Debbeler Luka Johanna, Pohrt Anne, Fleischmann-Struzek Carolin, Schwarzkopf Daniel, Born Sebastian, Reinhart Konrad, Wegwarth Odette
Center for Adaptive Rationality, Max Planck Institute for Human Development, Lentzeallee 94, 14195 Berlin, Germany.
Heisenberg Chair for Medical Risk Literacy & Evidence-Based Decisions, Center for Anesthesiology & Intensive Care, Charité-Universitätsmedizin, Charitéplatz 1, 10117 Berlin, Germany.
J Clin Med. 2022 Jun 24;11(13):3659. doi: 10.3390/jcm11133659.
Sepsis is associated with 11 million global deaths annually. Although serious consequences of sepsis can generally be avoided with prevention and early detection, research has not yet addressed the efficacy of evidence-based health information formats for different risk groups. This study examines whether two evidence-based health information formats—text based and graphical—differ in how well they foster informed choice and risk and health literacy and in how well they support different sepsis risk groups. Based on a systematic literature review, two one-page educative formats on sepsis prevention and early detection were designed—one text based and one graphical. A sample of 500 German participants was randomly shown one of the two formats; they were then assessed on whether they made informed choices and on their risk and health literacy. For both formats, >70% of participants made informed choices for sepsis prevention and >75% for early detection. Compared with the graphical format, the text-based format was associated with higher degrees of informed choice (p = 0.012, OR = 1.818) and risk and health literacy (p = 0.032, OR = 1.710). Both formats can foster informed choices and risk and health literacy on sepsis prevention and early detection, but the text-based format appears to be more effective.
脓毒症每年在全球导致1100万人死亡。尽管通过预防和早期检测通常可以避免脓毒症的严重后果，但研究尚未探讨基于证据的健康信息形式对不同风险群体的有效性。本研究考察了两种基于证据的健康信息形式——文本形式和图形形式——在促进明智选择、风险与健康素养方面的效果，以及它们对不同脓毒症风险群体的支持程度是否存在差异。基于系统的文献综述，设计了两种关于脓毒症预防和早期检测的单页教育形式——一种是文本形式，一种是图形形式。500名德国参与者的样本被随机展示两种形式中的一种；然后评估他们是否做出了明智的选择以及他们的风险与健康素养。对于两种形式，超过70%的参与者对脓毒症预防做出了明智的选择，超过75%的参与者对早期检测做出了明智的选择。与图形形式相比，文本形式与更高程度的明智选择（p = 0.012，OR = 1.818）以及风险与健康素养（p = 0.032，OR = 1.�10）相关。两种形式都可以促进关于脓毒症预防和早期检测的明智选择以及风险与健康素养，但文本形式似乎更有效。
