Evidence map›Paper›PMID 27216580›Full record

ArticleMedical decision making : an international journal of the Society for Medical Decision Making2017

Subjective Numeracy and the Influence of Order and Amount of Audible Information on Perceived Medication Value.

Liana Fraenkel, Marilyn Stolar, Sarah Swift, Richard L Street, Harjinder Chowdhary, Ellen Peters

Open access · greenAbstract read
In one paragraph

Article in Medical decision making : an international journal of the Society for Medical Decision Making, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.9field-weighted citation impact, top 12% 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.

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

4 citing papers in PubMed, 12 citations in OpenAlex.

  1. Variability in Affect and Willingness to Take Medication.Medical decision making : an international journal of the Society for Medical Decision Making · 2018
    Trial
  2. Article
  3. Review
  4. Review
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

6 authors at 4 institutions in 1 country.

Liana FraenkelYale University School of Medicine, New Haven, CT, USA (LF, SS, HC).
Marilyn StolarYale Center for Analytical Sciences, Yale University School of Public Health, New Haven, CT, USA (MS).
Sarah SwiftYale University School of Medicine, New Haven, CT, USA (LF, SS, HC).
Richard L StreetDepartment of Communication, Texas A&M University, College Station, TX, USA (RLS).
Harjinder ChowdharyYale University School of Medicine, New Haven, CT, USA (LF, SS, HC).
Ellen PetersPsychology Department, The Ohio State University, Columbus, OH, USA (EP).
Baylor College of Medicine · USCenter for Innovation · USThe Ohio State University · USVA Connecticut Healthcare System · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Pathology Tissue Services Shared ResourceP30CA016359 · NCI · YALE UNIVERSITY · PI DAVID L RIMM · 1985 to 2026
$85.0M
Improving Decision Making in Patients with Rheumatic DiseaseK24AR060231 · NIAMS · YALE UNIVERSITY · PI FRAENKEL, LIANA · 2011 to 2018
$1.2M
NCATS NIH HHS UL1 TR001863NCI NIH HHS P30 CA016359NIAMS NIH HHS K24 AR060231
6 · The paper itself

Abstract

backgroundOrder and amount of information influence patients' risk perceptions, but most studies have evaluated patients' reactions to written materials. The objective of this study was to examine the effect of 4 communication strategies, varying in their order and/or amount of information, on judgments related to an audible description of a new medication and among patients who varied in subjective numeracy.

methodsWe created 5 versions of a hypothetical scenario describing a new medication. The versions were composed to elucidate whether order and/or amount of the information describing benefits and adverse events influenced how subjects valued a new medication. After listening to a randomly assigned version, perceived medication value was measured by asking subjects to choose one of the following statements: the risks outweigh the benefits, the risks and benefits are equally balanced, or the benefits outweigh the risks.

resultsOf the 432 patients contacted, 389 participated in the study. Listening to a brief description of benefits followed by an extended description of adverse events resulted in a greater likelihood of perceiving that the medication's benefits outweighed the risks compared with 1) presenting the extended adverse events description before the benefits, 2) giving a greater amount of information related to benefits, and 3) sandwiching the adverse events between benefits. These associations were only observed among subjects with average or higher subjective numeracy.

conclusionIf confirmed in future studies, our results suggest that, for patients with average or better subjective numeracy, perceived medication value is highest when a brief presentation of benefits is followed by an extended description of adverse events.

Indexed as

CommunicationDecision MakingLiteracyAdultAgedComprehensionCost-Benefit AnalysisFemaleHumansMaleMiddle AgedPatient ParticipationPatient PreferencePerceptionPrescription DrugsRisk AssessmentPrescription Drugscognitive psychologynumeracyrheumatologyrisk communicationrisk perception

Identifiers

PMID27216580
PMCPMC5121099
OpenAlexW2406347917

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.