Disparities, Culture and Health: An E-Learning Course

差异、文化与健康：电子学习课程

• 批准号: 7684079
• 负责人: EILEEN A VAN SCHAIK
• 金额: $ 66.32万
• 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 2012-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7684079
• 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; Online Systems; Outcome; Patients; Phase; Physicians; Play; Policies; Pre-Post Tests; Professional Organizations; Provider; Published Comment; Publishing; Race; Randomized; Randomized Controlled Clinical Trials; Randomized Controlled Trials; Recommendation; Reporting; Residencies; Resources; Role; Roter; Self Perception; Small Business Innovation Research Grant; Social Impacts; Stereotyping; Systems Analysis; Testing; Training; Training Programs; Unconscious State; United States Dept. of Health and Human Services; Vendor; Work; base; community setting; design; experience; health disparity; improved; innovation; medical schools; programs; public health relevance; 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）：此第二阶段SBIR赠款将完成医疗保健差异的开发和评估：患者和提供者，这是一个针对医生和医生培训的电子学习课程。第一阶段的模块，医疗保健差异，提供了在证据和差异的原因指令，并检查在医疗保健的种族不断变化的意义。在第二阶段，种族IAT（内隐联想测试），然后是一个汇报将被纳入第二个模块的无意识偏见。该课程的第三个模块将提供关于种族/民族观点的数据，并将包括技能指导，以改善与医疗差距有关的患者-提供者关系的维度。将开发第2版医疗保健差异知识测试和虚拟患者评估，用于结局评价，并将纳入最终产品。完成课程的目标是提高种族态度的自我意识，提高种族/民族差异的知识，并提高患者与提供者沟通的技能，以消除归因于患者与提供者关系的医疗差异。完成的电子学习课程将在住院医师的在线研究中进行评估，使用四组，前后随机设计，多项措施。研究措施将包括人口统计学信息，修订后的知识测试在第一阶段试点，评分的Roter互动分析系统（RIAS）用于编码音频记录的互动在虚拟患者评估，一个喜欢的规模，和用户评价的过程中。完成的课程将被推销给医疗保健组织和专业协会以及医学院和住院医师培训计划，作为全国消除医疗保健差距运动的资源。7.公共卫生相关性：继医学研究所的里程碑式的报告不平等待遇，证据基础上的性质和原因的医疗差距继续增长，政策声明和计划指南出版，但大量的医生仍然令人不安地不知道在他们的实践领域的差距。医疗保健差异的目标：患者和提供者电子学习课程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，以及提高与种族/少数民族患者沟通和建立关系的技能，来消除可能由于患者与提供者互动而导致的差异。该课程将成为到2010年消除医疗保健中种族/民族差异的多层次运动的一个资源。