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Risk Ladder, Table, or Bulleted List? Identifying Formats That Effectively Communicate Personalized Risk and Risk Reduction Information for Multiple Diseases

Author

Listed:
  • Erika A. Waters

    (Department of Surgery, Division of Public Health Sciences, Washington University in St. Louis, Saint Louis, MO, USA)

  • Julia Maki

    (Department of Surgery, Division of Public Health Sciences, Washington University in St. Louis, Saint Louis, MO, USA)

  • Ying Liu

    (Department of Surgery, Division of Public Health Sciences, Washington University in St. Louis, Saint Louis, MO, USA)

  • Nicole Ackermann

    (Department of Surgery, Division of Public Health Sciences, Washington University in St. Louis, Saint Louis, MO, USA)

  • Chelsey R. Carter

    (Department of Surgery, Division of Public Health Sciences, Washington University in St. Louis, Saint Louis, MO, USA)

  • Hank Dart

    (Department of Surgery, Division of Public Health Sciences, Washington University in St. Louis, Saint Louis, MO, USA)

  • Deborah J. Bowen

    (University of Washington, Merced, CA, USA)

  • Linda D. Cameron

    (University of California, Merced, CA, USA)

  • Graham A. Colditz

    (Department of Surgery, Division of Public Health Sciences, Washington University in St. Louis, Saint Louis, MO, USA)

Abstract

Background Personalized medicine may increase the amount of probabilistic information patients encounter. Little guidance exists about communicating risk for multiple diseases simultaneously or about communicating how changes in risk factors affect risk (hereafter “risk reduction†). Purpose To determine how to communicate personalized risk and risk reduction information for up to 5 diseases associated with insufficient physical activity in a way laypeople can understand and that increases intentions. Methods We recruited 500 participants with 0.05). Sequential mediation analyses revealed a small beneficial indirect effect of risk ladder versus list on intentions through gist comprehension and then through perceived risk ( b IndirectEffect = 0.02, 95% confidence interval: 0.00, 0.04). Conclusion Risk ladders can communicate the gist meaning of multiple pieces of risk information to individuals from many sociodemographic backgrounds and with varying levels of facility with numbers and graphs.

Suggested Citation

  • Erika A. Waters & Julia Maki & Ying Liu & Nicole Ackermann & Chelsey R. Carter & Hank Dart & Deborah J. Bowen & Linda D. Cameron & Graham A. Colditz, 2021. "Risk Ladder, Table, or Bulleted List? Identifying Formats That Effectively Communicate Personalized Risk and Risk Reduction Information for Multiple Diseases," Medical Decision Making, , vol. 41(1), pages 74-88, January.
  • Handle: RePEc:sae:medema:v:41:y:2021:i:1:p:74-88
    DOI: 10.1177/0272989X20968070
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    Cited by:

    1. Andreas D. Meid & Lucas Wirbka, 2022. "Can Machine Learning from Real-World Data Support Drug Treatment Decisions? A Prediction Modeling Case for Direct Oral Anticoagulants," Medical Decision Making, , vol. 42(5), pages 587-598, July.
    2. Erika A. Waters & Jennifer M. Taber & Nicole Ackermann & Julia Maki & Amy M. McQueen & Laura D. Scherer, 2023. "Testing Explanations for Skepticism of Personalized Risk Information," Medical Decision Making, , vol. 43(4), pages 430-444, May.
    3. Lyndal J. Trevena & Carissa Bonner & Yasmina Okan & Ellen Peters & Wolfgang Gaissmaier & Paul K. J. Han & Elissa Ozanne & Danielle Timmermans & Brian J. Zikmund-Fisher, 2021. "Current Challenges When Using Numbers in Patient Decision Aids: Advanced Concepts," Medical Decision Making, , vol. 41(7), pages 834-847, October.

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