Document Type

Article

Publication Date

2024

DOI

10.1126/sciadv.ado5957

Publication Title

Science Advances

Volume

10

Issue

33

Pages

eado5957

Abstract

The number of health care educational institutions/organizations adopting implicit bias training is growing. Our systematic review of 77 studies (published 1 January 2003 through 21 September 2022) investigated how implicit bias training in health care is designed/delivered and whether gaps in knowledge translation compromised the reliability and validity of the training. The primary training target was race/ethnicity (49.3%); trainings commonly lack specificity on addressing implicit prejudice or stereotyping (67.5%). They involved a combination of hands-on and didactic approaches, lasting an average of 343.15 min, often delivered in a single day (53.2%). Trainings also exhibit translational gaps, diverging from current literature (10 to 67.5%), and lack internal (99.9%), face (93.5%), and external (100%) validity. Implicit bias trainings in health care are characterized by bias in methodological quality and translational gaps, potentially compromising their impacts.

Rights

© 2024 The Authors, some rights reserved, exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works. Distributed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).

Data Availability

Article states: "All data needed to evaluate the conclusions in the paper are presented in the paper and/or the Supplementary Materials."

Original Publication Citation

Hagiwara, N., Duffy, C., Cyrus, J., Harika, N., Watson, G. S., & Green, T. L. (2024). The nature and validity of implicit bias training for health care providers and trainees: A systematic review. Science Advances, 10(33), 1-9, Article eado5957. https://doi.org/10.1126/sciadv.ado5957

ORCID

0000-0001-7197-1654 (Watson)

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