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When Does the Incremental Risk Format Aid Informed Medical Decisions? : The Role of Learning, Feedback, and Number of Treatment Options

When Does the Incremental Risk Format Aid Informed Medical Decisions? : The Role of Learning, Feedback, and Number of Treatment Options

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TIEDE, Kevin E., Felicia RIPKE, Nicole DEGEN, Wolfgang GAISSMAIER, 2020. When Does the Incremental Risk Format Aid Informed Medical Decisions? : The Role of Learning, Feedback, and Number of Treatment Options. In: Medical Decision Making. Sage. 40(2), pp. 212-221. ISSN 0272-989X. eISSN 1552-681X. Available under: doi: 10.1177/0272989X20904357

@article{Tiede2020-02-08Incre-48643, title={When Does the Incremental Risk Format Aid Informed Medical Decisions? : The Role of Learning, Feedback, and Number of Treatment Options}, year={2020}, doi={10.1177/0272989X20904357}, number={2}, volume={40}, issn={0272-989X}, journal={Medical Decision Making}, pages={212--221}, author={Tiede, Kevin E. and Ripke, Felicia and Degen, Nicole and Gaissmaier, Wolfgang} }

Background. Informed medical decisions require understanding the benefits and risks of treatments. This entails comparing treatment outcomes to a control group. The incremental risk format has been recommended as it directly visualizes the differences between treatment and control group in 1 graph, whereas they have to be calculated from 2 separate graphs in the total risk format. We investigated when the incremental risk format aids understanding.<br /><br />Methods. In 2 experiments, participants received information about medical treatments, either as incremental or total risk format. We assessed verbatim knowledge (precise quantitative knowledge), gist knowledge (knowledge of essential meaning), and evaluations of the formats. Study 1 (N = 99) consisted of only 1 trial with medical information and also assessed recall. Study 2 (N = 222) assessed learning across multiple trials and also varied the presence of feedback and the number of treatment options.<br /><br />Results. In study 1, the incremental risk format (v. total risk format) led to worse knowledge, recall, and evaluations. In study 2, participants learned to understand the incremental risk format over time, resulting in comparable verbatim knowledge and evaluations as in the total risk format, as well as in even better gist knowledge. Feedback and number of treatment options did not moderate the effect of risk format.<br /><br />Limitations. The studies were conducted with nonpatient samples, and study 2 employed hypothetical treatments.<br /><br />Conclusions. The incremental risk format was initially less understandable than the total risk format. After a short learning period, however, the incremental risk format resulted in better gist knowledge and was comparable otherwise, which suggests that participants had to get used to that format. This has important implications for the study of new formats. Ripke, Felicia Degen, Nicole terms-of-use eng 2020-02-14T12:25:09Z Gaissmaier, Wolfgang When Does the Incremental Risk Format Aid Informed Medical Decisions? : The Role of Learning, Feedback, and Number of Treatment Options 2020-02-08 Ripke, Felicia Gaissmaier, Wolfgang 2020-02-14T12:25:09Z Tiede, Kevin E. Degen, Nicole Tiede, Kevin E.

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