Evidence map›Paper›PMID 35765147›Full record

ArticleHealth services research2022

The Presence 5 for Racial Justice Framework for anti-racist communication with Black patients.

Cati Brown-Johnson, Joy Cox, Megha Shankar, Juliana Baratta, Gisselle De Leon, Raquel Garcia, Taylor Hollis, Mae Verano, Kelsey Henderson, Mauranda Upchurch and 10 more

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In one paragraph

Article in Health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

20 authors.

Cati Brown-JohnsonEvaluation Sciences Unit, Division of Primary Care and Population Health, Stanford University School of Medicine, Palo Alto, California, USA.ORCID 0000-0002-5415-3665
Joy CoxMeta Platforms, Inc., One Hacker Way, Menlo Park, California, USA.
Megha ShankarDivision of General Internal Medicine, Department of Medicine, UC San Diego, San Diego, California, USA.
Juliana BarattaMIT Sloan School of Management, Cambridge, Massachusetts, USA.
Gisselle De LeonDivision of Primary Care and Population Health, Stanford University School of Medicine, Palo Alto, California, USA.
Raquel GarciaDivision of Primary Care and Population Health, Stanford University School of Medicine, Palo Alto, California, USA.
Taylor HollisUAB Marnix E. Heersink School of Medicine, Birmingham, Alabama, USA.
Mae VeranoDivision of Primary Care and Population Health, Stanford University School of Medicine, Palo Alto, California, USA.
Kelsey HendersonMeharry Medical College, Nashville, Tennessee, USA.
Mauranda UpchurchGuidehouse, Atlanta, Georgia, USA.
Nadia SafaeiniliHealth Policy and Management, UC Berkeley School of Public Health, Berkeley, California, USA.
Jonathan Glazer ShawDivision of Primary Care and Population Health, Stanford University School of Medicine, Palo Alto, California, USA.ORCID 0000-0001-7884-3604
Robert J FortunaUniversity of Rochester Medical Center, Rochester, New York, USA.
Clyde BeverlyPresence 5 for Racial Justice Community Advisory Board, Stanford University School of Medicine, Palo Alto, California, USA.
Meredith WalshChurch Health, Memphis, Tennessee, USA.
Carlie Stein SomervillePrimary Care at UAB Medicine Leeds, Leeds, Alabama, USA.
Marie HaverfieldCommunication Studies, College of Social Studies, San Jose State University, San Jose, California, USA.ORCID 0000-0003-2949-0229
Sonoo Thadaney IsraniPresence Center, Stanford University School of Medicine, Palo Alto, California, USA.
Abraham VerghesePresence Center, Stanford University School of Medicine, Palo Alto, California, USA.
Donna M ZulmanDivision of Primary Care and Population Health, Stanford University School of Medicine, Palo Alto, California, USA.ORCID 0000-0001-8904-2810

Funding

The RCMI Program in Health Disparities Research at Meharry Medical College - SupplementU54MD007586 · NIMHD · MEHARRY MEDICAL COLLEGE · PI Maureen Sanderson · 2017 to 2026
$48.2M
NIMHD NIH HHS U54 MD007586
6 · The paper itself

Abstract

objectiveTo identify communication practices that clinicians can use to address racism faced by Black patients, build trusting relationships, and empower Black individuals in clinical care. DATA SOURCES: Qualitative data (N = 112 participants, August 2020-March 2021) collected in partnership with clinics primarily serving Black patients in Leeds, AL; Memphis, TN; Oakland, CA; and Rochester, NY. STUDY

designThis multi-phased project was informed by human-centered design thinking and community-based participatory research principles. We mapped emergent communication and trust-building strategies to domains from the Presence 5 framework for fostering meaningful connection in clinical care. DATA COLLECTION

methodsInterviews and focus group discussions explored anti-racist communication and patient-clinician trust (n = 36 Black patients; n = 40 nonmedical professionals; and n = 24 clinicians of various races and ethnicities). The Presence 5 Virtual National Community Advisory Board guided analysis interpretation. PRINCIPAL

findingsThe emergent Presence 5 for Racial Justice (P5RJ) practices include: (1) Prepare with intention by reflecting on identity, bias, and power dynamics; and creating structures to address bias and structural determinants of health; (2) Listen intently and completely without interruption and listen deeply for the potential impact of anti-Black racism on patient health and interactions with health care; (3) Agree on what matters most by having explicit conversations about patient goals, treatment comfort and consent, and referral planning; (4) Connect with the patient's story, acknowledging socioeconomic factors influencing patient health and focusing on positive efforts; (5) Explore emotional cues by noticing and naming patient emotions, and considering how experiences with racism might influence emotions.

conclusionP5RJ provides a framework with actionable communication practices to address pervasive racism experienced by Black patients. Effective implementation necessitates clinician self-reflection, personal commitment, and institutional support that offers time and resources to elicit a patient's story and to address patient needs.

Indexed as

RacismSocial JusticeBlack or African AmericanCommunicationHumansTrustAfrican AmericanBlackcommunicationcommunity-based participatory researchdesign thinkinghuman-centered designpatient carequalitative

Identifiers

PMID35765147
PMCPMC9660409

What OpenQuestion holds

Textmetadata
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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.