RACED: Reduction of cervical cancer disparities— Racial literacy as a strategy to foster a race-conscious oncology.

Abstract

e13609 Background: The RACED project aims to reduce racial inequities in cervical cancer care at the Instituto do Câncer do Estado de São Paulo (ICESP). This initial phase evaluated a racial literacy course for hospital staff, designed to mitigate barriers associated with structural, institutional, and interpersonal racism prior to patient inclusion in oncological navigation. Methods: Using a pragmatic implementation design, we delivered a multidisciplinary course focused on health equity, critical race theory, and implicit bias. We evaluated acceptability, adherence, and feasibility, alongside immediate effects on self-reported knowledge, attitudes, and practices. Pedagogical strategies included interactive lectures and case discussions. Results: Four classes were conducted with approximately 100 participants each. Participants included a high proportion of leadership and director roles (46.1%), followed by attending and resident physicians (15.4%). While overall adherence was low relative to the total number of employees, results showed an expanded understanding of barriers faced by Black women and improved skills in culturally sensitive communication and active listening. The topics covered in the course were: 1- critical race theory; 2- intersectionality in healthcare for Black and LGBT+ populations; 3- structural racism in healthcare and equity policies; and 4- implicit biases and disparities in cancer care. Comparing pre- and post-course questionnaires, participants chiefly increased their knowledge and skills on race-conscious care. Detailed participant profiles and educational impact are shown in Table 1. Conclusions: Preliminary findings suggest that while team engagement remains a challenge, racial literacy training is a viable implementation strategy for quaternary services. The course addresses implications for reflective practice and the potential for replicability and scalability in other healthcare settings, contributing to the advancement of implementation strategies aimed at promoting racial equity in oncology care. Participant profile and professional background and educational impact on racial equity literacy. Category Group/ Classification Value Demographics Mean Age 35 years Professional Role Leadership & Directors 32,7% Attending & resident physicians 15.4% Nursing, Physiotherapy, Pharmacy, and Administration. 38.5% Race / Ethnicity White 60.4% Brown (Pardo) 21.8% Black 13.9% Asian 4.0% Indigenous 0% Difference between post-test (n=88) and pre-test (n=101) score I can differentiate structural, institutional, and interpersonal racism. +1,21 I grasp intersectionality in healthcare. +1,34 I know the National Black Health Policy +1,38 I am able to consider my clinical decisions through a racial equity lens +0,59 I am committed to institutional change. +0,69