title: Improving Clinician Attitudes of Respect and Trust for Persons With Sickle Cell Disease.
abstract: OBJECTIVE
  To test the effect of 1 high-intensity, and 1 reduced-intensity, educational intervention designed to improve health care provider attitudes toward youth with sickle cell disease (SCD).
  
  
  METHODS
  We exposed a regional sample of pediatric health care providers to a 2.5-day high-intensity educational and experiential intervention using videos about the SCD patient experience. Additionally, we traveled to a different set of regional health care institutions and offered pediatric providers a reduced-intensity intervention, consisting of a 90-minute lunchtime in-service centered on our same set of videos about the patient's experience. We assessed the impact of both interventions by taking pre/post measurements of the negative and positive attitudes expressed by participating providers toward patients with SCD.
  
  
  RESULTS
  Both interventions tested elicited improvements in the SCD attitudes expressed by the pediatric providers as suggested through a reduction in measured negative attitude scores (20.0 vs 12.1, P < .001), and an improvement in positive attitude scores (67.1 vs 72.2, P < .001). Further testing suggested that the high-intensity intervention elicited a stronger effect than the reduced-intensity intervention across multiple attitudinal domains.
  
  
  CONCLUSIONS
  Video-based interventions can be used to improve the attitudes of pediatric providers toward patients with SCD. The availability of interventions of varying intensities provides greater flexibility in designing efforts to advance the quality of SCD care through the improvement of provider attitudes.
authors.affiliation: The Berman Institute of Bioethics, Johns Hopkins University, Baltimore, Maryland; and chaywoodjr@jhu.edu.
authors.forename: Carlton
authors.initials: C
authors.lastname: Haywood
authors.affiliation: Loma Linda University, Loma Linda, California.
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Williams-Reade
authors.affiliation: The Berman Institute of Bioethics, Johns Hopkins University, Baltimore, Maryland; and.
authors.forename: Cynda
authors.initials: C
authors.lastname: Rushton
authors.affiliation: The Berman Institute of Bioethics, Johns Hopkins University, Baltimore, Maryland; and.
authors.forename: Mary Catherine
authors.initials: MC
authors.lastname: Beach
authors.affiliation: The Berman Institute of Bioethics, Johns Hopkins University, Baltimore, Maryland; and.
authors.forename: Gail
authors.initials: G
authors.lastname: Geller
mesh_terms: D000293:Adolescent; D000328:Adult; D000755:Anemia, Sickle Cell / Q000523:psychology*; D001291:Attitude of Health Personnel; D005260:Female; D006282:Health Personnel / Q000193:education*; D006801:Humans; D007318:Inservice Training / Q000706:statistics & numerical data*; D008297:Male; D015397:Program Evaluation / Q000706:statistics & numerical data*; D035502:Trust / Q000523:psychology*; D014743:Videotape Recording; D055815:Young Adult