Use of Theater to Invoke Empathy and Reduce Bias in Medical Students
The effect of medical humanities on medical student bias and clinical management is unclear. This study characterized medical student attitudes toward obese individuals and whether reading a play employing empathic characters can modulate negative reactions.
Medical Student Bias
Behavioral: Medical Lecture
Behavioral: Dramatic Reading
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
- Explicit fat bias [ Time Frame: four months ] [ Designated as safety issue: No ]Assessment of conscious bias against fat people (unit of measure from 11 to 99).
- implicit fat bias [ Time Frame: four months ] [ Designated as safety issue: No ]Measurement using the implicit association test (IAT) with scores from -2.0 to +2.0.
- empathy scale [ Time Frame: four months ] [ Designated as safety issue: No ]Score of Jefferson Scale of Physician Empathy (JSPE) from 20 to 180.
- Patient-Centered Care [ Time Frame: four months ] [ Designated as safety issue: No ]Open-ended question on the clinical management of an asymptomatic, obese, elderly woman who is otherwise healthy, with coding for a response that is either patient-centered (ie: asking patient preferences and goals) or prescriptive (ie: telling the patient to diet and/or exercise).
- Appraisal of obesity [ Time Frame: four months ] [ Designated as safety issue: No ]An open-ended question asking participants whether they felt obesity was primarily an issue of discrimination (ie: civil rights) or a public health concern (ie: medical).
|Study Start Date:||August 2012|
|Study Completion Date:||November 2012|
|Primary Completion Date:||October 2012 (Final data collection date for primary outcome measure)|
1-hour dramatic reading of "The Most Massive Woman Wins"
|Behavioral: Dramatic Reading|
Active Comparator: Lecture
1-hour lecture on the medical management of obese patients
|Behavioral: Medical Lecture|
|United States, California|
|UC Davis School of Medicine|
|Sacramento, California, United States, 95817|
|Principal Investigator:||Richard L Kravitz, MD, MSPH||UC Davis School of Medicine|
|Study Director:||Rachel Hammer, BA||Mayo Medical School|
|Study Director:||Johanna Shapiro, PhD||UC Irvine School of Medicine|