Evidence map›Paper›PMID 27139209›Full record

ArticleJournal of dental education2016

Assessment of the Influence of Demographic and Professional Characteristics on Health Care Providers' Pain Management Decisions Using Virtual Humans.

Jeff Boissoneault, Jennifer M Mundt, Emily J Bartley, Laura D Wandner, Adam T Hirsh, Michael E Robinson

Abstract read
PubMed Full text at PMC
In one paragraph

Article in Journal of dental education, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jeff BoissoneaultDr. Boissoneault is Research Assistant Professor, Department of Clinical and Health Psychology, University of Florida; Ms. Mundt is Graduate Assistant, Department of Clinical and Health Psychology, University of Florida; Dr. Bartley is Research Assistant Professor, Department of Community Dentistry and Behavioral Science, University of Florida; Dr. Wandner was Graduate Assistant, Department of Clinical and Health Psychology, University of Florida at the time of this study; Dr. Hirsh is Assistant Professor, Department of Psychology, Indiana University-Purdue University Indianapolis; and Dr. Robinson is Professor, Department of Clinical and Health Psychology, University of Florida.
Jennifer M MundtDr. Boissoneault is Research Assistant Professor, Department of Clinical and Health Psychology, University of Florida; Ms. Mundt is Graduate Assistant, Department of Clinical and Health Psychology, University of Florida; Dr. Bartley is Research Assistant Professor, Department of Community Dentistry and Behavioral Science, University of Florida; Dr. Wandner was Graduate Assistant, Department of Clinical and Health Psychology, University of Florida at the time of this study; Dr. Hirsh is Assistant Professor, Department of Psychology, Indiana University-Purdue University Indianapolis; and Dr. Robinson is Professor, Department of Clinical and Health Psychology, University of Florida.
Emily J BartleyDr. Boissoneault is Research Assistant Professor, Department of Clinical and Health Psychology, University of Florida; Ms. Mundt is Graduate Assistant, Department of Clinical and Health Psychology, University of Florida; Dr. Bartley is Research Assistant Professor, Department of Community Dentistry and Behavioral Science, University of Florida; Dr. Wandner was Graduate Assistant, Department of Clinical and Health Psychology, University of Florida at the time of this study; Dr. Hirsh is Assistant Professor, Department of Psychology, Indiana University-Purdue University Indianapolis; and Dr. Robinson is Professor, Department of Clinical and Health Psychology, University of Florida.
Laura D WandnerDr. Boissoneault is Research Assistant Professor, Department of Clinical and Health Psychology, University of Florida; Ms. Mundt is Graduate Assistant, Department of Clinical and Health Psychology, University of Florida; Dr. Bartley is Research Assistant Professor, Department of Community Dentistry and Behavioral Science, University of Florida; Dr. Wandner was Graduate Assistant, Department of Clinical and Health Psychology, University of Florida at the time of this study; Dr. Hirsh is Assistant Professor, Department of Psychology, Indiana University-Purdue University Indianapolis; and Dr. Robinson is Professor, Department of Clinical and Health Psychology, University of Florida.
Adam T HirshDr. Boissoneault is Research Assistant Professor, Department of Clinical and Health Psychology, University of Florida; Ms. Mundt is Graduate Assistant, Department of Clinical and Health Psychology, University of Florida; Dr. Bartley is Research Assistant Professor, Department of Community Dentistry and Behavioral Science, University of Florida; Dr. Wandner was Graduate Assistant, Department of Clinical and Health Psychology, University of Florida at the time of this study; Dr. Hirsh is Assistant Professor, Department of Psychology, Indiana University-Purdue University Indianapolis; and Dr. Robinson is Professor, Department of Clinical and Health Psychology, University of Florida.
Michael E RobinsonDr. Boissoneault is Research Assistant Professor, Department of Clinical and Health Psychology, University of Florida; Ms. Mundt is Graduate Assistant, Department of Clinical and Health Psychology, University of Florida; Dr. Bartley is Research Assistant Professor, Department of Community Dentistry and Behavioral Science, University of Florida; Dr. Wandner was Graduate Assistant, Department of Clinical and Health Psychology, University of Florida at the time of this study; Dr. Hirsh is Assistant Professor, Department of Psychology, Indiana University-Purdue University Indianapolis; and Dr. Robinson is Professor, Department of Clinical and Health Psychology, University of Florida. merobin@ufl.edu.

Funding

SEX VS GENDER IN PAIN PERCEPTIONR01DE013208 · NIDCR · UNIVERSITY OF FLORIDA · PI ROBINSON, MICHAEL E · 2000 to 2011
$2.0M
Integrative and translational training in pain researchT32NS045551 · NINDS · UNIVERSITY OF FLORIDA · PI YEZIERSKI, ROBERT P. · 2005 to 2014
$1.8M
NIDCR NIH HHS R01 DE013208NINDS NIH HHS T32 NS045551
6 · The paper itself

Abstract

Disparities in health care associated with patients' gender, race, and age are well documented. Previous studies using virtual human (VH) technology have demonstrated that provider characteristics may play an important role in pain management decisions. However, these studies have largely emphasized group differences. The aims of this study were to examine dentists' and physicians' use of VH characteristics when making clinical judgments (i.e., cue use) and to identify provider characteristics associated with the magnitude of the impact of these cues (β-weights). Providers (N=152; 76 physicians, 76 dentists) viewed video vignettes of VH patients varying in gender (male/female), race (white/black), and age (younger/older). Participants rated VH patients' pain intensity and unpleasantness and then rated their own likelihood of administering non-opioid and opioid analgesics. Compared to physicians, dentists had significantly lower β-weights associated with VH age cues for all ratings (p<0.001; d>0.69). These effects varied by provider race and gender. For pain intensity, professional differences were present only among non-white providers. White providers had greater β-weights than non-white providers for pain unpleasantness but only among men. Provider differences regarding the use of VH age cues in non-opioid analgesic administration were present among all providers except non-white males. These findings highlight the interaction of patient and provider factors in driving clinical decision making. Although profession was related to use of VH age cues in pain-related clinical judgments, this relationship was modified by providers' personal characteristics. Additional research is needed to understand what aspects of professional training or practice may account for differences between physicians and dentists and what forms of continuing education may help to mitigate the disparities.

Indexed as

Clinical Decision-MakingPain ManagementPain MeasurementPractice Patterns, Dentists'Practice Patterns, Physicians'User-Computer InterfaceDemographyFemaleHumansMaleMiddle AgedSelf Reportdental educationdentistshealth disparitiesmedical educationpain treatmentphysicianspsychosocial factorsvirtual human technology

Identifiers

PMID27139209
PMCPMC4899979

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.