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Stereotype Threat Effect On the Performance of the Non-Intensivist Physicians Assigned in Covid-19 Intensive Care Unit

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT05074446
Recruitment Status : Active, not recruiting
First Posted : October 12, 2021
Last Update Posted : June 24, 2022
Sponsor:
Information provided by (Responsible Party):
Murat Tümer, Hacettepe University

Brief Summary:

Stereotype threat (ST) is an important issue that has been studied repeatedly in the psychology literature. ST is the thought that a person will be negatively evaluated and judged regarding a negative stereotype that belongs to the group to which he/she belongs. Most people are members of a social group associated with at least one negative stereotype. Therefore, many people in society may be the target of stereotype threat. Previous research has shown that the individual performance of people in groups identified with negative stereotypes, who are exposed to stereotype threat, decreases. The ST may arise when there is an environment in which the skills of the person that may be affected by a stereotype associated with his/her group can be measured, or if this stereotype has become evident.

In Covid-19, there has been a rapid increase in the number of intensive care patients in our country and around the World. Due to this rapid increase, the number of intensivist physicians is insufficient, and non-intensivist physicians from various branches are assigned to intensive care units. In social media and newspaper reports, it was stated that non-intensivist physicians have insufficient knowledge and skills in intubation and in the treatment of lung infection, and the public was asked to take precautions. However, these physicians were expected to treat lung infections and intubate the patients in intensive care units during pandemics. It is unknown to what extent such negative stereotypes, established or already existing, affect the performance of non-intensivist physicians during their appointment to the intensive care units during the pandemic.

As in all other departments, the most basic task expected from doctors in intensive care units is effective basic life support applied for the treatment of cardiopulmonary arrest. Cardiopulmonary resuscitation (CPR) is a basic life support model that is mandatory taught in medical schools. For this reason, it is expected that all doctors, regardless of their specialties, will be able to perform CPR effectively. The use of manikins is quite common in order to standardize CPR training and performance measurement. The aim of this study is to evaluate how non-intensivist physicians assigned to intensive care units during the pandemic are affected by stereotype threat and to investigate the necessary conditions to prevent a possible decrease in performance in these physicians.


Condition or disease Intervention/treatment Phase
Stereotype-threat COVID-19 Other: stereotype threat manipulation Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 116 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: It will be a 2x2 between-subject factorial design. Simulation CPR scores will be the dependent variable. Being an intensivist or non-intensivist and stereotype threat will be the independent variables of the study. There will be four groups to be compared: intensivist in the experimental group (1), intensivist in the control group (2), non-intensivist in the experimental group (3), non-intensivist in the control group (4).
Masking: Triple (Participant, Care Provider, Investigator)
Primary Purpose: Diagnostic
Official Title: Stereotype Threat Effect On the Performance of the Non-Intensivist Physicians Assigned in Covid-19 Intensive Care Unit
Actual Study Start Date : November 15, 2021
Actual Primary Completion Date : June 15, 2022
Estimated Study Completion Date : July 15, 2022

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: intensivist in the experimental group
Stereotype threat manipulation will be performed on the intensivist in the experimental group just before they are taken into the testing room.
Other: stereotype threat manipulation

Stereotype threat is the thought that a person will be negatively evaluated and judged regarding a negative stereotype that belongs to the group to which he/she belongs.

Stereotype threat manipulation will be performed on the intensivist and non-intensivist participants in the experimental group just before they are taken into the testing room. For manipulation, the following sentences will be said to the participants in the experimental group: "We aim to compare the cardiopulmonary resuscitation performance between intensive care units and other branches." The other participants (Control Group) will not be given any prior information.


No Intervention: intensivist in the control group
The intensivist in the control group will not be given any prior information.
Experimental: non-intensivist in the experimental group
Stereotype threat manipulation will be performed on the non-intensivist in the experimental group just before they are taken into the testing room.
Other: stereotype threat manipulation

Stereotype threat is the thought that a person will be negatively evaluated and judged regarding a negative stereotype that belongs to the group to which he/she belongs.

Stereotype threat manipulation will be performed on the intensivist and non-intensivist participants in the experimental group just before they are taken into the testing room. For manipulation, the following sentences will be said to the participants in the experimental group: "We aim to compare the cardiopulmonary resuscitation performance between intensive care units and other branches." The other participants (Control Group) will not be given any prior information.


No Intervention: non-intensivist in the control group
The non-intensivist in the control group will not be given any prior information.



Primary Outcome Measures :
  1. Cardiopulmonary Resuscitation (CPR) Performance [ Time Frame: During CPR simulation ]
    Change in CPR scores in the experimental group compared to the control group. Scoring will be done with the "CPR Scoring Scale" we developed. Higher values will indicate more effective CPR.



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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

1- To have worked in the Covid-19 intensive care unit during the pandemic

Exclusion Criteria:

  1. Not meeting the above criteria
  2. Not willing to participate in the study

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05074446


Locations
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Turkey
Hacettepe University Hospital
Ankara, Turkey
Sponsors and Collaborators
Hacettepe University
  Study Documents (Full-Text)

Documents provided by Murat Tümer, Hacettepe University:
Publications of Results:
Board, T. [@tim_n_board]. (2020, March 16). #stayhome #covid [Tweet]. Twitter. https://twitter.com/tim_n_board/status/1239499551419047936?s=20

Other Publications:
Steele, C. M., Spencer, S. J., & Aronson, J. (2002). Contending with group image: The psychology of stereotype and social identity threat. In Advances in experimental social psychology (Vol. 34, pp. 379-440). Academic Press.
Genel Koronavirüs Tablosu. (2021). Retrieved June 22, 2021, from https://covid19.saglik.gov.tr/TR-66935/genel-koronavirus-tablosu.html
Baumgaertner, E., & Karlamangla, S. (2020, March 20). Coronavirus outbreak has doctors, nurses bracing for onslaught. Los Angeles Times. https://www.latimes.com/california/story/2020-03-20/coronavirus-doctors-nurses-fears-ventilator-icu-emergency

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Responsible Party: Murat Tümer, Principal Investigator, Hacettepe University
ClinicalTrials.gov Identifier: NCT05074446    
Other Study ID Numbers: Stereotype Threat on Covid ICU
First Posted: October 12, 2021    Key Record Dates
Last Update Posted: June 24, 2022
Last Verified: June 2022
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Plan Description: İndividual participant data (IPD) will be anonymized to available to other researchers.
Supporting Materials: Study Protocol
Statistical Analysis Plan (SAP)
Informed Consent Form (ICF)
Clinical Study Report (CSR)
Time Frame: at the end of the study

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Murat Tümer, Hacettepe University:
stereotype threat
COVID-19 Pandemic
non-intensivist physicians
Cardiopulmonary Resuscitation
Additional relevant MeSH terms:
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COVID-19
Stereotypic Movement Disorder
Respiratory Tract Infections
Infections
Pneumonia, Viral
Pneumonia
Virus Diseases
Coronavirus Infections
Coronaviridae Infections
Nidovirales Infections
RNA Virus Infections
Lung Diseases
Respiratory Tract Diseases
Neurodevelopmental Disorders
Mental Disorders