Trial reportThe British journal of clinical psychology2026
The role of racial discrimination in medical care: A secondary analysis of the effect of culturally tailored, internet-delivered CBT for insomnia in Black women.
Trial report in The British journal of clinical psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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.
Who cites it
2 citing papers in PubMed.
- The role of racial discrimination in medical care: A secondary analysis of the effect of culturally tailored, internet-delivered CBT for insomnia in Black women.The British journal of clinical psychology · 2026Trial
- The importance of targeting sleep in the prevention and treatment of psychological disorders.The British journal of clinical psychology · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectivesPrior experiences of medical racism harm health outcomes through reduced trust in medical recommendations and ultimately reduced treatment uptake. Unfortunately, experiencing medical racism is common among Black women. Culturally tailoring interventions can increase patient trust and treatment engagement. This secondary analysis examines the role of medical racism as a moderator of intervention use and sleep outcomes among Black women randomized to a tailored or standard internet insomnia treatment.
designSecondary analysis of a randomized clinical trial.
methodsIn total, 218 Black women with insomnia were randomized to tailored or standard internet insomnia treatment. Univariate linear mixed-effects models tested whether prior medical racism moderated the effect of intervention condition on changes in sleep outcomes (ISI, PSQI, WASO, SOL) across baseline, post-intervention and 6-month follow-up assessments. Binary logistic regression assessed moderation effects on remitter, responder and treatment completer status at post-intervention. Quasi-Poisson regression examined moderation effects on the number of program logins and sleep diaries completed.
resultsThirty-eight per cent of participants reported prior medical racism. Medical racism did not explain differences in rates of intervention use or sleep outcomes. Insomnia symptoms comparably improved in both conditions (ps < .001).
conclusionsOver one third of the sample reported medical racism, suggesting it is not a rare occurrence for Black women; however, medical racism was not associated with intervention engagement and sleep health outcomes. Confronting racism within health care systems and providers remains necessary to promote physical and mental health equity.
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Registered trials
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