Publications and Research

Document Type

Article

Publication Date

Fall 10-10-2025

Abstract

Abstract: This paper proposes the application of the transtheoretical model, a stage-matched process for effecting change, to better encourage anti-racist behaviors and methods among health care professionals in medical settings. Despite widespread organizational implementation of diversity, equity and inclusion (DEI) initiatives, which are aimed at reducing racial health and healthcare inequities across the United States, the absence of a theoretical framework for change has made it all but impossible to standardize meaningful anti-racist practices – a point of particular concern as President Donald Trump’s administration rolls back DEI efforts and requirements alike. Translational and clinical sciences aim for a gold standard of diversity, equity and inclusion amidst the dual threats of recent policy changes and ongoing complications born of capitalism, but the lack of a clinical and evaluative model for implementation – and lasting change – persists. Diversity science must account for, and solve for, individual differences in readiness to engage in anti-racist behaviors among medical professionals. The transtheoretical model of behavior change is an analytical framework for clinical applications that can facilitate change – even transformation – among individuals working in medical organizations.

Available for download on Friday, October 16, 2026

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