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(由申请者提供)：这笔第二阶段的SBIR赠款将完成医疗保健差异：患者和提供者的开发和评估，这是一项面向医生和正在培训的医生的电子学习课程。第一阶段模块，医疗保健差异，提供关于差异的证据和原因的指导，并检查种族在医疗保健中不断变化的意义。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。课程的第三个模块将提供有关医疗保健方面的种族/民族观点的数据，并将包括改善与医疗保健差距有关的患者与提供者关系各方面的技能指导。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认识，改善对种族/民族差异的了解，并提高患者与提供者沟通的技能，以消除可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一项与住院医生进行的在线研究中进行评估，该研究采用四组、事前随机设计和多项措施。研究措施将包括人口统计信息、第一阶段试行的修订后的知识测试、Roter互动分析系统(RIAS)的分数、虚拟患者评估中用于编码录音互动的分数、喜好程度以及用户对课程的评价。完成的课程将作为消除医疗保健差距的全国性运动的资源，向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进行营销。7.与公共卫生的相关性：在医学研究所发表了具有里程碑意义的报告《不平等待遇》之后，关于医疗保健差距的性质和原因的证据基础继续增长，政策声明和方案指南被公布，但令人不安的是，许多医生仍然没有意识到他们的执业领域中的差距。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，以及提高与种族/少数民族患者的沟通和关系建立的技能，消除可能由于患者与提供者互动而产生的差异。该课程将是到2010年消除医疗保健中种族/民族差异的多层次运动中的一个资源。