A Mixed-method Analysis of Community-Engaged Theatre Illuminates Black Women’s Experiences of Racism and Addresses Healthcare Inequities by Targeting Provider Bias

Dados Bibliográficos

ID8097003
AutoresSally Wasmuth (0000-0002-1431-3687, Indiana University, Purdue University, Indianapolis, IN, USA, autor correspondente), Kevin Pritchard (0000-0002-3836-2440, Northwestern Memorial Hospital, Chicago, IL), Cierra Milton (Indiana University, Purdue University, Indianapolis, IN, USA), Emily Smith (0000-0002-2633-5189, Indiana University, Purdue University, Indianapolis, IN, USA)
Ano2020
Volume57
Páginas46958020976255-46958020976255
Data de publicação2020-01-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoINQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL)
Identificadores do periódicoISSN: 0046-9580 • E-ISSN: 1945-7243
EditoraSAGE Publishing (PUBLISHER • US)
DOI10.1177/0046958020976255
PMID33300406
OpenAlexW3111342095
IdiomaEN
Citações recebidas2
Referências citadas22

Theatre has been a powerful means of eliciting social change. This paper describes methods and outcomes of a theatre project to reduce healthcare inequities experienced by Black women. We conducted narrative interviews with a convenience sample of Black women and conducted thematic analysis of interview transcripts to learn about their experiences of healthcare and to inform development of a professional theatrical production. To assess the impact of the performance on the audience, we used a single post-test concurrent mixed-methods design using a self-created Likert-type survey that included space for open-ended responses. Ten Black women completed narrative interviews. Thematic analysis revealed 5 main themes: being ignored, being accused, being talked-down to, fearing harm, and being hurt. Narratives were used to create a script that centered on these themes, and that was professionally produced and performed. Audience members (n = 113, 25% healthcare providers) produced a mean total post-test score of 19.28 (agree/strongly agree) on a 25-point survey with 2 items scoring in the 2 to 3 range (disagree/not sure). Thematic analysis data revealed the extent to which Black women experienced discrimination in multiple settings. Quantitative survey data suggested audience members conceptually understood and were aware of inequity, but open-ended responses revealed this information was new for some, and prior knowledge for others. The audience reported planning to change personal behaviors that may contribute to inequity. Participants were unsure if they had contributed to inequity in the past. The performance stimulated conversation about implicit bias and discrimination and encouraged audience members to examine their contributions to the problem. Future pre-post studies are needed to better assess the impact of the performance. Theatre has the potential to illuminate the extent and nature of discrimination in healthcare and society, and to foster conversations that allow audience members to consider their own potential contributions to discrimination

Health care · Medical education · Narrative · Narrative inquiry · Political science · Public relations · Qualitative research · Racism · Social science · Sociology · Thematic analysis · Cultural Competency in Health Care · Medicine · Nursing education and management · Psychology · Racial and Ethnic Identity Research · Gender Studies · Social Psychology