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Aiding Risk Information learning through Simulated Experience (ARISE): A Comparison of the Communication of Screening Test Information in Explicit and Simulated Experience Formats

Author

Listed:
  • Pete Wegier

    (Temmy Latner Centre for Palliative Care, Sinai Health System, Toronto, ON, Canada
    Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, ON, Canada
    Department of Family & Community Medicine, University of Toronto, Toronto, ON, Canada)

  • Bonnie A. Armstrong

    (Department of Psychology, Ryerson University, Toronto, ON, Canada)

  • Victoria A. Shaffer

    (Department of Psychological Sciences, University of Missouri, Columbia, MO, USA)

Abstract

Objective. To determine whether the use of Aiding Risk Information learning through Simulated Experience (ARISE) to communicate conditional probabilities about maternal serum screening results for Down syndrome promotes more accurate positive predictive value (PPV) estimates and conceptual understanding of screening, compared with explicitly providing individuals with this information via numerical summary or icon array. Method. In experiment 1, 582 participants completed an online study in which they were asked to estimate the PPV and rate their attitudes toward a screening test when information was presented in either a description (required calculation of the PPV), explicit (PPV was provided and had to be identified), or an ARISE format (PPV was inferred through experience-based learning). In experiment 2, 316 participants estimated the PPV and rated their attitudes toward screening based on information presented in either an icon array (identify the icons that represent the PPV) or ARISE format. Results. In experiment 1, ARISE elicited the most accurate PPV estimates compared with the description and explicit formats, and both the explicit and ARISE formats led to more unfavorable attitudes toward screening. In experiment 2, both the icon array and ARISE resulted in similar PPV estimates; however, ARISE led to more negative attitudes toward screening. Conclusions. These findings suggest that ARISE may be superior to other formats in the communication of PPV information for screening tests. However, differences in the complexity of the formats vary and require further investigation.

Suggested Citation

  • Pete Wegier & Bonnie A. Armstrong & Victoria A. Shaffer, 2019. "Aiding Risk Information learning through Simulated Experience (ARISE): A Comparison of the Communication of Screening Test Information in Explicit and Simulated Experience Formats," Medical Decision Making, , vol. 39(3), pages 196-207, April.
  • Handle: RePEc:sae:medema:v:39:y:2019:i:3:p:196-207
    DOI: 10.1177/0272989X19832882
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    Cited by:

    1. K. D. Valentine & Pete Wegier & Victoria A. Shaffer & Laura D. Scherer, 2022. "The Impact of 4 Risk Communication Interventions on Cancer Screening Preferences and Knowledge," Medical Decision Making, , vol. 42(3), pages 387-397, April.

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