Journal
MEDICAL EDUCATION ONLINE
Volume 27, Issue 1, Pages -Publisher
TAYLOR & FRANCIS LTD
DOI: 10.1080/10872981.2022.2107470
Keywords
Linguistic biases; African American english; diversity in healthcare; communication inequities; racial stereotypes; virtual health clinicians; diversity and equity
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Funding
- University of Florida College of Journalism and Communications' (UF CJC)
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This pilot study used virtual clinicians to investigate how linguistic features affect patient perceptions of Black healthcare providers, and whether linguistic cues increase or decrease racial bias in healthcare interactions.
The increased utilization of telehealth has provided patients with the opportunity to interact with racially diverse healthcare providers (HCPs). While evidence of racial stereotypes in healthcare is well documented, less is known about whether linguistic cues increase or decrease racial bias in healthcare interactions. The purpose of this pilot study was to use virtual clinicians (VCs) to examine how varying linguistic features affect patient perceptions of Black-identifying HCPs. Participants (N = 282) were recruited to participate in an online pilot study using a two-arm posttest-only experimental design. Participants were randomly assigned to interact with a Black VC that used vocal cues associated with either Standard American English (SAE) or African American English (AAE) on the topic of colorectal cancer. After the interaction, participants completed a posttest questionnaire. Resulting data were analyzed using mediation.
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