Minichiello Vincent, Ring Melinda, Walsh Elizabeth G, Mehta Darshan
Associate Professor, Osher Center for Integrative Health at University of Wisconsin-Madison, Department of Family Medicine and Community Health Madison, WI, USA.
Tina Trott Professor of Integrative Health Executive Director, Osher Center for Integrative Health at Northwestern University, Clinical Associate Professor of Medicine and Medical Social Sciences, Northwestern University Feinberg School of Medicine Chicago, IL, USA.
Glob Adv Integr Med Health. 2025 Jan 29;14:27536130251316221. doi: 10.1177/27536130251316221. eCollection 2025 Jan-Dec.
This study protocol introduces the Integrative Health Equity and Anti-Racism Tool (IHEART), an innovative instrument designed to infuse equity, diversity, and inclusion (EDI) into Integrative Health (IH) education. Recognizing the gaps in current IH training that fail to address social and systemic inequities adequately, the IHEART is intended to respond to the growing need for inclusivity in IH practices and educational materials. The tool is mainly focused on addressing issues such as accessibility of complementary and integrative health (CIH) therapies, cultural misappropriation, anti-racism, gender diversity, disability justice, trauma-informed care, weight inclusivity, and planetary health, which are currently inconsistently covered in IH training.
METHODS/DESIGN: Developed by a team seeking to embed EDI more consistently in IH education, the IHEART provides reflection questions tailored to the unique philosophy and topics of IH. These questions are intended for use by IH educators in creating and delivering educational content, including handouts, slides, textbooks, and curricula. This tool differentiates itself from existing health equity tools used in general medical education by catering to the nuanced needs of IH training. The article outlines the iterative development process of the IHEART and plans for future pilot implementation and revision.
By introducing this tool, the study protocol aims to enhance the inclusivity and relevance of IH education, aligning it more closely with contemporary social justice imperatives. The IHEART is positioned as a crucial step towards transforming IH education and practice, making it more accessible and equitable for diverse communities and ensuring that IH continues to evolve as a holistic and inclusive field.
本研究方案介绍了综合健康公平与反种族主义工具(IHEART),这是一种创新工具,旨在将公平、多样性和包容性(EDI)融入综合健康(IH)教育。认识到当前IH培训存在未能充分解决社会和系统性不平等问题的差距,IHEART旨在回应IH实践和教育材料中对包容性日益增长的需求。该工具主要关注补充和综合健康(CIH)疗法的可及性、文化挪用、反种族主义、性别多样性、残疾正义、创伤知情护理、体重包容性和地球健康等问题,这些问题目前在IH培训中涵盖不一致。
方法/设计:IHEART由一个寻求将EDI更一致地融入IH教育的团队开发,提供针对IH独特理念和主题量身定制的反思问题。这些问题供IH教育工作者在创建和提供教育内容时使用,包括讲义、幻灯片、教科书和课程。该工具通过满足IH培训的细微需求,与普通医学教育中使用的现有健康公平工具区分开来。本文概述了IHEART的迭代开发过程以及未来试点实施和修订计划。
通过引入此工具,本研究方案旨在提高IH教育的包容性和相关性,使其更紧密地符合当代社会正义要求。IHEART被定位为转变IH教育和实践的关键一步,使其对不同社区更易获取且更公平,并确保IH作为一个整体和包容性领域不断发展。