Creating a tool to understand university students’ experiences regarding inappropriate, disrespectful, and coercive (IDC) healthcare interactions

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.

Keywords:

• Abuse
• college students
• healthcare
• university students

Conflict of interest disclosure

The authors have no conflicts of interest to report. The authors confirm that the research presented in this article met the ethical guidelines, including adherence to the legal requirements, of the United States and received approval from the Michigan Medicine Institutional Review Board.

Additional information

Funding

This work was supported by the University of Michigan Institute for Research on Women and Gender (PI: Dr. Susan Ernst).