Trial Outcomes & Findings for REACH Implicit Bias Training Project (NCT NCT03415308)
NCT ID: NCT03415308
Last Updated: 2024-03-18
Results Overview
Investigators will judge the trial as feasible if at least 50% of eligible providers agree to participate.
Recruitment status
COMPLETED
Target enrollment
114 participants
Primary outcome timeframe
4 hours (post-training)
Results posted on
2024-03-18
Participant Flow
Participant milestones
| Measure |
Patient Focus Groups
Identify patient preferences for constructs, and related outcomes, that reflect the expression of implicit bias in clinical encounters. I
Focus Groups: Investigators will use qualitative methods to gather data on the elements associated with the patient perception of implicit bias (e.g. communication, respect, patient-centeredness) to ensure that our selected outcomes reflect the breadth of patients' concerns.
|
Stakeholders Cognitive Interviews
Investigators will conduct a series of semi-structured interviews.
Cognitive Interviews: To gather insights from stakeholders regarding how to best refine the design of our existing implicit bias intervention to ensure that we have addressed potential facilitators and barriers to uptake, use, and sustainability
|
Pilot Testing of Implicit Bias Training
Refined intervention emerging from Aim 2. T
Pilot Testing of Implicit Bias Training: Determine the feasibility of delivering the refined implicit bias reduction intervention and assessing patient centered outcomes by giving providers a refined implicit bias training.
|
|---|---|---|---|
|
Overall Study
STARTED
|
50
|
27
|
37
|
|
Overall Study
COMPLETED
|
50
|
27
|
29
|
|
Overall Study
NOT COMPLETED
|
0
|
0
|
8
|
Reasons for withdrawal
| Measure |
Patient Focus Groups
Identify patient preferences for constructs, and related outcomes, that reflect the expression of implicit bias in clinical encounters. I
Focus Groups: Investigators will use qualitative methods to gather data on the elements associated with the patient perception of implicit bias (e.g. communication, respect, patient-centeredness) to ensure that our selected outcomes reflect the breadth of patients' concerns.
|
Stakeholders Cognitive Interviews
Investigators will conduct a series of semi-structured interviews.
Cognitive Interviews: To gather insights from stakeholders regarding how to best refine the design of our existing implicit bias intervention to ensure that we have addressed potential facilitators and barriers to uptake, use, and sustainability
|
Pilot Testing of Implicit Bias Training
Refined intervention emerging from Aim 2. T
Pilot Testing of Implicit Bias Training: Determine the feasibility of delivering the refined implicit bias reduction intervention and assessing patient centered outcomes by giving providers a refined implicit bias training.
|
|---|---|---|---|
|
Overall Study
Lost to Follow-up
|
0
|
0
|
1
|
|
Overall Study
Scheduling Conflicts
|
0
|
0
|
7
|
Baseline Characteristics
Age was not collected from providers in Aim 2 and Aim 3.
Baseline characteristics by cohort
| Measure |
Patient Focus Groups
n=50 Participants
Identify patient preferences for constructs, and related outcomes, that reflect the expression of implicit bias in clinical encounters. I
Focus Groups: Investigators will use qualitative methods to gather data on the elements associated with the patient perception of implicit bias (e.g. communication, respect, patient-centeredness) to ensure that our selected outcomes reflect the breadth of patients' concerns.
|
Stakeholders Cognitive Interviews
n=27 Participants
Investigators will conduct a series of semi-structured interviews.
Cognitive Interviews: To gather insights from stakeholders regarding how to best refine the design of our existing implicit bias intervention to ensure that we have addressed potential facilitators and barriers to uptake, use, and sustainability
|
Pilot Testing of Implicit Bias Training
n=37 Participants
Refined intervention emerging from Aim 2. T
Pilot Testing of Implicit Bias Training: Determine the feasibility of delivering the refined implicit bias reduction intervention and assessing patient centered outcomes by giving providers a refined implicit bias training.
|
Total
n=114 Participants
Total of all reporting groups
|
|---|---|---|---|---|
|
Age, Continuous
|
42.4 years
STANDARD_DEVIATION 15.9 • n=50 Participants • Age was not collected from providers in Aim 2 and Aim 3.
|
—
|
—
|
42.4 years
STANDARD_DEVIATION 15.9 • n=50 Participants • Age was not collected from providers in Aim 2 and Aim 3.
|
|
Sex: Female, Male
Female
|
40 Participants
n=50 Participants
|
16 Participants
n=27 Participants
|
29 Participants
n=37 Participants
|
85 Participants
n=114 Participants
|
|
Sex: Female, Male
Male
|
10 Participants
n=50 Participants
|
11 Participants
n=27 Participants
|
8 Participants
n=37 Participants
|
29 Participants
n=114 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
11 Participants
n=50 Participants
|
1 Participants
n=27 Participants
|
1 Participants
n=37 Participants
|
13 Participants
n=114 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
39 Participants
n=50 Participants
|
11 Participants
n=27 Participants
|
36 Participants
n=37 Participants
|
86 Participants
n=114 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=50 Participants
|
15 Participants
n=27 Participants
|
0 Participants
n=37 Participants
|
15 Participants
n=114 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=50 Participants
|
0 Participants
n=27 Participants
|
0 Participants
n=37 Participants
|
0 Participants
n=114 Participants
|
|
Race (NIH/OMB)
Asian
|
0 Participants
n=50 Participants
|
0 Participants
n=27 Participants
|
10 Participants
n=37 Participants
|
10 Participants
n=114 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=50 Participants
|
1 Participants
n=27 Participants
|
0 Participants
n=37 Participants
|
1 Participants
n=114 Participants
|
|
Race (NIH/OMB)
Black or African American
|
20 Participants
n=50 Participants
|
8 Participants
n=27 Participants
|
2 Participants
n=37 Participants
|
30 Participants
n=114 Participants
|
|
Race (NIH/OMB)
White
|
26 Participants
n=50 Participants
|
18 Participants
n=27 Participants
|
24 Participants
n=37 Participants
|
68 Participants
n=114 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=50 Participants
|
0 Participants
n=27 Participants
|
1 Participants
n=37 Participants
|
1 Participants
n=114 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
4 Participants
n=50 Participants
|
0 Participants
n=27 Participants
|
0 Participants
n=37 Participants
|
4 Participants
n=114 Participants
|
PRIMARY outcome
Timeframe: 4 hours (post-training)Population: Data not collected.
Investigators will judge the trial as feasible if at least 50% of eligible providers agree to participate.
Outcome measures
Outcome data not reported
PRIMARY outcome
Timeframe: 4 hours (post-training)Population: Primary outcome was only measured for participants enrolled in Aim 3.
At least 80% of those enrolled complete the trial (attend both sessions); and achieve at least 75% adherence to all intervention activities and exercises.
Outcome measures
| Measure |
Patient Focus Groups
Identify patient preferences for constructs, and related outcomes, that reflect the expression of implicit bias in clinical encounters. I
Focus Groups: Investigators will use qualitative methods to gather data on the elements associated with the patient perception of implicit bias (e.g. communication, respect, patient-centeredness) to ensure that our selected outcomes reflect the breadth of patients' concerns.
|
Stakeholders Cognitive Interviews
Investigators will conduct a series of semi-structured interviews.
Cognitive Interviews: To gather insights from stakeholders regarding how to best refine the design of our existing implicit bias intervention to ensure that we have addressed potential facilitators and barriers to uptake, use, and sustainability
|
Pilot Testing of Implicit Bias Training
n=37 Participants
Refined intervention emerging from Aim 2. T
Pilot Testing of Implicit Bias Training: Determine the feasibility of delivering the refined implicit bias reduction intervention and assessing patient centered outcomes by giving providers a refined implicit bias training.
|
|---|---|---|---|
|
Acceptability
|
—
|
—
|
29 Participants
|
SECONDARY outcome
Timeframe: 4 hours (post-training)Population: Data not collected.
Investigators will also gather provider data (age, sex, race, practice characteristics, time in practice, etc.) via self-report and assess and variability in outcomes by these characteristics.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: baseline, 4 hours (post-training)Population: Data not collected.
Investigators will ask participants to complete an implicit association test (IAT) at baseline and immediately following training using the Brief IAT measure, which can be administered in under 5 minutes on a laptop computer. The Brief IAT provides comparable findings on implicit racial attitudes tests, when validated against the longer IAT measure.
Outcome measures
Outcome data not reported
Adverse Events
Patient Focus Groups
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Stakeholders Cognitive Interviews
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Pilot Testing of Implicit Bias Training
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Alesha Majors
Duke Center for Research to Advance Healthcare Equity
Phone: 919-660-7545
Email: [email protected]
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place