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）：本第二阶段SBIR赠款将完成医疗保健差异的发展和评估：患者和提供者，针对培训的医师和医师的电子学习课程。 I期模块，医疗保健差异，提供了差异的证据和原因的指导，并检查了医疗保健中种族意义的不断变化。在第二阶段，种族IAT（隐式关联测试）随后进行汇报将纳入第二个无意识偏见的模块中。该课程的第三个模块将提供有关医疗保健的种族/族裔观点的数据，并包括改善与医疗保健差异有关的患者培训关系维度的技能的指导。医疗保健差异知识测试的2版和虚拟患者评估将用于结果评估，并将包括在最终产品中。完成课程的目标是提高对种族态度的自我意识，提高种族/族裔差异的知识，并提高患者提供​​者沟通的技能，以消除可归因于患者提供者关系的医疗保健差异。完成的电子学习课程将在一项在线研究中与常驻医生一起使用四组，前的随机设计，并采用多种措施进行评估。研究措施将包括人口统计信息，在第一阶段中进行的修订知识测试，用于编码音频记录的虚拟患者评估中的音频相互作用的roter相互作用分析系统（RIA）的分数，喜欢量表以及对课程的用户评估。完整的课程将向医疗机构和专业协会以及医学和住院医师培训计划提供销售，以此作为消除医疗保健差异的国家运动的资源。 7.公共卫生相关性：在医学研究所的地标报告不平等的治疗后，关于医疗保健差异的性质和原因的证据持续不断增长，发布了政策声明和计划指南，但许多医生仍然对实践领域的差异仍然令人不安。医疗保健差异的目的：患者和提供者的电子学习课程是通过改善对差异的知识，促进对提供者的无意识偏见的反思，并增强与种族/族裔少数民族少数族裔患者的沟通和建立关系的技能，从而消除可能是由于患者提供者相互作用引起的差异。该课程将是多层次运动中的一种资源，旨在消除2010年医疗保健中的种族/种族差异。