Rewriting the Script: the Need for Effective Education to Address Racial Disparities in Transcranial Magnetic Stimulation Uptake in BIPOC Communities

• Published in: Neuroethics 2024-04, Vol.17 (1), p.8, Article 8
• Main Authors: Sullivan, Christi R. P., Henry, Alex, Lehman, Jonathan, Caola, Logan, Nahas, Ziad, Widge, Alik S., Cabrera, Laura Y., Randolph, Anita, Wilson, Saydra
• Format: Article
• Language: English
• Subjects: Education; Ethics; Inequality; Magnetic fields; Neurology; Neuromodulation; Neuropsychology; Neuroradiology; Neurosciences; Neurosurgery; Original Paper; Philosophy; Racial differences; Transcranial magnetic stimulation
• ISSN: 1874-5490; 1874-5504
• DOI: 10.1007/s12152-024-09542-9

Depression is a widespread concern in the United States. Neuromodulation treatments are becoming more common but there is emerging concern for racial disparities in neuromodulation treatment utilization. This study focuses on Transcranial Magnetic Stimulation (TMS), a treatment for depression, and the structural and attitudinal barriers that racialized individuals face in accessing it. In January 2023 participants from the Twin Cities, Minnesota engaged in focus groups, coupled with an educational video intervention. Individuals self identified as non-white who had no previous TMS exposure but had tried at least one treatment for their depression. Results revealed that the intervention did not notably change knowledge or stigma about TMS, but attitudes surrounding traveling for treatment changed. Notably, barriers like affordability, frequency of treatment, and lack of knowledge persist. Participants expressed a desire for more information, personal connection, and a tailored educational approach. The study suggests a need for multifaceted strategies to reduce disparities, focusing on education, community-based resources, and policy interventions. Immediate actions that can be taken include the creation of a TMS education program focused on patient engagement and awareness about TMS.