Evidence map›Paper›PMID 33596857›Full record

Trial reportBMC public health2021

Evaluating the effect of infographics on public recall, sentiment and willingness to use face masks during the COVID-19 pandemic: a randomised internet-based questionnaire study.

Mark Egan, Amish Acharya, Viknesh Sounderajah, Yihan Xu, Abigail Mottershaw, Rosie Phillips, Hutan Ashrafian, Ara Darzi

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Predisposing, Enabling, and Reinforcing Factors of COVID-19 Prevention Behavior in Indonesia: A Mixed-methods Study.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2023
    Article
  5. Screen-based digital learning methods in radiation oncology and medical education.Technical innovations & patient support in radiation oncology · 2022
    Article
  6. Transferring Healthcare Professional's Digital Competencies to the Workplace and Patients: A Pilot Study.International journal of environmental research and public health · 2022
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. 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

8 authors.

Mark EganThe Behavioural Insights Team (BIT), 2nd Floor, 4 Matthew Parker Street, London, SW1H 9NP, UK.
Amish AcharyaInstitute of Global Health Innovation, Department of Surgery & Cancer, Imperial College London , 10th Floor Queen Elizabeth Queen Mother Building, St Mary's Hospital, London, W2 1NY, UK.
Viknesh SounderajahInstitute of Global Health Innovation, Department of Surgery & Cancer, Imperial College London , 10th Floor Queen Elizabeth Queen Mother Building, St Mary's Hospital, London, W2 1NY, UK.
Yihan XuThe Behavioural Insights Team (BIT), 2nd Floor, 4 Matthew Parker Street, London, SW1H 9NP, UK.
Abigail MottershawThe Behavioural Insights Team (BIT), 2nd Floor, 4 Matthew Parker Street, London, SW1H 9NP, UK.
Rosie PhillipsThe Behavioural Insights Team (BIT), 2nd Floor, 4 Matthew Parker Street, London, SW1H 9NP, UK.
Hutan AshrafianInstitute of Global Health Innovation, Department of Surgery & Cancer, Imperial College London , 10th Floor Queen Elizabeth Queen Mother Building, St Mary's Hospital, London, W2 1NY, UK. h.ashrafian@imperial.ac.uk.
Ara DarziInstitute of Global Health Innovation, Department of Surgery & Cancer, Imperial College London , 10th Floor Queen Elizabeth Queen Mother Building, St Mary's Hospital, London, W2 1NY, UK.

Funding

Medical Research Council MC_PC_18032
6 · The paper itself

Abstract

backgroundThe use of face masks remains contentious, with international variation in practice. Their prevalence in the UK, is likely to increase due to new legislation. Clear information regarding the appropriate use of masks is needed, to ensure compliance with policies to reduce transmission of COVID-19. We aimed to assess the impact of visual representations of guidance, or infographics, upon the knowledge of appropriate face mask usage in a representative UK cohort.

methodsAdult patients were recruited to this randomised internet-based questionnaire study during the 12-14 May 2020 from across the UK. Respondents viewed one of five public health stimuli regarding the use of face masks, or no stimulus. The groups accessed aids by the European Centre for Disease Control (EUCDC), World Health Organisation (WHO), Singaporean Ministry of Health (SMOH), text from the UK government (UK Gov), or an infographic designed by the Behavioural Insights Team (BIT). The primary outcome was to evaluate the effect of each infographic upon participants' recall of face mask technique, sentiments and willingness to wear a face covering. Secondary outcomes included the effect of symptomology and socio-demographic factors.

results4099 respondents were randomised (1009 control, 628 EUCDC, 526 WHO, 639 SMOH, 661 UKGOV and 606 BIT). Stimuli from the WHO, SMOH and BIT demonstrated significantly higher average recall scores compared to the controls (7.40 v. 7.38 v. 7.34 v. 6.97, P < 0.001). BIT's stimulus led to the highest confidence about mask-wearing (87%). Only 48.2% of the cohort felt stimuli reduced anxiety about COVID-19. However, willingness to use a mask was high, (range 84 to 88%).

conclusionsTo ensure the appropriate use of masks, as mandated by UK law, guidance must provide sufficient information, yet remain understandable. Infographics can aid the recall of correct mask techniques by highlighting salient steps and reducing cognitive burden. They have also demonstrated greater trustworthiness than text-only guidance. The effect of infographics upon COVID-19-related anxiety was poor, and they should be further developed to address this sentiment. A willingness to wear face masks has, however, been demonstrated.

Indexed as

Audiovisual AidsHealth Knowledge, Attitudes, PracticeAdolescentAdultCohort StudiesCOVID-19FemaleHealth EducationHumansInternetMaleMasksMiddle AgedSurveys and QuestionnairesUnited KingdomYoung AdultAudiovisual aidsCOVID-19Health behaviorMasksPersonal protective equipment

Identifiers

PMID33596857
PMCPMC7886844

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.