Evidence map›Paper›PMID 36201677›Full record

ArticleJournal of addiction medicine

Investigating Healthcare Provider Bias Toward Patients Who Use Drugs Using a Survey-based Implicit Association Test: Pilot Study.

Rachel A Dahl, J Priyanka Vakkalanka, Karisa K Harland, Joshua Radke

Open access · greenAbstract read
In one paragraph

Article in Journal of addiction medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
6.7field-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

7 citing papers in PubMed, 18 citations in OpenAlex.

  1. Observational
  2. Article
  3. Mental Health Prescribers' Perceptions of Patients With Substance Use Disorders and Harm Reduction Services.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Inherent Bias in Electronic Health Records: A Scoping Review of Sources of Bias.medRxiv : the preprint server for health sciences · 2024
    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

4 authors at 2 institutions in 3 countries.

Rachel A DahlFrom the University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IA (RAD, JPV, KKH, JR); Department of Emergency Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA (RAD, JPV, KKH, JR); Department of Epidemiology, University of Iowa College of Public Health, Iowa City, IA (JPV, KKH).
J Priyanka Vakkalanka
Karisa K Harland
Joshua Radke
Royal Institute of Art · SEUniversity of Iowa · US

Funding

Transition to RecoveryP60AA026112 · NIAAA · WASHINGTON STATE UNIVERSITY · PI Sterling M McPherson · 2018 to 2026
$10.7M
Alcohol Research Training: Methods & MechanismsT32AA018108 · NIAAA · UNIVERSITY OF NEW MEXICO · PI Katie A Witkiewitz · 2010 to 2026
$5.6M
SHORT-TERM TRAINING: STUDENTS IN HEALTH PROF. SCHOOLST35HL007485 · NHLBI · UNIVERSITY OF IOWA · PI ROGHAIR, ROBERT D · 1985 to 2019
$4.3M
Contingency Management Treatment of Alcohol Abuse American Indian PeopleR01AA022070 · NIAAA · WASHINGTON STATE UNIVERSITY · PI BUCHWALD, DEDRA S, MCDONELL, MICHAEL G · 2013 to 2017
$3.5M
Culturally Re-Centering Contingency Management and Behavioral Economics to Increase Engagement with American Indian Young AdultsK01AA028831 · NIAAA · WASHINGTON STATE UNIVERSITY · PI HIRCHAK, KATHERINE · 2020 to 2024
$889k
NHLBI NIH HHS T35 HL007485NIAAA NIH HHS K01 AA028831NIAAA NIH HHS P60 AA026112NIAAA NIH HHS R01 AA022070NIAAA NIH HHS T32 AA018108
6 · The paper itself

Abstract

objectivesNegative bias against people who use illicit drugs adversely affects the care that they receive throughout the hospital. We hypothesized that emergency providers would display stronger negative bias toward these patients due to life-threatening contexts in which they treat this population. We also hypothesized that negative implicit bias would be associated with negative explicit bias.

methodsFaculty, nurses, and trainees at a midwestern tertiary care academic hospital were invited (June 26, 2019-September 5, 2019) to complete an online implicit association test and explicit bias survey.

resultsMean implicit association test results did not vary across demographics (n = 79). There were significant differences in explicit bias scores between departments regarding whether patients who use drugs deserve quality healthcare access (P = 0.017). We saw no significant associations between implicit and explicit bias scores.

conclusionThough limited by sample size, the results indicate that emergency and obstetrics/gynecology providers display more negative explicit bias toward this patient population than other providers.

Indexed as

Attitude of Health PersonnelIllicit DrugsHealth PersonnelHumansPilot ProjectsSurveys and QuestionnairesIllicit Drugs

Identifiers

PMID36201677
PMCPMC9537726
OpenAlexW4210953120

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.