The effect of numerical statements of risk on trust and comfort with hypothetical physician risk communication

The effect of numerical statements of risk on trust and comfort with hypothetical physician risk communication
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DOI:
10.1177/0272989x04265482
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发表时间:
2004-05-01
影响因子:
3.6
通讯作者:
Annstrong, K
Annstrong, K
中科院分区:
医学3区
文献类型:
--
作者:
Gurmankin, AD;Baron, J;Annstrong, K

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Objective.参与关于风险的数字陈述是否应该包括在风险沟通中的辩论。设计受试者(n = 115)完成了一份涉及医生风险沟通和4种情景的问卷,每种情景描述了一名患者的症状和体征可能提示癌症。在受试者内4 x 3设计中,每种情景均以3个风险沟通版本(1个口头版本和2个数字版本)呈现。受试者评价他们对信息的信任和舒适度,以及他们认为医生扭曲了他们的风险水平。结果受试者明显更信任(t = 4.0,P < 0.001),舒适(t = 3.4,P = 0,001)风险信息,与口头版本相比,不太可能相信医生在数字版本中最大限度地降低了风险(t = 4.3,P < 0.0001),并且同样可能认为医生夸大了两个版本中的风险(P = 0.588)。结论.在风险沟通中包括风险的数字陈述可以增加对风险信息的信任和信心。
Objective. To contribute to the debate about whether numeric statements of risk ought to be included in risk communications. Design. Subjects (n = 115) completed a questionnaire involving a physician risk communication and 4 scenarios, each of which described a patient with symptoms and signs potentially suggestive of cancer. Each scenario was presented in 3 risk communication versions (a verbal version and 2 numeric versions) in a within-subject 4 x 3 design. Subjects rated their trust in and comfort with the information and their belief that the physician distorted their risk level. Results. Subjects were significantly more trusting of (t = 4.0, P < 0.001) and comfortable with (t = 3.4, P = 0,001) the risk information, less likely to believe that the physician minimized the risk in the numeric versions than verbal versions (t = 4.3, P < 0.0001), and just as likely to believe that the physician exaggerated the risk in the 2 versions (P = 0.588). Conclusions. Including a numeric statement of risk in a risk communication can increase trust and belief in and comfort with the risk information.