{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T18:29:33Z","timestamp":1786386573071,"version":"build-2736575974"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T00:00:00Z","timestamp":1748563200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T00:00:00Z","timestamp":1748563200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100006093","name":"Patient-Centered Outcomes Research Institute","doi-asserted-by":"publisher","award":["AD\u20102017C1\u20106314"],"award-info":[{"award-number":["AD\u20102017C1\u20106314"]}],"id":[{"id":"10.13039\/100006093","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["U01 CA164974"],"award-info":[{"award-number":["U01 CA164974"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007886","name":"Dana-Farber Cancer Institute","doi-asserted-by":"publisher","award":["Faculty Microgrant (PI"],"award-info":[{"award-number":["Faculty Microgrant (PI"]}],"id":[{"id":"10.13039\/100007886","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007886","name":"Dana-Farber Cancer Institute","doi-asserted-by":"publisher","award":["Zhou)"],"award-info":[{"award-number":["Zhou)"]}],"id":[{"id":"10.13039\/100007886","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["British J Clinic Psychol"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Prior experiences of medical racism harm health outcomes through reduced trust in medical recommendations and ultimately reduced treatment uptake. Unfortunately, experiencing medical racism is common among Black women. Culturally tailoring interventions can increase patient trust and treatment engagement. This secondary analysis examines the role of medical racism as a moderator of intervention use and sleep outcomes among Black women randomized to a tailored or standard internet insomnia treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Secondary analysis of a randomized clinical trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In total, 218 Black women with insomnia were randomized to tailored or standard internet insomnia treatment. Univariate linear mixed\u2010effects models tested whether prior medical racism moderated the effect of intervention condition on changes in sleep outcomes (ISI, PSQI, WASO, SOL) across baseline, post\u2010intervention and 6\u2010month follow\u2010up assessments. Binary logistic regression assessed moderation effects on remitter, responder and treatment completer status at post\u2010intervention. Quasi\u2010Poisson regression examined moderation effects on the number of program logins and sleep diaries completed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirty\u2010eight per cent of participants reported prior medical racism. Medical racism did not explain differences in rates of intervention use or sleep outcomes. Insomnia symptoms comparably improved in both conditions (\n                      <jats:italic>p<\/jats:italic>\n                      s\u2009&lt;\u2009.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Over one third of the sample reported medical racism, suggesting it is not a rare occurrence for Black women; however, medical racism was not associated with intervention engagement and sleep health outcomes. Confronting racism within health care systems and providers remains necessary to promote physical and mental health equity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjc.12556","type":"journal-article","created":{"date-parts":[[2025,5,31]],"date-time":"2025-05-31T01:59:01Z","timestamp":1748656741000},"page":"878-890","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The role of racial discrimination in medical care: A secondary analysis of the effect of culturally tailored, internet\u2010delivered CBT for insomnia in Black women"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4371-2740","authenticated-orcid":false,"given":"Katharine E.","family":"Daniel","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Neurobehavioral Sciences University of Virginia  Charlottesville Virginia USA"},{"name":"Harvard Medical School  Cambridge Massachusetts USA"},{"name":"Department of Psychiatry Massachusetts General Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0679-1160","authenticated-orcid":false,"given":"Vanessa V.","family":"Volpe","sequence":"additional","affiliation":[{"name":"Department of Psychology North Carolina State University  Raleigh North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3205-2078","authenticated-orcid":false,"given":"Traci N.","family":"Bethea","sequence":"additional","affiliation":[{"name":"Office of Minority Health and Health Disparities Research Georgetown Lombardi Comprehensive Cancer Center  Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2760-2987","authenticated-orcid":false,"given":"Lynn","family":"Rosenberg","sequence":"additional","affiliation":[{"name":"Slone Epidemiology Center at Boston University, Boston University Medical Campus  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7624-5213","authenticated-orcid":false,"given":"Lee M.","family":"Ritterband","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Neurobehavioral Sciences University of Virginia  Charlottesville Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1038-8961","authenticated-orcid":false,"given":"Eric S.","family":"Zhou","sequence":"additional","affiliation":[{"name":"Division of Sleep Medicine Harvard Medical School  Boston Massachusetts USA"},{"name":"Department of Psychosocial Oncology and Palliative Care Dana\u2010Farber Cancer Institute  Boston Massachusetts USA"},{"name":"Department of Psychiatry Boston Children's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,30]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/s1389\u20109457(00)00065\u20104"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjpo.bp.117.005231"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0189900"},{"issue":"10","key":"e_1_2_11_5_1","first-page":"33","article-title":"Consequences of insomnia and its therapies","volume":"62","author":"Benca R. 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