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The goal of this pilot implementation study is to evaluate the impact of a virtual reality (VR) intervention on implicit bias for resident physicians. The main question it aims to answer are:
Does watching VR experience of two clinical encounters reduce implicit bias association test scores? Is the VR experience an acceptable intervention tool for reducing implicit bias?
Researchers will compare weight-based VR experiences consisting of two observed clinical encounters to a neutral education VR encounter to see if our intervention significantly impacts implicit bias association scores.
Participants will be asked
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Clinical Encounters VR Videos | Experimental |
| |
| Control Neutral VR Video | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 360 Video on a Virtual Reality Headset | Behavioral | Two 360- videos watched via a VR headset where the study subject will witness a positive physician encounter with a compliant obese patient and a negative encounter with a non-compliant non-obese patient |
| Measure | Description | Time Frame |
|---|---|---|
| Implicit Association Test | Participants in both experimental and control arms will take four implicit association tests: one pre-VR to assess baseline, immediately post-VR, one-week, and one-month. Impact of VR experimental experience will be assessed for significant changes in IAT scores between the pre-VR test and the post-VR tests. | From enrollment to one-month post-intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Resident Impression of Virtual Reality Implicit Bias Project | The acceptability of the use of virtual reality for implicit bias studies will be surveyed | One-month post-VR |
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Inclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Brigham and Women's Hospital | Boston | Massachusetts | 02115 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33468085 | Background | Marini M, Waterman PD, Breedlove E, Chen JT, Testa C, Reisner SL, Pardee DJ, Mayer KH, Krieger N. The target/perpetrator brief-implicit association test (B-IAT): an implicit instrument for efficiently measuring discrimination based on race/ethnicity, sex, gender identity, sexual orientation, weight, and age. BMC Public Health. 2021 Jan 19;21(1):158. doi: 10.1186/s12889-021-10171-7. | |
| 32457681 |
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IPD may not be shared since IAT scores of residents may be considered private information that a resident physician may not want shared.
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| ID | Term |
|---|---|
| D000087302 | Bias, Implicit |
| ID | Term |
|---|---|
| D011287 | Prejudice |
| D012919 | Social Behavior |
| D001519 | Behavior |
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| 360-Control Video | Behavioral | A neutral education video from the New England Journal of Medicine watched in a 360-theatre setting via a VR headset |
|
| Background |
| Gonzalez-Liencres C, Zapata LE, Iruretagoyena G, Seinfeld S, Perez-Mendez L, Arroyo-Palacios J, Borland D, Slater M, Sanchez-Vives MV. Being the Victim of Intimate Partner Violence in Virtual Reality: First- Versus Third-Person Perspective. Front Psychol. 2020 May 8;11:820. doi: 10.3389/fpsyg.2020.00820. eCollection 2020. |
| 25422444 | Background | Banakou D, Slater M. Body ownership causes illusory self-attribution of speaking and influences subsequent real speaking. Proc Natl Acad Sci U S A. 2014 Dec 9;111(49):17678-83. doi: 10.1073/pnas.1414936111. Epub 2014 Nov 24. |
| 29707220 | Background | Salmanowitz N. The impact of virtual reality on implicit racial bias and mock legal decisions. J Law Biosci. 2018 Apr 19;5(1):174-203. doi: 10.1093/jlb/lsy005. eCollection 2018 May. |
| 29942270 | Background | Banakou D, Kishore S, Slater M. Virtually Being Einstein Results in an Improvement in Cognitive Task Performance and a Decrease in Age Bias. Front Psychol. 2018 Jun 11;9:917. doi: 10.3389/fpsyg.2018.00917. eCollection 2018. |
| 23727712 | Background | Peck TC, Seinfeld S, Aglioti SM, Slater M. Putting yourself in the skin of a black avatar reduces implicit racial bias. Conscious Cogn. 2013 Sep;22(3):779-87. doi: 10.1016/j.concog.2013.04.016. Epub 2013 May 28. |
| 33500913 | Background | Bertrand P, Guegan J, Robieux L, McCall CA, Zenasni F. Learning Empathy Through Virtual Reality: Multiple Strategies for Training Empathy-Related Abilities Using Body Ownership Illusions in Embodied Virtual Reality. Front Robot AI. 2018 Mar 22;5:26. doi: 10.3389/frobt.2018.00026. eCollection 2018. |
| 22750742 | Background | Marini M, Rubichi S, Sartori G. The role of self-involvement in shifting IAT effects. Exp Psychol. 2012;59(6):348-54. doi: 10.1027/1618-3169/a000163. |
| 24661055 | Background | Lai CK, Marini M, Lehr SA, Cerruti C, Shin JE, Joy-Gaba JA, Ho AK, Teachman BA, Wojcik SP, Koleva SP, Frazier RS, Heiphetz L, Chen EE, Turner RN, Haidt J, Kesebir S, Hawkins CB, Schaefer HS, Rubichi S, Sartori G, Dial CM, Sriram N, Banaji MR, Nosek BA. Reducing implicit racial preferences: I. A comparative investigation of 17 interventions. J Exp Psychol Gen. 2014 Aug;143(4):1765-85. doi: 10.1037/a0036260. Epub 2014 Mar 24. |
| Background | Tappolet C, Teroni, F, Ziv, AK. Shadows of the Soul: Philosophical Perspectives on Negative Emotions. 2018 |