The effects of communicating uncertainty in quantitative health risk estimates

被引:36
|
作者
Longman, Thea [1 ]
Turner, Robin M. [2 ]
King, Madeleine [3 ]
McCaffery, Kirsten J. [2 ,4 ]
机构
[1] Univ Sydney, Sch Psychol, Sydney, NSW 2006, Australia
[2] Univ Sydney, Sydney Sch Publ Hlth, Sydney, NSW 2006, Australia
[3] Univ Sydney, Psychooncol Cooperat Res Grp, Sydney, NSW 2006, Australia
[4] Univ Sydney, Ctr Med Psychol & Evidence Based Decis Making CeM, Sydney, NSW 2006, Australia
关键词
Risk communication; Provider-patient communication; Shared decision making; INFORMATION; PERCEPTION; FORMAT; IMPACT; TRUST;
D O I
10.1016/j.pec.2012.07.010
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: To examine the effects of communicating uncertainty in quantitative health risk estimates on participants' understanding, risk perception and perceived credibility of risk information source. Methods: 120 first year psychology students were given a hypothetical health-care scenario, with source of risk information (clinician, pharmaceutical company) varied between subjects and uncertainty (point, small range and large range risk estimate format) varied within subjects. Results: The communication of uncertainty in the form of both a small and large range resulted in a reduction in accurate understanding and increased perceptions of risk when a large range was communicated compared to a point estimate. It also reduced perceptions of credibility of the information source, though for the clinician this was only the case when a large range was presented. Conclusions: The findings suggest that even for highly educated adults, communicating uncertainty as a range risk estimate has the potential to negatively affect understanding, increase risk perceptions and decrease perceived credibility. Practice Implications: Communicating uncertainty in risk using a numeric range should be carefully considered by health-care providers. More research is needed to develop alternative strategies to effectively communicate the uncertainty in health risks to consumers. (C) 2012 Elsevier Ireland Ltd. All rights reserved.
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页码:252 / 259
页数:8
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