Department of Public Health Sciences, University of Virginia, Charlottesville, VA 22903, USA.
Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USA.
Sci Adv. 2024 Aug 16;10(33):eado5957. doi: 10.1126/sciadv.ado5957. Epub 2024 Aug 14.
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.
越来越多的医疗保健教育机构/组织采用隐性偏见培训。我们对 77 项研究（发表于 2003 年 1 月 1 日至 2022 年 9 月 21 日）进行了系统回顾，调查了医疗保健中的隐性偏见培训是如何设计/提供的，以及知识转化中的差距是否影响了培训的可靠性和有效性。主要培训目标是种族/民族（49.3%）；培训通常缺乏针对隐性偏见或刻板印象的具体内容（67.5%）。它们结合了实践和理论方法，平均持续 343.15 分钟，通常在一天内完成（53.2%）。培训还存在翻译差距，与当前文献存在差异（10%至 67.5%），并且缺乏内部（99.9%）、面部（93.5%）和外部（100%）有效性。医疗保健中的隐性偏见培训存在方法学质量和翻译差距方面的偏见，这可能会影响其效果。
