{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T03:41:40Z","timestamp":1785296500834,"version":"3.55.0"},"reference-count":53,"publisher":"American Medical Association (AMA)","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"abstract":"<jats:sec id=\"ab-zoi260710-4\">\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>Research on the specific experiences of Asian American health care professionals and trainees, who face cultural dilemmas and stereotypes distinct from other minority groups, is limited. Few studies have evaluated interactive theater-based interventions for collective healing from racial trauma and for addressing cultural dilemmas, situations in which individuals navigate internalized stigma, interpersonal bias, and systemic exclusion within professional settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-zoi260710-5\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To evaluate the acceptability, feasibility, and impacts of\n                      <jats:italic toggle=\"yes\">Acting Together<\/jats:italic>\n                      , a webinar series using interactive theater to promote therapeutic healing and skill-building among Asian American health care professionals and trainees facing cultural dilemmas and biases at individual, interpersonal, and systemic levels.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-zoi260710-6\">\n                    <jats:title>Design, Setting, and Participants<\/jats:title>\n                    <jats:p>\n                      In this qualitative study with a mixed-methods design,\n                      <jats:italic toggle=\"yes\">Acting Together<\/jats:italic>\n                      featured improvisational exercises, interactive skits inspired by Asian American trainees\u2019 lived experiences, and panel discussions with Asian American health care professionals. Skits directly addressed topics of stereotypes, model-minority bias, and cultural expectations. Webinars were conducted via a videoconferencing platform in August and November 2023 and March 2024. Participants were health care trainees recruited nationally through institutional listservs, social media, and word of mouth.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-zoi260710-7\">\n                    <jats:title>Main Outcomes and Measures<\/jats:title>\n                    <jats:p>\n                      Prewebinar and postwebinar surveys assessed Likert-scale changes in self-perceived abilities to adapt, communicate, engage, and recognize implicit bias using paired\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      tests. Acceptability and feasibility were evaluated using summary statistics and Kolmogorov-Smirnov tests. Qualitative data from postwebinar focus groups were analyzed by iterative thematic analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-zoi260710-8\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Out of 112 participants, 67 (59.8% response rate) completed paired pre-post surveys (41 [61.2%] female; 34 [50.7%] Asian American), including medical (34 [50.7%]), nursing (7 [10.4%]), and social work (5 [7.5%]) students. Most found the program fit into existing clinical work (63 [94.0%]), was adaptable to training programs (62 [92.5%]), and was recommendable (62 [92.5%]). Significant improvements were noted in pre-post scores for self-perceived wellness (13.8% change;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&amp;amp;lt;\u2009.001), communication (13.2% change;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&amp;amp;lt;\u2009.001), and confidence (11.2% change;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.004), and 48 participants (71.6%) reported improved competency to recognize and address implicit biases (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&amp;amp;lt;\u2009.001). Qualitative analysis revealed themes of psychological safety, community solidarity, and preparedness to address cultural dilemmas.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-zoi260710-9\">\n                    <jats:title>Conclusions and Relevance<\/jats:title>\n                    <jats:p>\n                      In this mixed-methods study,\n                      <jats:italic toggle=\"yes\">Acting Together<\/jats:italic>\n                      was associated with improved skills and confidence in addressing cultural dilemmas and implicit bias, suggesting interactive theater-based webinars are a promising educational approach to support Asian American health care professionals and trainees.\n                    <\/jats:p>\n                  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