Evidence map›Paper›PMID 20686011›Full record

Trial reportAnesthesia and analgesia2010

Presenting research risks and benefits to parents: does format matter?

Alan R Tait, Terri Voepel-Lewis, Brian J Zikmund-Fisher, Angela Fagerlin

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Anesthesia and analgesia, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03023813 (Individualizing Disease Prevention for Middle-Aged Adults), which is not on this map. Cited by 43 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 4 pooled it
5.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03023813 naterminatednot on this mapstarted 2017, after this paper: background citation

Individualizing Disease Prevention for Middle-Aged Adults

TypeinterventionalSponsorGlen TakslerRan2017 to 2021Enrolled104ConditionsPrimary Health CareArmsIntervention
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 4 syntheses or guidelines pooled it, 100 citations in OpenAlex.

  1. A systematic review of factors associated with side-effect expectations from medical interventions.Health expectations : an international journal of public participation in health care and health policy · 2020
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Addressing health literacy in patient decision aids.BMC medical informatics and decision making · 2013
    Pooled it
  5. Trial
  6. Trial
  7. When Does the Incremental Risk Format Aid Informed Medical Decisions? The Role of Learning, Feedback, and Number of Treatment Options.Medical decision making : an international journal of the Society for Medical Decision Making · 2020
    Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. The Lure of Beauty: People Select Representations of Statistical Information Largely Based on Attractiveness, Not Comprehensibility.Medical decision making : an international journal of the Society for Medical Decision Making
    Trial
  15. Impact of literacy and numeracy on motivation for behavior change after diabetes genetic risk testing.Medical decision making : an international journal of the Society for Medical Decision Making
    Trial
  16. Article
  17. Virtual Reality for Patient Education about Hypertension: A Randomized Pilot Study.Journal of cardiovascular development and disease · 2023
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Alan R TaitDepartment of Anesthesiology, University of Michigan Health System, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, USA. atait@umich.ed
Terri Voepel-Lewis
Brian J Zikmund-Fisher
Angela Fagerlin
Michigan Medicine · USGeneral Department of Preventive Medicine · VNVA Center for Clinical Management Research · US

Funding

Strategies to Optimize Communication of Informed Consent for Pediatric ResearchR01HD053594 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI TAIT, ALAN R · 2007 to 2011
$1.6M
NICHD NIH HHS R01 HD053594
6 · The paper itself

Abstract

backgroundSeveral studies suggest that many parents and research participants have poor understanding of the elements of consent, particularly the risks and benefits. However, some data suggest that the format and framing of research risks and benefits may be an important determinant of subject understanding. We examined the effect of tabular and graphical presentation of risks and benefits on parents' understanding of a research study.

methodsParents of children scheduled to undergo an elective surgical procedure (n = 408) were randomized to receive information about the risks and benefits of a sham study of postoperative pain control using text, tables, or pictographs and then completed a questionnaire to examine their gist (essential) and verbatim (actual) understanding of the information. Parent demographics were recorded and their literacy and numeracy skills measured.

resultsParents randomized to receive information using tables or pictographs had significantly (P < 0.025) greater gist and verbatim understanding than did parents who received the information using standard text. Tables and pictographs were also superior to text in promoting understanding among parents with low numeracy and literacy skills.

conclusionsMany parents and patients have difficulty in assimilating and interpreting risk/benefit information for both research and treatment. This is due, in part, to the manner in which risks and benefits are communicated and to the literacy and numeracy abilities of the individual. The results of this study suggest a simple and practical method for enhancing understanding of risk/benefit statistics for parents with varying numeracy and literacy skills.

Indexed as

AdultAnesthesiologyChildCommunicationEducationElective Surgical ProceduresEthnicityHumansIncomeInformed ConsentParentsResearch DesignRisk AssessmentSocioeconomic FactorsTreatment Outcome

Identifiers

PMID20686011
PMCPMC3293178
OpenAlexW1992347650

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.