Developing Standardized/Simulated Patients (SPs) to Better Portray the Social Determinants of Health (SDoH) (1090-002169) (Developmental Research Projects: Resuscitation, Clinical Outcomes, Cultural Fluency (By Invitation Only))
Start time: Thursday, February 4, 2021, 3:00 PM End time: Thursday, February 4, 2021, 4:00 PM Session Type: Research Study Development and Presentation Program Abstracts
Healthcare professionals have addressed the important role of Social Determinants of Health (SDoH) in promoting health equity. Teaching health professional students about SDoH using simulations has been a trend in health professions education 1-2. The demand on Standardized/Simulated Patients (SPs) portraying real patients who have experienced SDoH is increasing. However, limited knowledge or experience about SDoH and potential bias from SPs may lead to superficial role-portraying 3. To train SPs on authentic role-portrayal, we propose engaging SPs in a poverty simulation to learn more about SDoH issues. Evidence of such training has shown positive findings among health professional students. However, to date there is no study focusing on SP training for addressing SDoH. Our research question is: Will SPs who complete a poverty simulation report better understanding about SDoH and more positive attitude toward SDoH-related population?
We will adopt the group-based Community Action Poverty Simulation (CAPS 4) tool to address SDoH issues during SP training. We plan to recruit about 100 SPs who will first complete a pre-simulation questionnaire asking about their background, current understanding of SDoH, and their attitude toward poverty 5. On the day of the poverty simulation, they will participate in a prebriefing (30 minutes), a 60-minutes poverty simulation, and a 60-minutes debriefing session. They will also complete a post-simulation questionnaire asking about their understanding of and their attitude toward poverty. In the debriefing session, SPs will also write down their reflection on their overall experience of this training and their thoughts and strategies for their role-portrayal in SDoH simulation events.
First, we predict that SPs who complete the poverty simulation training will report better understanding of SDoH issues (poverty). T-tests will be conducted to compare the difference between their pre- and post-simulation score on their understanding of SDoH issues. Second, we predict that SPs who complete the poverty simulation training will report a more positive attitude toward SDoH issues (poverty) and toward the disadvantaged population in healthcare (people with poverty). Since the attitude toward poverty scale has four subscales (systematic poverty, self-responsibility, bad habits, & emotional costs), we will check the scale reliability and conduct MANOVA with repeated measures to test any differences in pre- and post-simulation attitude toward poverty subscores. Finally, we will conduct qualitative analysis to identify meaningful thematic patterns on SP reflection of their overall experience and strategies for their role-portrayal in SDoH simulation events.