RCT of Intensive, Brief, and Control Indigenous Cultural Safety Training Interventions for Health Care Providers

Whether or not participant would be recommended as a health care provider to family or friends?,Mean Quality of Health Care Provider Relationship and Communication Scale Score,Mean Adherence to Clinical Standards of Care Scale Score

Despite Canada's relative global affluence, striking Indigenous/non-Indigenous health
 disparities persist. Following the release of the Truth and Reconciliation Commission of
 Canada's Final Report, and the publication of the First Peoples, Second Class Treatment
 report, there has been a growing recognition that the Canadian healthcare system - and the
 healthcare professional (HCP) - Indigenous patient relationship in particular - is a
 critical, necessary, and promising juncture for intervention. There has been a significant
 increase in the number of Indigenous cultural safety trainings for HCP across Canada.
 However, these programs have yet to be systematically evaluated.
 
 This study will use a randomized parallel group design to understand and compare the effects
 of an intensive multi-modular Indigenous cultural safety training program (Arm 1); a brief,
 2-hour, computer-based training session plus 2 follow-up emails (Arm 2); and primary
 care-related training program (Arm 3, control) for staff physicians, nurse practitioners, and
 resident physicians affiliated at large urban academic teaching hospitals in Toronto, Canada.
 60 participants will be recruited and randomized into one of the three study arms.
 Participants will complete a series of surveys and questionnaires at baseline and 9-11 weeks
 post-intervention that include measures of explicit and implicit race bias.
 
 We predict that the educational intervention in Arm 1 will have the most positive effect,
 followed by Arm 2 and 3 respectively. We anticipate that the results of this study will help
 urban hospitals implement Indigenous cultural safety training programs that are beneficial to
 their staff and ultimately improve the quality of care provided to Indigenous patients across
 Canada.