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 E. Paige Lloyd博士是一位社会心理学家 调查健康差异的社会心理基础的关系，并创建干预措施 减少治疗差异并促进公平护理。她提出的研究标题为“种族偏见 疼痛治疗：疼痛护理建议的测试，治疗偏见和种族感知的锻造性 流程”解决了文献中的差距，提供了实用的见解，并提供了一个开发平台。 研究：疼痛是一种普遍且因此的健康问题。但是，疼痛护理不是平等分布的。 例如，白人美国人获得比黑色更具侵略性和指导指导的疼痛护理 美国人。尽管有一致的疼痛护理分布的证据，但没有整合模型的工作 种族感知或实验检查这些过程对疼痛护理决策的贡献。这 这项研究的总体目的是识别和衰减有问题的种族感知过程 导致疼痛治疗中的种族偏见。为了测试这一目标，劳埃德博士将追求以下特定的特定 目的：目标＃1：研究白色，黑色和 多种族黑/白色假设患者，目标2：检查人的感知程度 过程与假设黑色，白色和黑白的治疗建议有关 患者，目标＃3：凭经验测试旨在减轻种族感知偏见的新型干预措施。三 采用小插图，标准化患者和干预设计的互补研究将检查疼痛 黑人，白色和黑/白/白色多种族假设患者的护理偏见，2）种族感知 为治疗建议提供信息的机制，以及3）种族感知中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以前的培训的基础上 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）在健康的伦理，理论和方法方面获得专业知识 服务研究与差异相关3）学习开发和实施翻译 干预措施。劳埃德博士和她的Mentalship团队提案特定的培训活动，教学和经验丰富， 这将使她能够获得完成拟议的研究所需的技能，并发展为 独立科学家。这项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来促进她的生产和培训。 该奖项将为劳埃德博士提供寻求R01资金所需的培训和试点数据，成为一个 全国认可的独立研究者，并做出促进公平护理的科学贡献。