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如何减少框架效应对健康信息的影响。

How to reduce the effect of framing on messages about health.

机构信息

Center for Adaptive Behavior and Cognition, Max Planck Institute for Human Development, Berlin, Germany.

出版信息

J Gen Intern Med. 2010 Dec;25(12):1323-9. doi: 10.1007/s11606-010-1484-9. Epub 2010 Aug 25.

DOI:10.1007/s11606-010-1484-9
PMID:20737295
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2988162/
Abstract

BACKGROUND

Patients must be informed about risks before any treatment can be implemented. Yet serious problems in communicating these risks occur because of framing effects.

OBJECTIVE

To investigate the effects of different information frames when communicating health risks to people with high and low numeracy and determine whether these effects can be countered or eliminated by using different types of visual displays (i.e., icon arrays, horizontal bars, vertical bars, or pies).

DESIGN

Experiment on probabilistic, nationally representative US (n = 492) and German (n = 495) samples, conducted in summer 2008.

OUTCOME MEASURES

Participants' risk perceptions of the medical risk expressed in positive (i.e., chances of surviving after surgery) and negative (i.e., chances of dying after surgery) terms.

KEY RESULTS

Although low-numeracy people are more susceptible to framing than those with high numeracy, use of visual aids is an effective method to eliminate its effects. However, not all visual aids were equally effective: pie charts and vertical and horizontal bars almost completely removed the effect of framing. Icon arrays, however, led to a smaller decrease in the framing effect.

CONCLUSIONS

Difficulties with understanding numerical information often do not reside in the mind, but in the representation of the problem.

摘要

背景

在实施任何治疗之前,必须告知患者有关风险。然而,由于框架效应,在沟通这些风险时会出现严重的问题。

目的

研究在向高、低算数能力的人群传达健康风险时,不同信息框架的影响,并确定通过使用不同类型的视觉显示(即图标数组、水平条、垂直条或饼图)是否可以抵消或消除这些影响。

设计

在 2008 年夏季,对具有概率代表性的美国(n=492)和德国(n=495)样本进行了实验。

结果测量

参与者对医疗风险的风险感知,以正面(即手术后存活的机会)和负面(即手术后死亡的机会)术语表示。

主要结果

尽管低算数能力的人比高算数能力的人更容易受到框架效应的影响,但使用视觉辅助工具是消除其影响的有效方法。然而,并非所有的视觉辅助工具都同样有效:饼图和垂直条和水平条几乎完全消除了框架效应。然而,图标数组导致框架效应的减少较小。

结论

理解数字信息的困难通常不在于思维,而在于问题的表示。

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Effective communication of risks to young adults: using message framing and visual aids to increase condom use and STD screening.向年轻人有效传达风险信息:使用信息框架和视觉辅助工具增加 condom 使用和 STD 筛查。
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Soc Sci Med. 2010 Apr;70(7):1019-25. doi: 10.1016/j.socscimed.2009.11.031. Epub 2010 Jan 28.
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Communicating treatment risk reduction to people with low numeracy skills: a cross-cultural comparison.向算术能力较低的人群传达降低治疗风险:一项跨文化比较。
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