School of Nursing, University of California Los Angeles, Los Angeles, CA 90095, USA.
RAND Corporation, Santa Monica, CA 90401, USA.
Int J Environ Res Public Health. 2024 Oct 17;21(10):1374. doi: 10.3390/ijerph21101374.
Despite guidelines for screening and treating perinatal mood and anxiety disorders (PMADs), systemic issues and clinician biases often result in unmet mental health needs in Black women. This study assessed the feasibility and impact of comprehensive PMAD training on obstetric healthcare providers' attitudes, knowledge, and implicit racial biases. We conducted a feasibility study with two cohorts of healthcare providers who received either in-person or virtual training. The training focused on PMADs, implicit bias, and culturally responsive care. Participants completed pre- and post-training assessments measuring attitudes, knowledge, empathy, and implicit racial biases. Both training modalities showed trends towards improved PMAD screening attitudes and empathy, with significant increases in beliefs about treatment efficacy. Implicit bias scores approached significance, showing a shift toward fewer participants with racial preferences. However, there was an unexplained increase in preference for White over Black post training. The training improved healthcare providers' readiness to screen for PMADs and enhanced their understanding of PMADs. However, the persistence of implicit biases highlights the need for ongoing, sustained interventions to address deeply rooted biases. Future research should incorporate continuous learning strategies and link training to healthcare outcomes for minoritized communities.
尽管有针对围产期情绪和焦虑障碍（PMAD）的筛查和治疗指南，但系统问题和临床医生的偏见常常导致黑人女性的心理健康需求得不到满足。本研究评估了全面的 PMAD 培训对产科医疗保健提供者的态度、知识和内隐种族偏见的影响。我们对两组医疗保健提供者进行了一项可行性研究，他们接受了面对面或虚拟培训。培训侧重于 PMAD、内隐偏见和文化响应性护理。参与者在培训前后完成了评估，以衡量态度、知识、同理心和内隐种族偏见。两种培训模式都显示出改善 PMAD 筛查态度和同理心的趋势，对治疗效果的信念显著增加。内隐偏见得分接近显著，表明有更多的参与者对种族偏好的态度有所转变。然而，在培训后，对白人的偏好意外地增加了，而不是黑人。培训提高了医疗保健提供者筛查 PMAD 的准备程度，并增强了他们对 PMAD 的理解。然而，内隐偏见的持续存在突显了需要持续、持续的干预措施来解决根深蒂固的偏见。未来的研究应纳入持续学习策略，并将培训与少数族裔社区的医疗保健结果联系起来。
