Evidence map›Paper›PMID 42033171›Full record

Trial reportEuropean journal of pain (London, England)2026

Learning to Unveil: Tackling Implicit Bias in Pain Recognition Through Education.

Arianna Bagnis, Ilenia Ceccarelli, Franco Stella, Katia Mattarozzi

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of pain (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Arianna BagnisDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.ORCID https://orcid.org/0000-0002-5588-6000
Ilenia CeccarelliDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Franco StellaDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Katia MattarozziDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndependent studies demonstrate that racial biases and inferences from facial appearance impact healthcare decisions, especially in pain recognition and treatment, with such biases already detectable among medical students. To address this issue, the present research evaluated the effectiveness of a multifaceted evidence-based educational intervention aimed at mitigating implicit biases by increasing students' knowledge and awareness of these factors in clinical settings and fostering strategies for equitable pain management.

methodA total of 100 medical students were randomly assigned to an experimental or a control group. Both groups completed a pain recognition task twice, evaluating perceived pain intensity and the likelihood of recommending treatment. Between sessions, the experimental group took part in a brief educational intervention combining theoretical input on implicit biases in pain assessment, evidence from empirical studies, and applied reflection on clinical scenarios, whereas the control group received the same lesson after completing the study.

resultsThe findings reveal that repeated exposure to the pain recognition task influenced responses in both groups, suggesting a task-related learning effect. The educational intervention significantly improved response times, pain intensity ratings, and treatment recommendations across stimuli categories, irrespective of race or facial trustworthiness.

conclusionsThis suggests that the intervention heightened students' sensitivity to pain-related cues and encouraged a re-evaluation of clinical judgements. These results underscore the value of targeted educational initiatives in addressing disparities in pain recognition and treatment driven by facial cues, providing evidence that even brief interventions may contribute to mitigating implicit biases and support more equitable healthcare decision-making. SIGNIFICANCE: This study demonstrates the effectiveness of a brief, evidence-based educational intervention in reducing implicit racial biases in pain recognition among medical students. By enhancing students' sensitivity to pain-related cues, the intervention holds promise for improving equitable healthcare practices and reducing bias-driven disparities in pain management.

Indexed as

PainPain PerceptionRacismStudents, MedicalAdultFemaleHumansMalePain ManagementPain MeasurementYoung Adulteducationfacial trustworthinessimplicit biasmedical studentspain recognitionracesimulation training

Identifiers

PMID42033171
PMCPMC13109812

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.