ArticleMedical decision making : an international journal of the Society for Medical Decision Making2017
Effects of Anti- Versus Pro-Vaccine Narratives on Responses by Recipients Varying in Numeracy: A Cross-sectional Survey-Based Experiment.
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 10 papers, 1 of them a synthesis that pooled it.
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Behavioral interventions for vaccination uptake: A systematic review and meta-analysis.Health policy (Amsterdam, Netherlands) · 2023Pooled it
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- Seeing an apocalyptic post-antibiotic future lowers antibiotics expectations and requests.Communications medicine · 2024Article
- Viruses, Vaccines, and COVID-19: Explaining and Improving Risky Decision-making.Journal of applied research in memory and cognition · 2021Article
- Age differences in COVID-19 risk-taking, and the relationship with risk attitude and numerical ability.Royal Society open science · 2021Article
- Misinformation and other elements in HPV vaccine tweets: an experimental comparison.Journal of behavioral medicine · 2021Article
- No evidence that omission and confirmation biases affect the perception and recall of vaccine-related information.PloS one · 2020Article
- Reports of social circles' and own vaccination behavior: A national longitudinal survey.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2019Article
- Despite high objective numeracy, lower numeric confidence relates to worse financial and medical outcomes.Proceedings of the National Academy of Sciences of the United States of America · 2019Article
- Beyond High-Income Countries: Low Numeracy Is Associated with Older Adult Age around the World.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
5 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundTo inform their health decisions, patients may seek narratives describing other patients' evaluations of their treatment experiences. Narratives can provide anti-treatment or pro-treatment evaluative meaning that low-numerate patients may especially struggle to derive from statistical information. Here, we examined whether anti-vaccine (v. pro-vaccine) narratives had relatively stronger effects on the perceived informativeness and judged vaccination probabilities reported among recipients with lower (v. higher) numeracy.
methodsParticipants ( n = 1,113) from a nationally representative US internet panel were randomly assigned to an anti-vaccine or pro-vaccine narrative, as presented by a patient discussing a personal experience, a physician discussing a patient's experience, or a physician discussing the experiences of 50 patients. Anti-vaccine narratives described flu experiences of patients who got the flu after getting vaccinated; pro-vaccine narratives described flu experiences of patients who got the flu after not getting vaccinated. Participants indicated their probability of getting vaccinated and rated the informativeness of the narratives.
resultsParticipants with lower numeracy generally perceived narratives as more informative. By comparison, participants with higher numeracy rated especially anti-vaccine narratives as less informative. Anti-vaccine narratives reduced the judged vaccination probabilities as compared with pro-vaccine narratives, especially among participants with lower numeracy. Mediation analyses suggested that low-numerate individuals' vaccination probabilities were reduced by anti-vaccine narratives-and, to a lesser extent, boosted by pro-vaccine narratives-because they perceived narratives to be more informative. These findings were similar for narratives provided by patients and physicians.
conclusionsPatients with lower numeracy may rely more on narrative information when making their decisions. These findings have implications for the development of health communications and decision aids.
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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.