Lipkus Isaac M
Duke University Medical Center, Durham, North Carolina 27701, USA.
Med Decis Making. 2007 Sep-Oct;27(5):696-713. doi: 10.1177/0272989X07307271. Epub 2007 Sep 14.
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 (i.e., 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 (e.g., 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.
对健康风险的认知会影响医疗决策和健康行为的改变。然而,风险概念对公众来说很难理解。风险认知是否会影响决策和行为往往取决于风险程度(即可能性)信息的传达方式。基于专家意见,本文尽可能提供使用数字、文字和视觉形式传达健康风险程度的最佳做法。这种专家意见基于现有的实证证据、对论文和书籍的综述以及与风险沟通专家的磋商。本文还讨论了针对独特风险沟通挑战(如传达小概率事件、相互作用)应使用的形式。文中提出了一些建议,通过数字和视觉方式呈现风险程度来提高风险认知的准确性。总体而言,几乎没有数据表明风险程度文字沟通的最佳做法。在这三种形式中,由于以下原因几乎无法提出总体建议:1)在感兴趣的领域缺乏使用相同结果测试形式的一致性;2)缺乏使用相互比较形式的随机对照研究进行关键测试;3)缺乏详细说明和测试一种形式在特定背景下为何比其他形式更有效地影响风险程度的理论进展。本文提供了未来研究领域,希望能有助于阐明未来的最佳做法。