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Open AccessJournal ArticleDOI

Numeric, Verbal, and Visual Formats of Conveying Health Risks: Suggested Best Practices and Future Recommendations

Isaac M. Lipkus
- 14 Sep 2007 - 
- Vol. 27, Iss: 5, pp 696-713
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TLDR
Best practices for conveying magnitude of health risks using numeric, verbal, and visual formats are offered and several recommendations are suggested for enhancing precision in perception of risk by presenting risk magnitudes numerically and visually.
Abstract
Perception of health risk can affect medical decisions and health behavior change Yet the concept of risk is a difficult one for the public to grasp Whether perceptions of risk affect decisions and behaviors often relies on how messages of risk magnitudes (ie, likelihood) are conveyed Based on expert opinion, this article offers, when possible, best practices for conveying magnitude of health risks using numeric, verbal, and visual formats This expert opinion is based on existing empirical evidence, review of papers and books, and consultations with experts in risk communication This article also discusses formats to use pertaining to unique risk communication challenges (eg, conveying small-probability events, interactions) Several recommendations are suggested for enhancing precision in perception of risk by presenting risk magnitudes numerically and visually Overall, there are little data to suggest best practices for verbal communication of risk magnitudes Across the 3 formats, few overall recommendations could be suggested because of 1) lack of consistency in testing formats using the same outcomes in the domain of interest, 2) lack of critical tests using randomized controlled studies pitting formats against one another, and 3) lack of theoretical progress detailing and testing mechanisms why one format should be more efficacious in a specific context to affect risk magnitudes than others Areas of future research are provided that it is hoped will help illuminate future best practices

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Citations
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Health literacy interventions and outcomes: an updated systematic review.

TL;DR: Differences in health literacy level were consistently associated with increased hospitalizations, greater emergency care use, lower use of mammography, lower receipt of influenza vaccine, poorer ability to demonstrate taking medications appropriately, poorer able to interpret labels and health messages, and, among seniors, poorer overall health status and higher mortality.

Helping doctors and patients make sense of health statistics: towards an evidence-based society

TL;DR: Evidence is provided that statistical illiteracy is common to patients, journalists, and physicians and that information pamphlets, Web sites, leaflets distributed by the pharmaceutical industry, and even medical journals often report evidence in nontransparent forms that suggest big benefits of featured interventions and small harms.
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Progress in evidence-based medicine: a quarter century on.

TL;DR: Evidence-based medicine progressed to recognise limitations of evidence alone, and has increasingly stressed the need to combine critical appraisal of the evidence with patient's values and preferences through shared decision making.
References
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Journal ArticleDOI

A new scale for assessing perceptions of chance: a validation study.

TL;DR: The magnifier scale and the linear number scale are similar in validity, reliability, and usability, however, only the magnifiers makes it possible to elicit perceptions in the low-probability range (<1%).
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Improving cross-content transfer in text processing by means of active graphical representation

TL;DR: The authors investigated the conditions under which adults with different academic backgrounds (in terms of formal mathematical competencies and domain-specific knowledge in economics) use linear graphs as reasoning tools that can be transferred from one economic content area to another.
Journal ArticleDOI

Risk communication: absolute versus relative expressions of low-probability risks

TL;DR: In this article, the authors examined the effect of risk-avoidant behavior on risk-taking behavior by presenting information about risks associated with different brands of tires and toothpaste, either as incidence rates or as a relative risk ratio.
Journal ArticleDOI

Graphic displays in decision making — the visual salience effect

TL;DR: The study investigates the visual salience of information in making differential predictions for alpha-numeric versus graphic displays in consumer decision making and partially supports predictions that with alpha- numeric displays, information is acquired in correspondence with the importance weights of the attributes.
Journal ArticleDOI

The Generality of the Ratio-Bias Phenomenon

TL;DR: This paper found that people judge the occurrence of an event of low probability as less likely when its probability is represented by a ratio of smaller (eg, I in 20) than of larger numbers, and that the phenomenon is broadly general and occurs as readily in pre-as in post outcome judgments.
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