Evidence map›Paper›PMID 26543066›Full record

ArticleBMJ quality & safety2016

Making comparative performance information more comprehensible: an experimental evaluation of the impact of formats on consumer understanding.

Olga C Damman, Anco De Jong, Judith H Hibbard, Danielle R M Timmermans

Abstract read
In one paragraph

Article in BMJ quality & safety, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Testing the effects on information use by older versus younger women of modality and narration style in a hospital report card.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
  6. Article
  7. Article
  8. Feedback preferences of patients, professionals and health insurers in integrated head and neck cancer care.Health expectations : an international journal of public participation in health care and health policy · 2017
    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.

Olga C DammanDepartment of Public and Occupational Health and the EMGO+ Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands.
Anco De JongDutch National Health Care Institute, Diemen, The Netherlands.
Judith H HibbardDepartment of Planning, Public Policy & Management, University of Oregon, Eugene, OR, USA.
Danielle R M TimmermansDepartment of Public and Occupational Health and the EMGO+ Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesWe aimed to investigate how different presentation formats influence comprehension and use of comparative performance information (CPI) among consumers.

methodsAn experimental between-subjects and within-subjects design with manipulations of CPI presentation formats. We enrolled both consumers with lower socioeconomic status (SES)/cognitive skills and consumers with higher SES/cognitive skills, recruited through an online access panel. Respondents received fictitious CPI and completed questions about interpretation and information use. Between subjects, we tested (1) displaying an overall performance score (yes/no); (2) displaying a small number of quality indicators (5 vs 9); and (3) displaying different types of evaluative symbols (star ratings, coloured dots and word icons vs numbers and bar graphs). Within subjects, we tested the effect of a reduced number of healthcare providers (5 vs 20). Data were analysed using descriptive analysis, analyses of variance and paired-sampled t tests.

resultsA total of 902 (43%) respondents participated. Displaying an overall performance score and the use of coloured dots and word icons particularly enhanced consumer understanding. Importantly, respondents provided with coloured dots most often correctly selected the top three healthcare providers (84.3%), compared with word icons (76.6% correct), star ratings (70.6% correct), numbers (62.0%) and bars (54.2%) when viewing performance scores of 20 providers. Furthermore, a reduced number of healthcare providers appeared to support consumers, for example, when provided with 20 providers, 69.5% correctly selected the top three, compared with 80.2% with five providers. DISCUSSION: Particular presentation formats enhanced consumer understanding of CPI, most importantly the use of overall performance scores, word icons and coloured dots, and a reduced number of providers displayed. Public report efforts should use these formats to maximise impact on consumers.

Indexed as

ComprehensionAcademic SuccessConsumer BehaviorConsumer Health InformationHealth LiteracyHealth PersonnelHomes for the AgedHumansInformation DisseminationNetherlandsNursing HomesPatient ParticipationQuality Indicators, Health CareQuality of Health CareSocioeconomic FactorsWork PerformanceCommunicationDecision makingNursing homesPerformance measuresReport cards

Identifiers

PMID26543066
PMCPMC5136725

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LicenceCC BY-NC
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Registered trials

None linked

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.