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Psychologists as leaders in equitable science

Applications of antiracism and community participatory strategies in a pediatric behavioral medicine clinical trial

Bibliographic Data

ID8726195
AuthorsDesireé N Williford (0000-0003-1763-5507, corresponding author), Emily McTate (0000-0002-6538-109X), Emily A McTate, Anna Hood (0000-0002-7213-1179), Simon Reader (0000-0002-2676-774X, Nemours Children's Health System), Steven K Reader, Aimee K Hildenbrand (0000-0003-0147-3232, Nemours Children's Health System), Kim Smith‐Whitley (0000-0002-2790-411X), Kim Smith-Whitley, Susan E Creary (0000-0002-4730-8139), Alexis A Thompson (0000-0003-4961-8103), Rogelle Hackworth (0000-0002-2648-335X), Jean L Raphael (0000-0002-8612-1705), Lori E Crosby (0000-0001-6656-7745)
Year2023
Volume78
Issue2
Pages107-118
Publication date2023-02-01
Open AccessYes
TypeARTICLE
VenueAmerican Psychologist (JOURNAL)
Journal identifiersISSN: 0003-066X • E-ISSN: 1935-990X
PublisherAmerican Psychological Association (PUBLISHER • US)
DOI10.1037/amp0001086
PMID37011163
OpenAlexW4362497173
LanguageEN
References cited7

Psychologists have an ethical responsibility to advance health equity and can play a significant role in improving health care experiences for families racialized as Black, including those with sickle cell disease (SCD), a group of genetic blood disorders primarily affecting communities of color. Parents of children with SCD report experiences of stigma and discrimination due to racism in the health care system. The current commentary describes the application of antiracism and participatory strategies to the research design, implementation, and dissemination of a behavioral medicine clinical trial (Engage-HU; NCT03442114) of shared decision-making (SDM) for pediatric patients with SCD, including (a) the development of a research question to promote justice for racialized groups; (b) a focus on "redressing imbalances" through SDM and a multidisciplinary, inclusive research team led by a Black psychologist; (c) community participatory approaches through the integration of stakeholder feedback across the study; and (d) centering context by attending to structural realities in response to the COVID-19 and racism pandemics. With attention to the fact that most primary caregivers of children with SCD are Black women, an intersectionality lens was applied. Implications and considerations for psychologists working to advance health equity in medical settings are also discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Community-based participatory research · Health care · Health equity · Medical education · MEDLINE · Participatory action research · Political science · PsycINFO · Public health · Public relations · Racism · Sociology · Stakeholder · Ethics and Legal Issues in Pediatric Healthcare · Family and Disability Support Research · Medicine · Nursing · Prenatal Screening and Diagnostics · Psychology · Gender Studies

  • Upending racism in psychological science

    N T Buchanan, Marisol Pérez et al.•American Psychologist•2021

  • Race Based Medicine, Colorblind Disease

    Open Access•Ruqaiijah Yearby•The American Journal of Bioethics•2020

  • Critical Race Theory, Race Equity, and Public Health

    Chandra L Ford, Collins O Airhihenbuwa•American Journal of Public Health•2010

  • Advancing Health Disparities Research Within the Health Care System

    Amy M Kilbourne, Galen E Switzer et al.•American Journal of Public Health•2006

  • Race and shared decision-making

    Open Access•Monica E Peek, Angela Odoms-Young et al.•Social Science & Medicine•2010

Highly citedNo

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