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Measuring Implicit Bias Among Health Care Providers Toward Latino Adolescents: Intervention Research Methods to Reduce Health Disparities
Methods The research team is tailoring the Affect Misattribution Procedure (AMP) to measure doctor’s implicit bias toward Latino adolescents in medically-relevant domains.
Results The challenge in measuring implicit attitudes is that individuals may be unaware that these attitudes impact their perception and interaction with others. Implicit bias is separate from stereotypes which are consciously endorsed. Implicit bias, conversely, can operate counter to the individuals’ stated attitudes. The AMP uses briefly visible priming images followed by an ambiguous target image. The respondent then judges whether the target image is relatively more pleasant (or cooperative, or risky). We will describe the reliability and validity of the instrument, how we selected the priming images of Latino persons, and general considerations for selecting images for other studies.
Conclusions Envisioning Health employs visual narrative methods to train health care providers to overcome their implicit bias. The intervention aims to sensitize doctors in training to their own susceptibility to judgments based on implicit bias and quick categorization, and it will also bolster their social knowledge about the lives of Latino adolescents. Envisioning Health prompts discussions about caring for Latino adolescents, and promotes the proposition that Latino youth need their doctor to see them as individuals and to understand the struggles that migration experiences and living between two cultures creates.
Learning Areas:
Administer health education strategies, interventions and programsConduct evaluation related to programs, research, and other areas of practice
Diversity and culture
Learning Objectives:
Define implicit bias and differentiate it from stereotype bias.
Explain methods for measuring implicit bias.
Keyword(s): Health Disparities/Inequities, Methodology
Qualified on the content I am responsible for because: Keith Payne developed the Affect Misattribution Procedure and is a co-investigator of the Envisioning Health project. He directs the Social Cognition Lab at the University of North Carolina at Chapel Hill, where he is Associate Professor in the Department of Psychology.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.