142nd APHA Annual Meeting and Exposition

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Envisioning Health: A Trans-disciplinary, Community-Engaged Visual Intervention for Healthcare Providers on Implicit Bias toward Latino/a Immigrant Youth

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 4:30 PM - 4:48 PM

Mimi Chapman, Ph.D. , School of Social Work, The Universtiy of North Carolina at Chapel Hill, Chapel Hill, NC
William Hall, MSW , School of Social Work, The Universtiy of North Carolina at Chapel Hill, Chapel Hill, NC
Robert Colby, Ph.D. , Institute for the Arts and Humanities, The Universtiy of North Carolina at Chapel Hill
Tamera Coyne-Beasley, MD , Pediatrics, University of North Carolina, Chapel Hill, NC
Eugenia Eng, MPH, DrPH , Department of Health Behavior, University of North Carolina, Chapel Hill, NC
Steve Day, MCP , School of Social Work, The Universtiy of North Carolina at Chapel Hill, Chapel Hill, NC
Florence Simán, MPH , El Pueblo, Inc., Raleigh, NC
Kent Lee, MA , Department of Social Psychology, The Universtiy of North Carolina at Chapel Hill, Chapel Hill, NC
Keith Payne, Ph.D. , Department of Social Psychology, The Universtiy of North Carolina at Chapel Hill, Chapel Hill, NC
Alexandra Lightfoot, EdD , Center for Health Promotion and Disease Prevention, University of North Carolina, Chapel Hill, Chapel Hill, NC
Alexandra Shayne-McKnight, BA , School of Social Work, The Universtiy of North Carolina at Chapel Hill
John McGowan, Ph.D. , English, The Universtiy of North Carolina at Chapel Hill
Audio (mp3) recording Recorded Presentation (mp4)
OBJECTIVE: Health disparities persist for racial/ethnic minority patients in access to and quality of healthcare, as well as health outcomes.  Implicit bias among healthcare providers toward Latino(s)/a(s) as well as discrimination toward Latino/a patients who are foreign-born, are not citizens, and have limited English proficiency is documented in the healthcare literature.  Envisioning Health is a concurrent cohort-controlled trial of a visual intervention for pediatric medicine residents designed to engage ingrained attitudes, allow providers to reflect and reconsider those attitudes, and incorporate new information to enhance practice with Latino/a youth.

METHODS: Envisioning Health brings together a team of trans-disciplinary scholars and community partners to develop a visual intervention that incorporates Photovoice, Visual Thinking Strategies, and photojournalism.  The intervention is tested by comparing pediatric residents who received the intervention (n = 40) with a control group (n = 40).  Outcomes measured include implicit racial/ethnic bias, ethno-cultural empathy, empathic healthcare orientation, and patient-centeredness.

RESULTS: Partners collaborated for a year to develop intervention components, recruitment plans, and measures prior to implementation.

CONCLUSIONS: Although the Institute of Medicine’s Unequal Treatment report highlighted implicit bias in healthcare, interventions to engage and shift implicit attitudes and beliefs have been neglected.  Envisioning Health tests an intervention that incorporates visual intervention strategies, trans-disciplinary scholars, and community partners to reduce implicit bias among providers.

Learning Areas:

Diversity and culture
Implementation of health education strategies, interventions and programs
Program planning
Social and behavioral sciences
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Discuss lessons learned through the planning, intervention development, and implementation stages of the project. List strategies that promote successful trans-disciplinary, community-engaged work. Explain visual methods’ value for interventions directed at implicit bias.

Keyword(s): Health Disparities/Inequities, Training

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Principal Investigator for Envisioning Health, an NIH funded R-24 grant that is testing a visually based intervention to combat implicit bias among health care providers. I am an associate professor at the University of North Carolina at Chapel Hill in the School of Social Work and teach classes about social work practice in health care settings.
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.

Back to: 4455.0: Patient-Provider Communication (organized by HCWG)