Individuation and implicit racial bias in genetic counseling communication

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: Genetic counselors (GCs) can frame information in either general terms (i.e., population risks) or individual terms (i.e., tailoring to specific client characteristics). We investigated whether informational framing might reflect GCs’ implicit racial bias. Methods: We analyzed previously videotaped genetic counseling sessions with white and minority (Black and Latino) simulated clients (SCs) and modeled the relationship between sixty GCs’ implicit racial bias, as measured by the Implicit Association Test (IAT), and informational framing (general or individual) as characterized by the Roter Interaction Analysis System. Results: Higher (more pro-white) IAT scores predicted less informational individuation for minority relative to white SCs. Similarly, higher IAT predicted fewer facilitation and activation statements to minority relative to white SCs. With higher IAT-scoring GCs, minority SCs disclosed less psychosocial and lifestyle information, and asked fewer medical questions (all p < 0.05). Conclusion: GCs’ racial implicit bias may be associated with less individualized communication style when counseling minority clients. Practice implications: Future research should address whether increasing informational individuation can ameliorate negative consequences of implicit bias and help providers reframe perceptions of minority patients in individual rather than categorical terms.

Original languageEnglish (US)
Pages (from-to)804-810
Number of pages7
JournalPatient Education and Counseling
Volume103
Issue number4
DOIs
StatePublished - Apr 2020

Keywords

  • Genetic counseling
  • Implicit attitudes
  • Individuation
  • Patient-provider communication
  • RIAS
  • Race/ethnicity

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint Dive into the research topics of 'Individuation and implicit racial bias in genetic counseling communication'. Together they form a unique fingerprint.

Cite this