course. The completed course will be marketed to healthcare organizations and professional associations as well as schools of medicine and residency training programs as a resource in the national campaign to eliminate healthcare disparities. 7. PUBLIC HEALTH RELEVANCE: Following the Institute of Medicine's landmark report Unequal Treatment, the evidence base on the nature and causes of healthcare disparities continues to grow, policy statements and program guidelines are published, and yet a large number of physicians remain disturbingly unaware of the disparities in their field of practice. The goal of the Healthcare Disparities: Patients & Providers e-learning course is to eliminate disparities that may be due to patient-provider interactions by improving knowledge about disparities, promoting reflection on providers' unconscious bias, and enhancing skills for communication and relationship building with racial/ethnic minority patients. The course will be one resource in the multilevel campaign to eliminate racial/ethnic disparities in healthcare by 2010.

描述（由申请人提供）：第二阶段 SBIR 拨款将完成医疗保健差异：患者和提供者的开发和评估，这是一个针对医生和培训医生的电子学习课程。第一阶段模块“医疗保健差异”提供了有关差异的证据和原因的指导，并研究了种族在医疗保健中不断变化的含义。在第二阶段，种族 IAT（内隐联想测试）和汇报将被纳入关于无意识偏见的第二个模块中。该课程的第三个模块将提供有关医疗保健的种族/民族观点的数据，并将包括改善与医疗保健差异相关的患者与提供者关系的技能指导。将开发第二版医疗保健差异知识测试和虚拟患者评估，用于结果评估，并将包含在最终产品中。完成课程的目标是提高对种族态度的自我意识，提高对种族/民族差异的了解，并增强患者与提供者之间的沟通技巧，以消除因患者与提供者关系而导致的医疗保健差异。完成的电子学习课程将通过住院医生的在线研究进行评估，使用四组、前后随机设计和多种措施。研究衡量标准将包括人口统计信息、第一阶段试行的修订后的知识测试、用于对虚拟患者评估中的音频记录互动进行编码的 Roter 互动分析系统 (RIAS) 的分数、喜好量表以及课程的用户评价。完成的课程将向医疗保健组织和专业协会以及医学院和住院医师培训项目推销，作为消除医疗保健差距的全国运动的资源。 7. 公共健康相关性：继医学研究所发表具有里程碑意义的报告《不平等待遇》之后，关于医疗保健差异的性质和原因的证据基础继续增长，政策声明和计划指南不断发布，但令人不安的是，大量医生仍然没有意识到其实践领域的差异。医疗保健差异：患者和提供者电子学习课程的目标是通过提高对差异的了解、促进对提供者无意识偏见的反思以及增强与种族/族裔患者沟通和建立关系的技能，消除可能由于患者与提供者互动而造成的差异。该课程将成为到 2010 年消除医疗保健领域种族/民族差异的多层次运动的资源之一。