Evidence map›Paper›PMID 30288405›Full record

ArticleMDM policy & practice

A Simple Tool for Communicating the Benefits and Harms of Health Interventions: A Guide for Creating a Fact Box.

Michelle McDowell, Felix G Rebitschek, Gerd Gigerenzer, Odette Wegwarth

Abstract read
In one paragraph

Article in MDM policy & practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
–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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. People's Responses to Nuclear Weapons: Mapping Post-Cold War Research.Perspectives on psychological science : a journal of the Association for Psychological Science · 2026
    Pooled it
  2. Pooled it
  3. Trial
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  5. Developing and Assessing the Acceptability of an Information Booklet for Patients in Surveillance for Abdominal Aortic Aneurysms: An Intervention Development Study.Health expectations : an international journal of public participation in health care and health policy · 2026
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  17. [Risk communication in the containment of the COVID-19 pandemic: challenges and promising approaches].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2021
    Review
  18. The Modest Effects of Fact Boxes on Cancer Screening.Journal of risk and uncertainty · 2021
    Article
  19. Citizens Versus the Internet: Confronting Digital Challenges With Cognitive Tools.Psychological science in the public interest : a journal of the American Psychological Society · 2020
    Review
  20. 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

4 authors.

Michelle McDowellHarding Center for Risk Literacy, Max Planck Institute for Human Development, Berlin, Germany (MM, FGR, GG, OW).
Felix G RebitschekHarding Center for Risk Literacy, Max Planck Institute for Human Development, Berlin, Germany (MM, FGR, GG, OW).
Gerd GigerenzerHarding Center for Risk Literacy, Max Planck Institute for Human Development, Berlin, Germany (MM, FGR, GG, OW).
Odette WegwarthHarding Center for Risk Literacy, Max Planck Institute for Human Development, Berlin, Germany (MM, FGR, GG, OW).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

One of the major hurdles to promoting informed decision making in health is the continued use of poor risk presentation formats. This article offers a guide to develop a Fact Box, a simple decision tool to present data about the benefits and harms of treatments that has been demonstrated to improve understanding of health risks, an important part of risk literacy. The article offers guidance about how to determine the evidence basis for a health topic, select outcomes to report, extract and present numbers or outcomes, and design the layout. The guide also addresses potential challenges for summarizing evidence and provides alternatives for addressing issues related to missing, insufficient, imprecise, or conflicting evidence and for dealing with issues related to statistical and clinical significance. The guide concludes with details on how to document the development of the Fact Box for the purpose of transparency and reproducibility. Fact Boxes are an efficient tool to promote risk literacy and should be available in every physician's office.

Indexed as

evidence-based medicineinformed decision makingrisk communication

Identifiers

PMID30288405
PMCPMC6125040

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.