School of Psychology, University of Sydney, NSW, Australia.
Patient Educ Couns. 2012 Nov;89(2):252-9. doi: 10.1016/j.pec.2012.07.010. Epub 2012 Aug 1.
To examine the effects of communicating uncertainty in quantitative health risk estimates on participants' understanding, risk perception and perceived credibility of risk information source.
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.
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.
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.
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.
考察在定量健康风险估计中传达不确定性对参与者理解、风险感知和对风险信息源可信度的影响。
120 名心理学一年级学生被提供了一个假设的医疗保健场景,风险信息源(临床医生、制药公司)在被试间变化,不确定性(点估计、小范围和大范围风险估计格式)在被试内变化。
以小范围和大范围形式传达的不确定性导致准确理解的减少和风险感知的增加,与点估计相比,当传达大范围时更是如此。它还降低了对信息源可信度的感知,尽管对于临床医生来说,只有在呈现大范围时才会出现这种情况。
研究结果表明,即使对于受过高等教育的成年人来说,将不确定性传达为范围风险估计也有可能负面影响理解、增加风险感知并降低感知可信度。
医疗保健提供者应仔细考虑使用数字范围传达风险中的不确定性。需要进一步研究以开发替代策略,以便有效地将健康风险的不确定性传达给消费者。