A Video-Intervention to Improve Clinician Attitudes Toward Patients with Sickle Cell Disease: The Results of a Randomized Experiment

Haywood, Carlton; Lanzkron, Sophie; Hughes, Mark; Brown, Ronald C.; Massa, Michele; Ratanawongsa, Neda; Beach, Mary Catherine

doi:10.1007/s11606-010-1605-5

Cited by 72 publications

(96 citation statements)

References 33 publications

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“…11 Haywood et al's study 12 was designed to test a video intervention on clinician attitudes towards patients with sickle-cell disease by using a scale of clinician attitudes towards positive and negative patient behaviors. To create the scale, clinicians rated examples of a range of patient behaviors; a history of AMA discharges was considered as negative "red-flag" behavior.…”

Section: Stigma and Ama Dischargesmentioning

confidence: 99%

Reconsidering Against Medical Advice Discharges: Embracing Patient-Centeredness to Promote High Quality Care and a Renewed Research Agenda

Alfandre

2013

J GEN INTERN MED

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Hospital discharges against medical advice (AMA) are common, costly, stigmatizing to patients, and are associated with excess morbidity and mortality. Achieving better quality care for patients discharged AMA has been limited both by the sparse research illuminating how best to care for this challenging patient population, as well as a lack of standards regarding this clinical practice. This paper will review elements of the AMA literature and highlight the gaps, including the predictors of AMA discharge, challenges to high quality informed consent in AMA discharges, problematic aspects of AMA discharge forms, and the stigma associated with patients discharged AMA. These gaps in the evidence base collectively limit the ability to adequately and completely address AMA discharges and improve health care quality. This paper will recommend future directions to answer remaining questions for the field, and offer guidance for providing ethically sound and high quality care for the affected population. Applying the widely accepted principles of patientcentered care and shared decision making to AMA discharges offers the opportunity to improve quality of care and promote ethical health care practice.KEY WORDS: against medical advice; shared decision making; patientcentered care.

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Section: Stigma and Ama Dischargesmentioning

confidence: 99%

Reconsidering Against Medical Advice Discharges: Embracing Patient-Centeredness to Promote High Quality Care and a Renewed Research Agenda

Alfandre

2013

J GEN INTERN MED

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“…15 Examples of these negative attitudes are found in reports of adult patients with SCD that health care providers fail to show them respect by stigmatizing them as being "drug-seeking," that providers often lack trust in them by expressing doubts about the veracity of the patient' s reports of their pain experience, and that providers do not treat the patient with SCD with a caring approach. 15,23 Although formal studies of these attitudes and experiences among youth with SCD are much more limited in number, the studies that can be identified document many of the same issues, 24 and they comport with the experiences of youth with SCD who we talk to and care for in our own professional practices. Furthermore, parents of hospitalized children with SCD report many of the same difficulties in their experiences and relationships with health care providers as reported by adult patients.…”

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confidence: 99%

Improving Clinician Attitudes of Respect and Trust for Persons With Sickle Cell Disease

Haywood

Williams-Reade

Rushton

et al. 2015

Hospital Pediatrics

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A B S T R A C T OBJECTIVE:To test the effect of 1 high-intensity, and 1 reduced-intensity, educational intervention designed to improve health care provider attitudes toward youth with sickle cell disease (SCD). METHODS:We exposed a regional sample of pediatric health care providers to a 2.5-day highintensity educational and experiential intervention using videos about the SCD patient experience. Additionally, we traveled to a different set of regional health care institutions and offered pediatric providers a reduced-intensity intervention, consisting of a 90-minute lunchtime in-service centered on our same set of videos about the patient's experience. We assessed the impact of both interventions by taking pre/post measurements of the negative and positive attitudes expressed by participating providers toward patients with SCD. RESULTS:Both interventions tested elicited improvements in the SCD attitudes expressed by the pediatric providers as suggested through a reduction in measured negative attitude scores (20.0 vs 12.1, P , .001), and an improvement in positive attitude scores (67.1 vs 72.2, P , .001). Further testing suggested that the high-intensity intervention elicited a stronger effect than the reducedintensity intervention across multiple attitudinal domains. CONCLUSIONS:Video-based interventions can be used to improve the attitudes of pediatric providers toward patients with SCD. The availability of interventions of varying intensities provides greater flexibility in designing efforts to advance the quality of SCD care through the improvement of provider attitudes.

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“…We posit use of multimedia tools to prompt individual reflective writing exercises. For example, Haywood et al (2010) use a film highlighting experiences of patients with sickle cell disease (SCD) receiving pain control treatment. They found the intervention (even without a written reflection component) reduced negative and increased positive attitudes toward patients with SCD (Haywood et al 2010).…”

Section: A Broader Basis For Teaching Reflectionmentioning

confidence: 99%

“…For example, Haywood et al (2010) use a film highlighting experiences of patients with sickle cell disease (SCD) receiving pain control treatment. They found the intervention (even without a written reflection component) reduced negative and increased positive attitudes toward patients with SCD (Haywood et al 2010). Using multimedia for introspection serves as a launching point for collaborative group reflection and can push students to more nuanced and organic discussions with peers.…”

Section: A Broader Basis For Teaching Reflectionmentioning

confidence: 99%

A broader basis for teaching reflection

Wilson¹,

Stewart²

2013

Medical Teacher

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A Video-Intervention to Improve Clinician Attitudes Toward Patients with Sickle Cell Disease: The Results of a Randomized Experiment

Cited by 72 publications

References 33 publications

Reconsidering Against Medical Advice Discharges: Embracing Patient-Centeredness to Promote High Quality Care and a Renewed Research Agenda

Reconsidering Against Medical Advice Discharges: Embracing Patient-Centeredness to Promote High Quality Care and a Renewed Research Agenda

Improving Clinician Attitudes of Respect and Trust for Persons With Sickle Cell Disease

A broader basis for teaching reflection

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