Evidence map›Paper›PMID 29342509›Full record

Trial reportArthritis care & research2018

Influence of Explanatory Images on Risk Perceptions and Treatment Preference.

Raluca Cozmuta, Evan Wilhelms, Diana Cornell, Julia Nolte, Valerie Reyna, Liana Fraenkel

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Arthritis care & research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 47% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. 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 5 institutions in 1 country.

Raluca CozmutaEmory University School of Medicine, Atlanta, Georgia.
Evan WilhelmsThe College of Wooster, Wooster, Ohio.
Diana CornellYale University School of Medicine, New Haven, Connecticut.
Julia NolteCornell University, Ithaca, New York.
Valerie ReynaCornell University, Ithaca, New York.
Liana FraenkelYale University School of Medicine, New Haven, Connecticut, and VA Connecticut Healthcare System, West Haven, Connecticut.
Cornell University · USCollege of Wooster · USEmory University · USVA Connecticut Healthcare System · USYale University · US

Funding

Improving Decision Making in Patients with Rheumatic DiseaseK24AR060231 · NIAMS · YALE UNIVERSITY · PI FRAENKEL, LIANA · 2011 to 2018
$1.2M
NIAMS NIH HHS AR060231-06NIAMS NIH HHS K24 AR060231
6 · The paper itself

Abstract

objectiveThe aim of this study was to examine whether providing patients with a series of balance scales (BS), depicting a reciprocal relationship between achieving disease control and increasing the risk of infection, influences treatment preference.

methodsParticipants were randomized to receive a description of a medication in which risk of infection was relayed using 1 of 4 formats, including numbers only, numbers + icon array (IA), numbers + BS, or numbers + IA + BS (i.e., combination). We compared the likelihood of starting the medication across the 4 formats, and evaluated whether the influence of risk formats varied by numeracy and gist risk appraisals.

resultsThe mean ± SE likelihood of starting the medication was higher among participants randomized to the combination format (3.85 ± 0.09) compared to those who viewed the BS (3.56 ± 0.09; P = 0.0222) or numbers-only formats (3.51 ± 0.09; P = 0.0069). Viewing an IA alone was associated with a lower likelihood of starting the medication among participants lower in numeracy and endorsing a risk-avoidant noncompensatory gist risk appraisal. Conversely, viewing an IA (with or without the BS) was associated with a greater likelihood of starting the medication among patients with higher numeracy and compensatory risk appraisals.

conclusionAdding explanatory images to IAs increases patient likelihood to take a medication in those with low numeracy and a noncompensatory gist risk appraisal. Explanatory images may be a feasible approach to improve willingness to try medication among subjects who are especially risk averse and believe that any risk is unacceptable.

Indexed as

Decision Support TechniquesRiskAdultAgedAged, 80 and overAntirheumatic AgentsFemaleHumansMaleMiddle AgedPatient PreferenceRheumatic DiseasesYoung AdultAntirheumatic Agents

Identifiers

PMID29342509
PMCPMC6050154
OpenAlexW2794141966

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.