Evidence map›Paper›PMID 38488662›Full record

ArticleJMIR serious games2024

Smartphone-Based Virtual and Augmented Reality Implicit Association Training (VARIAT) for Reducing Implicit Biases Toward Patients Among Health Care Providers: App Development and Pilot Testing.

Jiabin Shen, Alex J Clinton, Jeffrey Penka, Megan E Gregory, Lindsey Sova, Sheryl Pfeil, Jeremy Patterson, Tensing Maa

Open access · goldAbstract read
In one paragraph

Article in JMIR serious games, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
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

8 authors at 4 institutions in 1 country.

Jiabin ShenDepartment of Psychology, University of Massachusetts Lowell, Lowell, MA, United States.ORCID http://orcid.org/0000-0001-6625-5215
Alex J ClintonDepartment of Psychology, University of Massachusetts Lowell, Lowell, MA, United States.ORCID http://orcid.org/0000-0002-3865-1066
Jeffrey PenkaLittleSeed, Inc, Columbus, OH, United States.ORCID http://orcid.org/0000-0002-7362-4004
Megan E GregoryDepartment of Health Outcomes & Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL, United States.ORCID http://orcid.org/0000-0002-6888-6886
Lindsey SovaCenter for Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research, College of Medicine, Ohio State University, Columbus, OH, United States.ORCID http://orcid.org/0000-0001-5477-3808
Sheryl PfeilCollege of Medicine, Ohio State University, Columbus, OH, United States.ORCID http://orcid.org/0000-0002-0805-9985
Jeremy PattersonAdvanced Computing Center for Arts and Design, Ohio State University, Columbus, OH, United States.ORCID http://orcid.org/0000-0002-7832-9127
Tensing MaaCenter for Clinical Excellence, Nationwide Children's Hospital, Columbus, OH, United States.ORCID http://orcid.org/0000-0001-6104-8401
The Ohio State University · USUniversity of Massachusetts Lowell · USNationwide Children's Hospital · USUniversity of Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Implicit bias is as prevalent among health care professionals as among the wider population and is significantly associated with lower health care quality. Objective: The study goal was to develop and evaluate the preliminary efficacy of an innovative mobile app, VARIAT (Virtual and Augmented Reality Implicit Association Training), to reduce implicit biases among Medicaid providers. Methods: An interdisciplinary team developed 2 interactive case-based training modules for Medicaid providers focused on implicit bias related to race and socioeconomic status (SES) and sexual orientation and gender identity (SOGI), respectively. The simulations combine experiential learning, facilitated debriefing, and game-based educational strategies. Medicaid providers (n=18) participated in this pilot study. Outcomes were measured on 3 domains: training reactions, affective knowledge, and skill-based knowledge related to implicit biases in race/SES or SOGI. Results: Participants reported high relevance of training to their job for both the race/SES module (mean score 4.75, SD 0.45) and SOGI module (mean score 4.67, SD 0.50). Significant improvement in skill-based knowledge for minimizing health disparities for lesbian, gay, bisexual, transgender, and queer patients was found after training (Cohen d=0.72; 95% CI -1.38 to -0.04). Conclusions: This study developed an innovative smartphone-based implicit bias training program for Medicaid providers and conducted a pilot evaluation on the user experience and preliminary efficacy. Preliminary evidence showed positive satisfaction and preliminary efficacy of the intervention.

Indexed as

augmented realityefficacyextended realitygender identitiesgender identitygender preferencegender preferenceshealth carehealth care providerhealth care providersimplicit biasimplicit bias training programinnovativeMedicaidmHealthmobile appmobile applicationsexual orientationsexual orientationssmartphonesocioeconomictrainingvirtual realityXR

Identifiers

PMID38488662
PMCPMC11004623
OpenAlexW4392846611

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.