A Systematic Approach to Developing Virtual Patient Vignettes for Pediatric Health Equity Research
The aim of this study was to describe a systematic approach to developing virtual patient (VP) vignettes for health equity research in pediatric pain care. VPs were initially developed to depict the body posture and movements of actual children experiencing pain. Researchers and clinicians with expe...
Saved in:
Published in | Health equity Vol. 6; no. 1; pp. 862 - 872 |
---|---|
Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Mary Ann Liebert, Inc
01.11.2022
Mary Ann Liebert, Inc., publishers Mary Ann Liebert |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | The aim of this study was to describe a systematic approach to developing virtual patient (VP) vignettes for health equity research in pediatric pain care.
VPs were initially developed to depict the body posture and movements of actual children experiencing pain. Researchers and clinicians with expertise in pediatric pain worked closely with a professional animator to portray empirically supported pain expression in four, full-motion, virtual male characters of two races (i.e., White and Black). Through an iterative process, VPs were refined to (1) appear realistic in a clinical setting and (2) display archetypal pain behavior and expression during a 1-min video clip without sound. Text vignettes were developed with consultation from experts in pain care and presented alongside VPs to assess clinical decision-making. VP vignettes were piloted in a sample of pediatric providers (
=13).
Informed by the literature and expertise of stakeholders, several revisions were made to improve VPs' facial grimacing and realism before piloting. VPs appeared to accurately capture important aspects of pain expression and behavior common among pediatric patients with pain disorders. Additional refinements to the text vignettes were made based on provider feedback to improve clarity and clinical relevance.
This article presents a working framework to facilitate a systematic approach to developing VP vignettes. This framework is a first step toward advancing health equity research by isolating psychosocial and interpersonal factors affecting provider behavior and decision-making. Future research is needed to validate the use of VP vignettes for assessing provider behavior contributing to health inequities for youth with pain disorders. |
---|---|
AbstractList | Objective: The aim of this study was to describe a systematic approach to developing virtual patient (VP) vignettes for health equity research in pediatric pain care. Methods: VPs were initially developed to depict the body posture and movements of actual children experiencing pain. Researchers and clinicians with expertise in pediatric pain worked closely with a professional animator to portray empirically supported pain expression in four, full-motion, virtual male characters of two races (i.e., White and Black). Through an iterative process, VPs were refined to (1) appear realistic in a clinical setting and (2) display archetypal pain behavior and expression during a 1-min video clip without sound. Text vignettes were developed with consultation from experts in pain care and presented alongside VPs to assess clinical decision-making. VP vignettes were piloted in a sample of pediatric providers (N=13). Results: Informed by the literature and expertise of stakeholders, several revisions were made to improve VPs' facial grimacing and realism before piloting. VPs appeared to accurately capture important aspects of pain expression and behavior common among pediatric patients with pain disorders. Additional refinements to the text vignettes were made based on provider feedback to improve clarity and clinical relevance. Conclusions: This article presents a working framework to facilitate a systematic approach to developing VP vignettes. This framework is a first step toward advancing health equity research by isolating psychosocial and interpersonal factors affecting provider behavior and decision-making. Future research is needed to validate the use of VP vignettes for assessing provider behavior contributing to health inequities for youth with pain disorders. The aim of this study was to describe a systematic approach to developing virtual patient (VP) vignettes for health equity research in pediatric pain care. VPs were initially developed to depict the body posture and movements of actual children experiencing pain. Researchers and clinicians with expertise in pediatric pain worked closely with a professional animator to portray empirically supported pain expression in four, full-motion, virtual male characters of two races (i.e., White and Black). Through an iterative process, VPs were refined to (1) appear realistic in a clinical setting and (2) display archetypal pain behavior and expression during a 1-min video clip without sound. Text vignettes were developed with consultation from experts in pain care and presented alongside VPs to assess clinical decision-making. VP vignettes were piloted in a sample of pediatric providers ( =13). Informed by the literature and expertise of stakeholders, several revisions were made to improve VPs' facial grimacing and realism before piloting. VPs appeared to accurately capture important aspects of pain expression and behavior common among pediatric patients with pain disorders. Additional refinements to the text vignettes were made based on provider feedback to improve clarity and clinical relevance. This article presents a working framework to facilitate a systematic approach to developing VP vignettes. This framework is a first step toward advancing health equity research by isolating psychosocial and interpersonal factors affecting provider behavior and decision-making. Future research is needed to validate the use of VP vignettes for assessing provider behavior contributing to health inequities for youth with pain disorders. ObjectiveThe aim of this study was to describe a systematic approach to developing virtual patient (VP) vignettes for health equity research in pediatric pain care. MethodsVPs were initially developed to depict the body posture and movements of actual children experiencing pain. Researchers and clinicians with expertise in pediatric pain worked closely with a professional animator to portray empirically supported pain expression in four, full-motion, virtual male characters of two races (i.e., White and Black). Through an iterative process, VPs were refined to (1) appear realistic in a clinical setting and (2) display archetypal pain behavior and expression during a 1-min video clip without sound. Text vignettes were developed with consultation from experts in pain care and presented alongside VPs to assess clinical decision-making. VP vignettes were piloted in a sample of pediatric providers (N=13). ResultsInformed by the literature and expertise of stakeholders, several revisions were made to improve VPs' facial grimacing and realism before piloting. VPs appeared to accurately capture important aspects of pain expression and behavior common among pediatric patients with pain disorders. Additional refinements to the text vignettes were made based on provider feedback to improve clarity and clinical relevance. ConclusionsThis article presents a working framework to facilitate a systematic approach to developing VP vignettes. This framework is a first step toward advancing health equity research by isolating psychosocial and interpersonal factors affecting provider behavior and decision-making. Future research is needed to validate the use of VP vignettes for assessing provider behavior contributing to health inequities for youth with pain disorders. |
Author | Zempsky, William T Hirsh, Adam Mulchan, Siddika S Miller, Megan Theriault, Christopher B |
Author_xml | – sequence: 1 givenname: Siddika S orcidid: 0000-0002-8380-3735 surname: Mulchan fullname: Mulchan, Siddika S organization: Division of Pain and Palliative Medicine, Connecticut Children's, Hartford, Connecticut, USA – sequence: 2 givenname: Megan surname: Miller fullname: Miller, Megan organization: Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA – sequence: 3 givenname: Christopher B surname: Theriault fullname: Theriault, Christopher B organization: Division of Pain and Palliative Medicine, Connecticut Children's, Hartford, Connecticut, USA – sequence: 4 givenname: William T surname: Zempsky fullname: Zempsky, William T organization: Department of Pediatrics, University of Connecticut School of Medicine, Farmington, Connecticut, USA – sequence: 5 givenname: Adam surname: Hirsh fullname: Hirsh, Adam organization: School of Science, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana, USA |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/36479187$$D View this record in MEDLINE/PubMed |
BookMark | eNpdks1v2yAYh62p09p1Pe46Ie2ySzI-jIHLpKjr1kqVVu3rigC_xI4c4wCulP9-ZOmqdid44eERL_xeVydjGKGq3hK8JFiqjx3slhRTusSlfFGd0VqwBaE1PXkyP60uUtpgjCmuFaHsVXXKmlooIsVZZVfoxz5l2JrcO7SaphiM61AO6DPcwxCmflyj333MsxnQXYFgzKVej5AzJORDRHfQ9ibHcvwazJA7dLWb-7xH3yGBia57U730Zkhw8TCeV7--XP28vF7cfvt6c7m6XbiaibxQWOHGYKK488RKK1onW-w55Q2XWDgnOXPSe-accF4oyzgRtJaKcWZN69l5dXP0tsFs9BT7rYl7HUyv_y6EuNYmli4H0NYy2zrwHrCpBWmsskRIz1siPK85L65PR9c02y0UdMzRDM-kz3fGvtPrcK-VIBQzUQQfHgQx7GZIWW_75GAYzAhhTpoKzhjBQtQFff8fuglzHMtTFYpJ3jSFK9TiSLkYUorgHy9DsD6EQZcw6EMY9CEMhX_3tINH-t_Xsz_7NrI4 |
Cites_doi | 10.1016/j.jval.2020.08.1854 10.1111/j.1475-1313.2006.00481.x 10.1001/jama.290.13.1700 10.1016/j.jpain.2015.03.003 10.1016/j.jval.2011.06.014 10.1016/j.pain.2008.09.010 10.1097/MLR.0000000000000533 10.1016/j.jval.2011.06.013 10.1542/peds.2019-1765 10.1182/bloodadvances.2020001851 10.2147/JPR.S14708 10.1016/j.pain.2009.02.005 10.1016/j.pedn.2015.01.022 10.1136/bmjopen-2021-057095 10.1016/j.jpeds.2011.07.018 10.2147/PROM.S278258 10.1542/peds.2020-0512 10.1111/acem.13214 10.1056/NEJMp2008628 10.1177/1062860605274520 10.1007/s10880-018-9569-4 10.1097/MLR.0b013e3181653d58 10.1016/j.pec.2019.04.023 10.1007/s11606-015-3365-8 10.1089/cyber.2012.0707 10.1007/s11606-013-2441-1 10.1016/0304-3959(92)90213-U 10.1016/j.jpain.2019.07.002 10.1542/peds.2021-053829 10.1016/j.ijchp.2014.12.001 10.1097/j.pain.0000000000001634 |
ContentType | Journal Article |
Copyright | Siddika S. Mulchan et al., 2022; Published by Mary Ann Liebert, Inc. Siddika S. Mulchan et al., 2022; Published by Mary Ann Liebert, Inc. This work is licensed under the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0 (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. Siddika S. Mulchan et al., 2022; Published by Mary Ann Liebert, Inc. 2022 Siddika S. Mulchan et al. |
Copyright_xml | – notice: Siddika S. Mulchan et al., 2022; Published by Mary Ann Liebert, Inc. – notice: Siddika S. Mulchan et al., 2022; Published by Mary Ann Liebert, Inc. This work is licensed under the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0 (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. – notice: Siddika S. Mulchan et al., 2022; Published by Mary Ann Liebert, Inc. 2022 Siddika S. Mulchan et al. |
DBID | NPM AAYXX CITATION K9. 7X8 5PM DOA |
DOI | 10.1089/heq.2022.0108 |
DatabaseName | PubMed CrossRef ProQuest Health & Medical Complete (Alumni) MEDLINE - Academic PubMed Central (Full Participant titles) Directory of Open Access Journals |
DatabaseTitle | PubMed CrossRef ProQuest Health & Medical Complete (Alumni) MEDLINE - Academic |
DatabaseTitleList | ProQuest Health & Medical Complete (Alumni) PubMed MEDLINE - Academic |
Database_xml | – sequence: 1 dbid: DOA name: DOAJ Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database |
DeliveryMethod | fulltext_linktorsrc |
DocumentTitleAlternate | Mulchan, et al.; Health Equity 2022, 6.1 http://online.liebertpub.com/doi/10.1089/heq.2022.0108 |
EISSN | 2473-1242 |
EndPage | 872 |
ExternalDocumentID | oai_doaj_org_article_bb3bdceffe0a4716b9b178f5d17f5455 10_1089_heq_2022_0108 36479187 |
Genre | Journal Article |
GroupedDBID | 1-M 7X7 8FI 8FJ ABUWG ACGFS ADBBV AFKRA ALIPV ALMA_UNASSIGNED_HOLDINGS AOIJS BCNDV BENPR BNQNF BPHCQ BVXVI CCPQU EBS EJD FYUFA GROUPED_DOAJ HMCUK HYE M~E NPM OK1 PIMPY PQQKQ PROAC RML RPM UKHRP AAYXX CITATION K9. 7X8 5PM |
ID | FETCH-LOGICAL-c437t-90906a0195cf1b8b7dc8d0f52565807cc853c8ff3cc7cf79b35172489353badf3 |
IEDL.DBID | RPM |
ISSN | 2473-1242 |
IngestDate | Thu Jul 04 21:10:16 EDT 2024 Tue Sep 17 21:30:44 EDT 2024 Fri Jun 28 01:10:58 EDT 2024 Fri Sep 13 02:30:18 EDT 2024 Fri Aug 23 00:50:48 EDT 2024 Sat Sep 28 08:19:01 EDT 2024 |
IsDoiOpenAccess | true |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 1 |
Keywords | health equity pain management virtual human technology pediatrics |
Language | English |
License | Siddika S. Mulchan et al., 2022; Published by Mary Ann Liebert, Inc. This Open Access article is distributed under the terms of the Creative Commons License [CC-BY] (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c437t-90906a0195cf1b8b7dc8d0f52565807cc853c8ff3cc7cf79b35172489353badf3 |
Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 iORCID ID (https://orcid.org/0000-0002-8380-3735). |
ORCID | 0000-0002-8380-3735 |
OpenAccessLink | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9712037/ |
PMID | 36479187 |
PQID | 2738566107 |
PQPubID | 4414561 |
PageCount | 11 |
ParticipantIDs | doaj_primary_oai_doaj_org_article_bb3bdceffe0a4716b9b178f5d17f5455 pubmedcentral_primary_oai_pubmedcentral_nih_gov_9712037 proquest_miscellaneous_2753310774 proquest_journals_2738566107 crossref_primary_10_1089_heq_2022_0108 pubmed_primary_36479187 |
PublicationCentury | 2000 |
PublicationDate | 2022-11-01 |
PublicationDateYYYYMMDD | 2022-11-01 |
PublicationDate_xml | – month: 11 year: 2022 text: 2022-11-01 day: 01 |
PublicationDecade | 2020 |
PublicationPlace | United States |
PublicationPlace_xml | – name: United States – name: New Rochelle – name: 140 Huguenot Street, 3rd Floor New Rochelle, NY 10801 USA |
PublicationTitle | Health equity |
PublicationTitleAlternate | Health Equity |
PublicationYear | 2022 |
Publisher | Mary Ann Liebert, Inc Mary Ann Liebert, Inc., publishers Mary Ann Liebert |
Publisher_xml | – name: Mary Ann Liebert, Inc – name: Mary Ann Liebert, Inc., publishers – name: Mary Ann Liebert |
References | B20 B21 B22 B23 B24 B27 B28 B29 B30 B31 B10 B32 B11 B33 B12 B13 B14 B15 B16 B17 B18 B19 B1 B2 B3 B4 B5 B6 B7 B8 B9 |
References_xml | – ident: B29 doi: 10.1016/j.jval.2020.08.1854 – ident: B10 doi: 10.1111/j.1475-1313.2006.00481.x – ident: B32 doi: 10.1001/jama.290.13.1700 – ident: B33 doi: 10.1016/j.jpain.2015.03.003 – ident: B30 doi: 10.1016/j.jval.2011.06.014 – ident: B12 doi: 10.1016/j.pain.2008.09.010 – ident: B24 doi: 10.1097/MLR.0000000000000533 – ident: B31 doi: 10.1016/j.jval.2011.06.013 – ident: B2 doi: 10.1542/peds.2019-1765 – ident: B27 doi: 10.1182/bloodadvances.2020001851 – ident: B13 doi: 10.2147/JPR.S14708 – ident: B15 doi: 10.1016/j.pain.2009.02.005 – ident: B16 doi: 10.1016/j.pedn.2015.01.022 – ident: B18 doi: 10.1136/bmjopen-2021-057095 – ident: B23 doi: 10.1016/j.jpeds.2011.07.018 – ident: B28 doi: 10.2147/PROM.S278258 – ident: B5 doi: 10.1542/peds.2020-0512 – ident: B7 doi: 10.1111/acem.13214 – ident: B3 doi: 10.1056/NEJMp2008628 – ident: B11 doi: 10.1177/1062860605274520 – ident: B14 doi: 10.1007/s10880-018-9569-4 – ident: B19 doi: 10.1097/MLR.0b013e3181653d58 – ident: B8 doi: 10.1016/j.pec.2019.04.023 – ident: B20 doi: 10.1007/s11606-015-3365-8 – ident: B22 doi: 10.1089/cyber.2012.0707 – ident: B6 doi: 10.1007/s11606-013-2441-1 – ident: B17 doi: 10.1016/0304-3959(92)90213-U – ident: B4 doi: 10.1016/j.jpain.2019.07.002 – ident: B1 doi: 10.1542/peds.2021-053829 – ident: B9 doi: 10.1016/j.ijchp.2014.12.001 – ident: B21 doi: 10.1097/j.pain.0000000000001634 |
SSID | ssj0002049123 |
Score | 2.2625492 |
Snippet | The aim of this study was to describe a systematic approach to developing virtual patient (VP) vignettes for health equity research in pediatric pain care.
VPs... Objective: The aim of this study was to describe a systematic approach to developing virtual patient (VP) vignettes for health equity research in pediatric... ObjectiveThe aim of this study was to describe a systematic approach to developing virtual patient (VP) vignettes for health equity research in pediatric pain... |
SourceID | doaj pubmedcentral proquest crossref pubmed |
SourceType | Open Website Open Access Repository Aggregation Database Index Database |
StartPage | 862 |
SubjectTerms | Animation Bias Cancer Caregivers Clinical decision making Demographics Design Feedback Gender Hair Hospitals Males Original Research Pain Patients Pediatrics Physiology Stakeholders Teenagers |
SummonAdditionalLinks | – databaseName: Directory of Open Access Journals dbid: DOA link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1LT-MwELYQJy6IFa_swspIiFvAie3aPnahqOKAQDzEzbKdGNhDyqP9_8zEadQiJC4cE08kZ8b2fNbMfEPIYemFZyKWOY-VyAV3IndlpXMesMlCkM6nBNnLwfhOXDzIh4VWX5gTluiBk-JOvOe-CpjcwBwcpANvfKF0lFWhInj_xF5ayIXL1P82vCYMnMkdqSbT5mQ8uobbYFkewwVELzmhlqv_K4D5OU9ywfGcb5D1DjHSYZrpL7JSN5vED-lNz8FMhx0xOJ1O6FlfBUXvn9-wOoReJe5UeH5sMLPnnQJSpX2TDppKkejodQaQnM5z8bbI3fno9nScd-0S8iC4muaGGTZwWAAYYuG1V1XQFYsSQI3UTIUAnjnoGHkIyEVkPJeAXpB8RnLvqsi3yWozaepdQr2J3EkFss4D3nImSIkRPqyidUbKjBzN9WdfEiuGbaPZ2tin-tWioi0qOiP_ULu9EJJZty_AxLYzsf3OxBnZm9vGdjvs3bY0PAAumMrIQT8MewMDHq6pJzOUATALEkpkZCeZsp8J8uabQsPXasnIS1NdHmmen1r-baOKknH1-yf-7Q9ZQ2Wl6sY9sjp9m9X7AHOm_m-7oj8ANzz9dg priority: 102 providerName: Directory of Open Access Journals |
Title | A Systematic Approach to Developing Virtual Patient Vignettes for Pediatric Health Equity Research |
URI | https://www.ncbi.nlm.nih.gov/pubmed/36479187 https://www.proquest.com/docview/2738566107/abstract/ https://search.proquest.com/docview/2753310774 https://pubmed.ncbi.nlm.nih.gov/PMC9712037 https://doaj.org/article/bb3bdceffe0a4716b9b178f5d17f5455 |
Volume | 6 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1LT9wwELaAUy9VEX1sechIVW_ZTWJ7bR8XCkKVWiG1VNwsjxPDVpCFZff_M-M8xFY9cUw8VqwZO_PZM_OZsS8lSMhlLDMRK5lJ4WXmy8pkItAlC0F5aBNkf04vruT3a3W9xVRfC5OS9gPMx83d_biZ36bcyof7MOnzxCaXP06tLkoi5tlm21qIF1v0vymyJi3-jjs-zdzYyW39iBvBshzj3sNs-J9E0_8_bPlviuQLn3P-jr3twCKftYPaZVt1s8dgxn8N9Mt81nGC89WCfxsKoPif-ZIKQ_hlS5uKzzcNJfU8cQSpfLifg7dVSPzscY1onPdpeO_Z1fnZ79OLrLspIQtS6FVmc5tPPdX-hViAAV0FU-VRIZ5RJtchoFMOJkYRAtEQWRAKgQvxzigBvoriA9tpFk39iXGwUXilUdYDQi1vg1IU3KMCWm-VGrGvvf7cQ0uI4VIg21iHinakaEeKHrET0u4gRDzW6cVieeM6azoAAajjGOvco5ucgoVCm6iqQkfEdvi1g942rltcTy4x8CCuyPWIHQ_NuCwo1uGberEmGcSxKKHliH1sTTmMhCjzbWGwt94w8sZQN1twJibq7W7mfX51z332hjTUVjMesJ3Vcl0fIqxZwVE6DjhKk_kZIsL8Sg |
link.rule.ids | 230,315,733,786,790,870,891,2115,27957,27958,53827,53829 |
linkProvider | National Library of Medicine |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9QwEB6VcoALD_HoQgEjIW7JJrG9to9LabVAW1WirXqzbCduF2i23WYv_HrGzkPdigscE08UxzOT-ayZ-QzwobDMZswXCfUlSxg1LDFFKRPqwiELjhvbFsgeTmYn7OsZP9sA3vfCxKJ9Z-dp_esyrecXsbby6tKN-zqx8dHBjhJ5EYh57sF99NdC3Nqk_4i5Nabwh9wxamZSjS-qa9wKFkWKuw-5FoEiUf_f0OXdIslbUWfvMZz2822LTX6mq8am7vcdKsd__qAn8KjDoWTaDj-Fjap-BnZKvg_MzmTa0Y2TZkE-D71V5HS-DD0n5KhlZMXr8zrUC90QxL9kOPqDtA1OZPd6hUCf9BV-z-Fkb_d4Z5Z0hzAkjlHRJCpT2cSEtkLncyutKJ0sM88RKnGZCecw3jvpPXUuMBwpSzliokBpw6k1pacvYLNe1NUWEKs8NVygrLGI4oxynIe8YejNNYrzEXzsFaOvWq4NHXPkUmnUoA4a1EGDI_gU1DYIBYrseGOxPNfdumprqUXleV9lBiPwxCqbC-l5mQuPsBHftt0rXXd-e6MjuQ9ClkyM4P0wjB4X0iimrharIIMQGSUEG8HL1kaGmQQ2fpVLfFqsWc_aVNdH0CYiq3dnA6_--8l38GB2fLCv978cfnsND8NqtU2T27DZLFfVG0RPjX0bfeUPPPMdWQ |
linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9QwELagSIhLKeK1pRQjIW7JJnG8to9L21V5VStBUcXF8jhxu7TNbrfZC7-esfPQbsWpxyRjxfHMxJ81M98Q8iGDHJLcZRFzRR7lzOSRyQoZMeubLFhuoEmQPRkdn-ZfzvjZWquvkLRvYRZXV9dxNbsIuZWLazvs8sSG0-8HSqSZJ-ZZFG74kDxCn83U2kH9T4iv5Qp_yi2rZiLV8KK8weNglsV4ApEbu1Ag6_8fwrybKLm280yekt_dnJuEk8t4VUNs_96hc7zXR-2Q7RaP0nEj8ow8KKvnBMb0R8_wTMct7Tit5_Swr7Giv2ZLX3tCpw0zK16fVz5v6JYiDqZ9CxDaFDrRo5sVAn7aZfq9IKeTo58Hx1HbjCGyORN1pBKVjIwvL7QuBQmisLJIHEfIxGUirMV930rnmLWe6UgB44iNPLUNZ2AKx16SrWpela8JBeWY4QJlDSCaM8py7uOHvkbXKM4H5GOnHL1oODd0iJVLpVGL2mtRey0OyCevul7IU2WHG_PluW7XVgMwQAU6VyYGd-IRKEiFdLxIhUP4iG_b6xSvW_-91YHkB6FLIgbkff8YPc-HU0xVzldeBqEySoh8QF41dtLPxLPyq1TiaLFhQRtT3XyCdhHYvVs72L33yHfk8fRwor99Pvn6hjzxi9XUTu6RrXq5Kt8iiKphP7jLPxXUH9k |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=A+Systematic+Approach+to+Developing+Virtual+Patient+Vignettes+for+Pediatric+Health+Equity+Research&rft.jtitle=Health+equity&rft.date=2022-11-01&rft.pub=Mary+Ann+Liebert&rft.eissn=2473-1242&rft_id=info:doi/10.1089%2FHEQ.2022.0108&rft.externalDBID=DOA&rft.externalDocID=oai_doaj_org_article_bb3bdceffe0a4716b9b178f5d17f5455 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2473-1242&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2473-1242&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2473-1242&client=summon |