ArticleHealth expectations : an international journal of public participation in health care and health policy2011
Pictures speak louder than numbers: on communicating medical risks to immigrants with limited non-native language proficiency.
Article in Health expectations : an international journal of public participation in health care and health policy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 21 papers.
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.
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.
Information Visualizations to Facilitate Patient-provider Communication in HIV Care: Info Viz HIV
Information Visualizations to Facilitate HIV-related Patient-provider Communication in New York City (Info Viz: HIV-NYC)
Information Visualizations to Facilitate Clinician-patient Communication in HIV Care (Info Viz: HIV)
Who cites it
21 citing papers in PubMed.
- Evaluation of an HIV-related Education Intervention Scale-up: A Hybrid Type 3 Effectiveness-implementation Study in the Dominican Republic.AIDS and behavior · 2025Article
- Global Use, Adaptation, and Sharing of Massive Open Online Courses for Emergency Health on the OpenWHO Platform: Survey Study.Journal of medical Internet research · 2025Article
- A pilot test of an infographic-based health communication intervention to enhance patient education among Latino persons with HIV.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Clinician Use of HIV-Related Infographics During Clinic Visits in the Dominican Republic is Associated with Lower Viral Load and Other Improvements in Health Outcomes.AIDS and behavior · 2021Article
- What is the role of cultural competence in ethnic minority consumer engagement? An analysis in community healthcare.International journal for equity in health · 2019Article
- Evaluation of Food Labeling Policy in Korea: Analyzing the Community Health Survey 2014-2017.Journal of Korean medical science · 2019Article
- Developing Infographics to Facilitate HIV-Related Patient-Provider Communication in a Limited-Resource Setting.Applied clinical informatics · 2019Article
- Self-Monitoring by Traffic Light Color Coding Versus Usual Care on Outcomes of Patients With Heart Failure Reduced Ejection Fraction: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2018Article
- Vaccine Images on Twitter: Analysis of What Images are Shared.Journal of medical Internet research · 2018Article
- Communicating projected survival with treatments for chronic kidney disease: patient comprehension and perspectives on visual aids.BMC medical informatics and decision making · 2017Article
- Graphics help patients distinguish between urgent and non-urgent deviations in laboratory test results.Journal of the American Medical Informatics Association : JAMIA · 2017Article
- Development and Testing of Shared Decision Making Interventions for Use in Emergency Care: A Research Agenda.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2016Article
- On defensive decision making: how doctors make decisions for their patients.Health expectations : an international journal of public participation in health care and health policy · 2014Article
- Blocks, ovals, or people? Icon type affects risk perceptions and recall of pictographs.Medical decision making : an international journal of the Society for Medical Decision Making · 2014Article
- Using visual displays to communicate risk of cancer to women from diverse race/ethnic backgrounds.Patient education and counseling · 2012Article
- Using visual aids to improve communication of risks about health: a review.TheScientificWorldJournal · 2012Review
- Shared decision making: vision to reality.Health expectations : an international journal of public participation in health care and health policy · 2011Article
- How Point (Single-Probability) Tasks Are Affected by Probability Format, Part 1: A Making Numbers Meaningful Systematic Review.MDM policy & practiceReview
- Scope, Methods, and Overview Findings for the Making Numbers Meaningful Evidence Review of Communicating Probabilities in Health: A Systematic Review.MDM policy & practiceReview
- Reflecting on the Universal Meaning of Numbers in Health and Risk Communication.MDM policy & practiceArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesMedical risk communication has been infrequently studied in immigrants with limited non-native language proficiency, even though they may be at greatest risk of illness. In a study, we examined to what extent Polish immigrants to the UK have difficulties in understanding treatment risk reduction expressed as ratios either in their native language or in a non-native language (English). We further investigated whether this population can be aided by using visual displays to enhance comprehension. DESIGN, SETTING, AND
participantsA survey was conducted in the UK in spring, 2009, involving a sample of Polish immigrants (n = 96). OUTCOME MEASURES: Estimates of treatment risk reduction, confidence in estimates, and perceptions of treatment effectiveness.
resultsWhen assessing treatment risk reduction, participants often paid too much attention to the number of treated and non-treated patients who died (i.e. numerators) and insufficient attention to the overall number of treated and non-treated patients (i.e. denominators). This denominator neglect was especially noticeable when treatment risk reduction was not expressed in participants' native language. However, provision of visual aids in addition to the numerical information about risk reduction proved to be an effective method for eliminating denominator neglect. The visual aids drew participants' attention to the overall number of treated and non-treated patients and helped them to make more accurate risk estimates.
conclusionsWhen communicating risks to immigrants with limited non-native language proficiency, we should move beyond the simple, direct translation of health messages that are already being used with the indigenous population to messages that are more appropriate. The use of materials that include visual aids is an effective method of communicating medical risk information to immigrant populations.
Indexed as
Identifiers
What OpenQuestion holds
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.