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.

项目概要/摘要 E. Paige Lloyd 博士是一位社会心理学家，其最终职业目标是利用她在群体间的专业知识 关系来调查健康差异的社会心理基础并制定干预措施 她提出的研究题为“种族偏见”，以减少治疗差异并促进公平护理。 疼痛治疗：测试疼痛护理建议、治疗偏差和种族认知的可塑性 “流程”弥补了文献中的空白，提供了实用的见解，并提供了一个发展平台。 研究：疼痛是一个普遍且重要的健康问题，然而，疼痛护理的分布并不均匀。 例如，美国白人比黑人接受更积极、更有指导性的疼痛护理 尽管有一致的证据表明疼痛护理存在差异，但还没有整合模型的工作。 种族感知或通过实验检查这些过程对疼痛护理决策的贡献。 这项研究的总体目标是识别和减少有问题的种族认知过程 为了测试这一目标，劳埃德博士将采取以下具体措施。 目标：目标 1：调查临床医生在白人、黑人和白人疼痛护理中存在偏见的情况和模式 多种族黑人/白人假设患者，目标#2：检查人们感知的程度 流程与假设的黑人、白人和黑/白人的治疗建议相关 目标#3：以实证方式测试一种旨在减少种族认知偏见的新型干预措施。 采用小插图、标准化患者和干预设计的补充研究将 1) 检查疼痛 黑人、白人和黑人/白人多种族假设患者的护理偏见，2) 种族认知 为治疗建议提供信息的机制，以及3）种族认知偏见的潜在解决方案。 培训：拟议的职业发展计划将以劳埃德博士之前的三项培训为基础 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、理论和方法方面的专业知识 与差异相关的服务研究 3) 了解如何开发和实施转化 劳埃德博士和她的指导团队提出了具体的教学活动和体验活动， 这将使她能够获得完成拟议的研究和开发所需的技能 该培训将得到经验丰富且成功的多学科团队的支持。 劳埃德博士的机构和部门，丹佛大学和心理学系，是 致力于她的成功，并提供资源来提高她的生产力和培训。 该奖项将为 Lloyd 博士提供寻求 R01 资金、成为一名 国家认可的独立调查员，并为促进公平护理做出科学贡献。