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Creating a Tool to Understand University Students' Experiences Regarding Inappropriate, Disrespectful, and Coercive (IDC) Healthcare Interactions

Title: Creating a Tool to Understand University Students' Experiences Regarding Inappropriate, Disrespectful, and Coercive (IDC) Healthcare Interactions
Language: English
Authors: Michelle L. Munro-Kramer (ORCID 0000-0002-4298-6790); Charisse Loder; Claire Kalpakjian; Kiki E. Martin; Andrea Hess; Emily Smith; Diana Parrish; Susan Ernst
Source: Journal of American College Health. 2025 73(5):2226-2235.
Availability: Taylor & Francis. Available from: Taylor & Francis, Ltd. 530 Walnut Street Suite 850, Philadelphia, PA 19106. Tel: 800-354-1420; Tel: 215-625-8900; Fax: 215-207-0050; Web site: http://www.tandf.co.uk/journals
Peer Reviewed: Y
Page Count: 10
Publication Date: 2025
Document Type: Journal Articles; Reports - Research
Education Level: Higher Education; Postsecondary Education
Descriptors: Health Services; Student Experience; College Students; Negative Attitudes; Communication (Thought Transfer); Self Concept; Power Structure; Patients; Empowerment; Sexual Orientation; LGBTQ People; Health Personnel
Geographic Terms: Michigan
DOI: 10.1080/07448481.2023.2272190
ISSN: 0744-8481; 1940-3208
Abstract: Objective: The purpose of this study was to develop a survey tool to capture inappropriate, disrespectful, and coercive (IDC) interactions with healthcare providers among a diverse sample of university students. Participants: Participants were university students at one large Midwestern public university. Methods: An exploratory qualitative approach was used to create a survey tool to capture IDC interactions. Results: In Phase I, 9 focus group discussions (FGDs) and 3 individual interviews were conducted with a total of 38 participants. In Phase II, 18 participants completed cognitive interviews. Themes across all FGDs included: (1) communication; (2) respect for identity; (3) institutional practices; (4) power imbalances; and (5) lack of patient education and empowerment. Queer participants discussed unique considerations of how queer identity influences one's IDC healthcare experiences. Conclusions: This study resulted in the development of a 64-70 item tool, the "IDC Survey," to measure the prevalence and characteristics of IDC healthcare interactions.
Abstractor: As Provided
Entry Date: 2025
Accession Number: EJ1477031
Database: ERIC