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

疼痛治疗中的种族偏见：疼痛护理建议、治疗偏见和种族感知机制的测试

• 批准号: 10650249
• 负责人: Emily Paige Lloyd
• 金额: $ 13.88万
• 依托单位: UNIVERSITY OF DENVER (COLORADO SEMINARY)
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-01 至 2027-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10650249
• 关键词: Accident and Emergency department; Address; Affective; American; Attenuated; Award; Behavior; Belief; Black American; Black race; Caring; Categories; Caucasians; Cognitive; Data; Development; Development Plans; Discrimination; Disparate; Disparity; Doctor of Philosophy; Empathy; Equity; Ethics; Exclusion; Family Practice; Funding; Future; Goals; Guidelines; Health; Health Services Research; Individual; Individuation; Institute of Medicine (U.S.); Institution; Intensive Care; Internal Medicine; Intervention; Investigation; K-Series Research Career Programs; Knowledge; Learning; Literature; Measurement; Medical; Mentorship; Methodology; Modeling; Pain; Pain management; Participant; Patient Care; Patients; Pattern; Perception; Persons; Population; Positioning Attribute; Process; Productivity; Psychological Theory; Psychologist; Psychology; Race; Recommendation; Research; Research Personnel; Research Support; Resources; Route; Sampling; Scientist; Standardization; Stereotyping; System; Testing; Training; Training Activity; Training Programs; Treatment Efficacy; Universities; Vulnerable Populations; Work; black patient; career; career development; caucasian American; cognitive process; cost estimate; design; disability; experience; health care disparity; health determinants; health disparity; insight; multi-racial; multidisciplinary; non-verbal; nonverbal bias; novel; novel strategies; pain sensitivity; pilot test; programs; psychologic; racial bias; racial disparity; racial diversity; recruit; response; skills; social; statistics; success; theories; therapy design; treatment disparity

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.

项目摘要/摘要 佩吉·劳埃德博士是一位社会心理学家，她的最终职业目标是在群体间运用自己的专业知识。 调查健康差距的社会心理基础并制定干预措施的关系 减少待遇差距，促进公平护理。她提出的这项研究名为《种族偏见》 疼痛治疗：疼痛护理建议、治疗偏向和种族认知延展性的测试 过程“填补了文献中的空白，提供了实用的见解，并提供了一个发展的平台。 研究：疼痛是一种普遍的和随之而来的健康问题。然而，疼痛护理并不是平均分配的； 例如，美国白人比黑人接受更具侵略性和指导方针的疼痛护理 美国人。尽管有一致的证据表明疼痛护理存在差异，但目前还没有整合模型的工作 或从实验上检验这些过程对疼痛护理决策的贡献。这个 这项研究的总体目标是识别和减弱有问题的种族感知过程 加剧了疼痛治疗中的种族偏见。为了测试这一目标，劳埃德博士将进行以下具体研究 目标：目标1：调查临床医生对白人、黑人和女性疼痛护理的偏见及其模式 多种族黑人/白人假想患者，目标2：检查个人感知的程度 流程与针对假设的黑、白和黑/白的治疗建议相关 患者，目标3：经验性地测试一种新的干预措施，旨在减轻种族认知偏差。三 采用Vignette、标准化患者和干预设计的补充性研究将1)检查疼痛 黑人、白人和黑人/白人多种族假想患者的护理偏见，2)种族认知 告知治疗建议的机制，以及3)种族认知中的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之前的三次培训的基础上 培训目标：1)扩大测量和统计专业知识，以涵盖种族评估 分类和非语言偏见，2)获得健康伦理、理论和方法论方面的专业知识 与差异相关的服务研究3)了解制定和实施翻译 干预措施。劳埃德博士和她的指导团队提出了具体的培训活动，既有教学性质的，也有体验式的。 这将使她能够获得必要的技能，以完成拟议的研究并作为 独立科学家。这项培训将由一支经验丰富且成功的多学科团队提供支持。 劳埃德博士的机构和系、丹佛大学和心理学系 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所需的培训和飞行员数据，以寻求R01资金，成为 他是国家公认的独立调查员，并为促进公平护理作出科学贡献。