Evidence map›Paper›PMID 25622081›Full record

ArticleHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2015

Genetic counselors' implicit racial attitudes and their relationship to communication.

Kendra L Schaa, Debra L Roter, Barbara B Biesecker, Lisa A Cooper, Lori H Erby

Open access · hybridAbstract read
In one paragraph

Article in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
16.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Beyond Barriers: Achieving True Equity in Cancer Care.Current oncology (Toronto, Ont.) · 2025
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  13. Unconscious Bias among Health Professionals: A Scoping Review.International journal of environmental research and public health · 2023
    Article
  14. Article
  15. Article
  16. Review
  17. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Kendra L SchaaDepartment of Health, Behavior & Society, The Johns Hopkins Bloomberg School of Public Health.
Debra L RoterDepartment of Health, Behavior & Society, The Johns Hopkins Bloomberg School of Public Health.
Barbara B BieseckerSocial and Behavioral Research Branch, National Human Genome Research Institute, National Institutes of Health.
Lisa A CooperDepartment of Medicine, The Johns Hopkins University School of Medicine.
Lori H ErbyDepartment of Health, Behavior & Society, The Johns Hopkins Bloomberg School of Public Health.
Johns Hopkins University · USNational Human Genome Research Institute · US

Funding

NHGRI/DIR Genetic Counseling Training ProgramZIEHG200353 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI ERBY, LORI · 2010 to 2025
$16.9M
Genetic Counseling Processes and Analogue Client OutcomeR01HG002688 · NHGRI · JOHNS HOPKINS UNIVERSITY · PI ROTER, DEBRA L · 2003 to 2006
$2.3M
Patient-Oriented Research in Cardiovascular DisparitiesK24HL083113 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI COOPER, LISA A · 2006 to 2015
$2.0M
NHGRI NIH HHS 1R01HG002688-01A1NHGRI NIH HHS R01 HG002688NHLBI NIH HHS K24 HL083113
6 · The paper itself

Abstract

objectiveImplicit racial attitudes are thought to shape interpersonal interactions and may contribute to health-care disparities. This study explored the relationship between genetic counselors' implicit racial attitudes and their communication during simulated genetic counseling sessions.

methodA nationally representative sample of genetic counselors completed a web-based survey that included the Race Implicit Association Test (IAT; Greenwald, McGhee, & Schwartz, 1998; Cooper et al., 2012). A subset of these counselors (n = 67) had participated in an earlier study in which they were video recorded counseling Black, Hispanic, and non-Hispanic White SCs about their prenatal or cancer risks. The counselors' IAT scores were related to their session communications through robust regression modeling.

resultsGenetic counselors showed a moderate to strong pro-White bias on the Race IAT (M = 0.41, SD = 0.35). Counselors with stronger pro-White bias were rated as displaying lower levels of positive affect (p < .05) and tended to use less emotionally responsive communication (p < .10) when counseling minority SCs. When counseling White SCs, pro-White bias was associated with lower levels of verbal dominance during sessions (p < .10). Stronger pro-White bias was also associated with more positive ratings of counselors' nonverbal effectiveness by White SCs.

conclusionImplicit racial bias is associated with negative markers of communication in minority client sessions and may contribute to racial disparities in processes of care related to genetic services.

Indexed as

Attitude of Health PersonnelCommunicationAdultBlack or African AmericanFemaleGenetic CounselingHealthcare DisparitiesHispanic or LatinoHumansInterpersonal RelationsMaleMiddle AgedPatient SatisfactionRacismWhite People

Identifiers

PMID25622081
PMCPMC4945109
OpenAlexW1969459036

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.