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确定内容以改进风险概况中的风险评估沟通:与专家和非专家利益相关者进行文献回顾和焦点小组讨论。

Identifying content to improve risk assessment communications within the Risk Profile: Literature reviews and focus groups with expert and non-expert stakeholders.

机构信息

Harding Center for Risk Literacy, Faculty of Health Sciences Brandenburg, University of Potsdam, Potsdam, Germany.

Max Planck Institute for Human Development, Berlin, Germany.

出版信息

PLoS One. 2022 Apr 11;17(4):e0266800. doi: 10.1371/journal.pone.0266800. eCollection 2022.

Abstract

OBJECTIVE

To improve consumer decision making, the results of risk assessments on food, feed, consumer products or chemicals need to be communicated not only to experts but also to non-expert audiences. The present study draws on evidence from literature reviews and focus groups with diverse stakeholders to identify content to integrate into an existing risk assessment communication (Risk Profile).

METHODS

A combination of rapid literature reviews and focus groups with experts (risk assessors (n = 15), risk managers (n = 8)), and non-experts (general public (n = 18)) were used to identify content and strategies for including information about risk assessment results in the "Risk Profile" from the German Federal Institute for Risk Assessment. Feedback from initial focus groups was used to develop communication prototypes that informed subsequent feedback rounds in an iterative process. A final prototype was validated in usability tests with experts.

RESULTS

Focus group feedback and suggestions from risk assessors were largely in line with findings from the literature. Risk managers and lay persons offered similar suggestions on how to improve the existing communication of risk assessment results (e.g., including more explanatory detail, reporting probabilities for individual health impairments, and specifying risks for subgroups in additional sections). Risk managers found information about quality of evidence important to communicate, whereas people from the general public found this information less relevant. Participants from lower educational backgrounds had difficulties understanding the purpose of risk assessments. User tests found that the final prototype was appropriate and feasible to implement by risk assessors.

CONCLUSION

An iterative and evidence-based process was used to develop content to improve the communication of risk assessments to the general public while being feasible to use by risk assessors. Remaining challenges include how to communicate dose-response relationships and standardise quality of evidence ratings across disciplines.

摘要

目的

为了改善消费者的决策,不仅需要向专家,还需要向非专家受众传达食品、饲料、消费品或化学品风险评估的结果。本研究借鉴了文献综述和焦点小组的证据,这些证据来自不同利益相关者,以确定要纳入现有风险评估沟通(风险概况)的内容。

方法

快速文献综述和焦点小组相结合,邀请了专家(风险评估员(n=15)、风险管理人员(n=8))和非专家(普通公众(n=18)),以确定内容和策略,将有关风险评估结果的信息纳入德国联邦风险评估研究所的“风险概况”。最初焦点小组的反馈用于开发沟通原型,这些原型在迭代过程中为后续反馈提供信息。最终原型在专家的可用性测试中得到验证。

结果

焦点小组的反馈和风险评估员的建议与文献研究的结果基本一致。风险管理人员和普通公众就如何改进现有风险评估结果的沟通提出了类似的建议(例如,包括更多解释性细节、报告个别健康损害的概率,以及在其他部分指定亚组的风险)。风险管理人员认为,沟通有关证据质量的信息很重要,而普通公众则认为这些信息相关性较低。受教育程度较低的参与者在理解风险评估的目的方面存在困难。用户测试发现,最终原型适合风险评估员实施,具有可行性。

结论

本研究采用了迭代和基于证据的过程,开发了内容,以改善向普通公众传达风险评估的效果,同时对风险评估员来说也具有可行性。仍然存在的挑战包括如何传达剂量-反应关系以及跨学科标准化证据质量评级。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd64/9000125/7327bea27ff8/pone.0266800.g001.jpg

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