When Does the Incremental Risk Format Aid Informed Medical Decisions? The Role of Learning, Feedback, and Number of Treatment Options
| Autor: | Felicia Ripke, Wolfgang Gaissmaier, Nicole Degen, Kevin E. Tiede |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Total risk Treatment outcome education Decision Making Medical information Pilot Projects Therapeutics Risk Assessment Decision Support Techniques Feedback 03 medical and health sciences 0302 clinical medicine ddc:150 risk communication medicine Decision aids Risk communication incremental risks Humans Learning Medical physics 030212 general & internal medicine decision aids icon array incremental risks medical decision making risk communication Analgesics 030505 public health Recall Health Policy Treatment options Original Articles Middle Aged Graph icon array Knowledge decision aids Mental Recall medical decision making Female 0305 other medical science Psychology Comprehension |
| Zdroj: | Medical Decision Making |
| ISSN: | 1552-681X 0272-989X |
| Popis: | Background. Informed medical decisions require understanding the benefits and risks of treatments. This entails comparing treatment outcomes to a control group. The incremental risk format has been recommended as it directly visualizes the differences between treatment and control group in 1 graph, whereas they have to be calculated from 2 separate graphs in the total risk format. We investigated when the incremental risk format aids understanding.Methods. In 2 experiments, participants received information about medical treatments, either as incremental or total risk format. We assessed verbatim knowledge (precise quantitative knowledge), gist knowledge (knowledge of essential meaning), and evaluations of the formats. Study 1 (N = 99) consisted of only 1 trial with medical information and also assessed recall. Study 2 (N = 222) assessed learning across multiple trials and also varied the presence of feedback and the number of treatment options.Results. In study 1, the incremental risk format (v. total risk format) led to worse knowledge, recall, and evaluations. In study 2, participants learned to understand the incremental risk format over time, resulting in comparable verbatim knowledge and evaluations as in the total risk format, as well as in even better gist knowledge. Feedback and number of treatment options did not moderate the effect of risk format.Limitations. The studies were conducted with nonpatient samples, and study 2 employed hypothetical treatments.Conclusions. The incremental risk format was initially less understandable than the total risk format. After a short learning period, however, the incremental risk format resulted in better gist knowledge and was comparable otherwise, which suggests that participants had to get used to that format. This has important implications for the study of new formats. published |
| Databáze: | OpenAIRE |
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