Evidence map›Paper›PMID 31237743›Full record

ArticleNursing & health sciences2020

Examining unconscious bias embedded in provider language regarding children with autism.

Dominique H Como, Lucía I Floríndez, Christine F Tran, Sharon A Cermak, Leah I Stein Duker

Open access · greenAbstract read
In one paragraph

Article in Nursing & health sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
5.8field-weighted citation impact, top 4% of its field
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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Factors influencing oral health behaviours, access and delivery of dental care for autistic children and adolescents: A mixed-methods systematic review.Health expectations : an international journal of public participation in health care and health policy · 2022
    Pooled it
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. For autistic persons by autistic persons: Acceptability of a structured peer support service according to key stakeholders.Health expectations : an international journal of public participation in health care and health policy · 2023
    Article
  9. Using EMDR with autistic individuals: A Delphi survey with EMDR therapists.Autism : the international journal of research and practice · 2023
    Article
  10. Oral Health Barriers for African American Caregivers of Autistic Children.International journal of environmental research and public health · 2022
    Article
  11. Article
  12. Review
  13. Review
  14. 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

5 authors at 1 institution in 1 country.

Dominique H ComoChan Division of Occupational Science and Occupational Therapy at the Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, California, USA.
Lucía I FloríndezChan Division of Occupational Science and Occupational Therapy at the Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, California, USA.ORCID https://orcid.org/0000-0002-0206-1910
Christine F TranChan Division of Occupational Science and Occupational Therapy at the Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, California, USA.
Sharon A CermakChan Division of Occupational Science and Occupational Therapy at the Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, California, USA.
Leah I Stein DukerChan Division of Occupational Science and Occupational Therapy at the Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, California, USA.ORCID https://orcid.org/0000-0001-7208-9401
University of Southern California · US

Funding

Rehabilitation Research Career Development ProgramK12HD055929 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BROWN, DAVID A · 2007 to 2021
$11.7M
Mentored Career DevelopmentKL2TR001854 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Elizabeth Rhea Erwin Burner, Amy Elizabeth West · 2016 to 2026
$9.0M
DOCTORAL AND POST-DOCTORAL TRAINING IN CRANIOFACIAL BIOLOGYT90DE021982 · NIDCR · UNIVERSITY OF SOUTHERN CALIFORNIA · PI PAINE, MICHAEL LANSDELL · 2011 to 2025
$6.2M
Sensory Adapted Dental Environments to Enhance Oral Care for ChildrenU01DE024978 · NIDCR · UNIVERSITY OF SOUTHERN CALIFORNIA · PI CERMAK, SHARON ANDREA · 2015 to 2020
$3.8M
Sensory Adapted Dental Environments to Enhance Oral Care for Children with AutismR34DE022263 · NIDCR · UNIVERSITY OF SOUTHERN CALIFORNIA · PI CERMAK, SHARON ANDREA · 2011 to 2012
$531k
NCATS NIH HHS KL2 TR001854NICHD NIH HHS K12 HD055929NIDCR NIH HHS R34 DE022263NIDCR NIH HHS T90 DE021982NIDCR NIH HHS U01 DE024978NIH HHS NCATS KL2TR001854NCATSNIH HHS NCMRR K12 HD055929NIH HHS NIDCR: R34 DE22263-01NIH HHS T90 DE021982NIH HHS U01 DE024978-02University of Southern California Center for Health Equity in the Americas
6 · The paper itself

Abstract

In healthcare settings, language used by healthcare providers can influence provider-patient encounters with individuals with autism spectrum disorder, impacting feelings of stigma and marginalization. This study highlights the unconscious biases healthcare providers might have regarding their patients with autism spectrum disorder and how those beliefs are articulated. Seven pediatric dentists participated in two focus groups to describe strategies to improve oral care for children with autism spectrum disorder. While completing the primary analyses, additional codes emerged related to healthcare provider biases; these data are the focus of this study. Three themes were identified: (i) "healthcare microaggressions" describe how healthcare providers portray their patients in subtly negative ways; (ii) "marginalization" denotes the use of exclusionary language identifying children with autism spectrum disorder as different; and (iii) "preconceptions" include comments that highlight biases about patients. The findings provide insight into the implicit biases that might be held by healthcare providers and how they manifest in language. Despite increased emphasis on cultural competency, healthcare providers might unconsciously use language that could negatively impact patient-provider rapport and increase stigma in already marginalized populations. Further research is necessary to explore how these biases could relate to quality of care.

Indexed as

BiasProfessional-Family RelationsAttitude of Health PersonnelAutism Spectrum DisorderCaliforniaFocus GroupsHealth PersonnelHumansLanguageQualitative Researchautism spectrum disorderbiaschildrenhealthcare providerstigma

Identifiers

PMID31237743
PMCPMC7258443
OpenAlexW2954841521

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.