4.5 Article

The effects of infographics and several quantitative versus qualitative formats for cardiovascular disease risk, including heart age, on people's risk understanding

Journal

PATIENT EDUCATION AND COUNSELING
Volume 101, Issue 8, Pages 1410-1418

Publisher

ELSEVIER IRELAND LTD
DOI: 10.1016/j.pec.2018.03.015

Keywords

Risk communication; Online risk calculators; Infographics; Informed decision making

Funding

  1. Netherlands Organisation for Scientific Research (NWO) within the programme Comprehensible Language and Effective Communication [BGRL-11-12]
  2. Dutch Diabetes Research Foundation
  3. Dutch Heart Foundation
  4. Dutch Kidney Foundation

Ask authors/readers for more resources

Objective: To study how comprehension of cardiovascular disease (CVD) risk is influenced by: (1) infographics about qualitative risk information, with/without risk numbers; (2) which qualitative risk dimension is emphasized; (3) heart age vs. traditional risk format. Methods: For aim 1, a 2 (infographics versus text) x 2 (risk number versus no risk number) between-subjects design was used. For aim 2, three pieces of information were tested within-subjects. Aim 3 used a simple comparison group. Participants (45-65 yrs old) were recruited through an online access panel; low educated people were oversampled. They received hypothetical risk information (20%/61yrs). Primary outcomes: recall, risk appraisals, subjective/objective risk comprehension. Secondary outcomes: behavioral intentions, information evaluations. Results: Infographics of qualitative risk dimensions negatively affected recall, subjective risk comprehension and information evaluations. No effect of type of risk dimension was found on risk perception. Heart age influenced recall, comprehension, evaluations and affective risk appraisals. Conclusion: Infographics of hypothetical CVD risk information had detrimental effects on measures related to risk perception/comprehension, but effects were mainly seen in undereducated participants. Heart age influenced perceptions/comprehension of hypothetical risk in a way that seemed to support understanding. Practice implications: Heart age seems a fruitful risk communication approach in disease risk calculators. (c) 2018 Elsevier B.V. All rights reserved.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.5
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Health Care Sciences & Services

How lay people understand and make sense of personalized disease risk information

Olga C. Damman, Nina M. M. Bogaerts, Maaike J. van den Haak, Danielle R. M. Timmermans

HEALTH EXPECTATIONS (2017)

Article Health Care Sciences & Services

Using PROMs during routine medical consultations: The perspectives of people with Parkinson's disease and their health professionals

Olga C. Damman, Marjolein E. A. Verbiest, Suzanne Vonk, Henk W. Berendse, Bastiaan R. Bloem, Martine C. de Bruijne, Marjan J. Faber

HEALTH EXPECTATIONS (2019)

Article Medicine, General & Internal

What benefits and harms are important for a decision about cervical screening? A study of the perspective of different subgroups of women

Amber E. van der Meij, Olga C. Damman, Ellen Uiters, Danielle R. M. Timmermans

PATIENT PREFERENCE AND ADHERENCE (2019)

Article Health Care Sciences & Services

The use of PROMs and shared decision-making in medical encounters with patients: An opportunity to deliver value-based health care to patients

Olga C. Damman, Anant Jani, Brigit A. de Jong, Annemarie Becker, Margot J. Metz, Martine C. de Bruijne, Danielle R. Timmermans, Martina C. Cornel, Dirk T. Ubbink, Marije van der Steen, Muir Gray, Carla van El

JOURNAL OF EVALUATION IN CLINICAL PRACTICE (2020)

Article Public, Environmental & Occupational Health

Mismatch between self-perceived and calculated cardiometabolic disease risk among participants in a prevention program for cardiometabolic disease: a cross-sectional study

D. M. Stol, M. Hollander, O. C. Damman, M. M. J. Nielen, I. F. Badenbroek, F. G. Schellevis, N. J. de Wit

BMC PUBLIC HEALTH (2020)

Review Nutrition & Dietetics

Choice architecture interventions to change physical activity and sedentary behavior: a systematic review of effects on intention, behavior and health outcomes during and after intervention

Lorraine L. Landais, Olga C. Damman, Linda J. Schoonmade, Danielle R. M. Timmermans, Evert A. L. M. Verhagen, Judith G. M. Jelsma

INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY (2020)

Article Health Care Sciences & Services

Testing the Effects of Modality and Narration Style on Patients' Information Use in a Lung Cancer Treatment Decision Aid

Nida Gizem Yilmaz, Julia C. M. Van Weert, Ellen Peters, Birgit I. Lissenberg-Witte, Annemarie Becker, Suresh Senan, Chris Dickhoff, Danielle R. M. Timmermans, Olga C. Damman

MEDICAL DECISION MAKING (2020)

Article Environmental Sciences

Women's Participation in Decision-Making in Maternity Care: A Qualitative Exploration of Clients' Health Literacy Skills and Needs for Support

Laxsini Murugesu, Olga C. Damman, Marloes E. Derksen, Danielle R. M. Timmermans, Ank de Jonge, Ellen M. A. Smets, Mirjam P. Fransen

Summary: Shared decision-making in maternity care requires clients to have adequate functional health literacy skills. This study found that women who scored low on basic health literacy screening tests or were first-time pregnant faced difficulties in finding reliable information, understanding probabilistic information, and preparing for consultations. Maternity care professionals can support clients by guiding them towards reliable information and helping them understand benefit/harm information.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2021)

Article Medicine, General & Internal

Communicating personalised statin therapy-effects as 10-year CVD-risk or CVD-free life-expectancy: does it improve decisional conflict? Three-armed, blinded, randomised controlled trial

Nicole E. M. Jaspers, Frank L. J. Visseren, Yolanda Van der Graaf, Yvo M. Smulders, Olga C. Damman, Corline Brouwers, Guy E. H. M. Rutten, Jannick A. N. Dorresteijn

Summary: Personalised estimations of treatment-effects led to a significant decrease in decisional conflict among patients with stable cardiovascular disease after 1 month, supporting the use of personalised predictions in decision-making.

BMJ OPEN (2021)

Article Health Care Sciences & Services

Testing the effects on information use by older versus younger women of modality and narration style in a hospital report card

Nida Gizem Yilmaz, Danielle R. M. Timmermans, Johanneke Portielje, Julia C. M. Van Weert, Olga C. Damman

Summary: This study aimed to investigate the effects of audiovisual and narrative information in HRCs on user responses. The results showed that audiovisual information led to higher information satisfaction, but lower comprehension in older women.

HEALTH EXPECTATIONS (2022)

Article Public, Environmental & Occupational Health

Office workers' perspectives on physical activity and sedentary behaviour: a qualitative study

Lorraine L. Landais, Judith G. M. Jelsma, Idske R. Dotinga, Danielle R. M. Timmermans, Evert A. L. M. Verhagen, Olga C. Damman

Summary: Office workers have different perspectives and attitudes towards physical activity and sedentary behavior. While health is considered important, other values are also prioritized. Increasing awareness of the health risks of sedentary behavior and the short-term/mid-term benefits of physical activity can enhance office workers' motivation to sit less.

BMC PUBLIC HEALTH (2022)

Article Communication

Adapting Online Patient Decision Aids: Effects of Modality and Narration Style on Patients' Satisfaction, Information Recall and Informed Decision Making

Melanie De Looper, Olga Damman, Ellen Smets, Danielle Timmermans, Julia Van Weert

JOURNAL OF HEALTH COMMUNICATION (2020)

Article Health Policy & Services

Shared decision making, a buzz-word in the Netherlands, the pace quickens towards nationwide implementation ...

Trudy van der Weijden, Heleen Post, Paul L. P. Brand, Haske van Veenendaal, Ton Drenthen, Linda A. J. van Mierlo, Peep Stalmeier, Olga C. Damman, Anne Stiggelbout

ZEITSCHRIFT FUR EVIDENZ FORTBILDUNG UND QUALITAET IM GESUNDHEITSWESEN (2017)

Article Psychology, Clinical

Barriers in using cardiometabolic risk information among consumers with low health literacy

Olga C. Damman, Nina M. M. Bogaerts, Diana van Dongen, Danielle R. M. Timmermans

BRITISH JOURNAL OF HEALTH PSYCHOLOGY (2016)

Article Public, Environmental & Occupational Health

Exploring health advice by dental professionals in USA: A secondary data analysis of NHANES (2015-2018)

Noora Jawad, Faisal F. Hakeem, Wael Sabbah

Summary: This study aims to examine socioeconomic and ethnic variations in the provision of health advice by dental professionals. The findings indicate the prominent roles of education level, ethnicity, and smoking status in the provision of health advice. The study emphasizes the need for targeted interventions to promote equity and cultural competence in delivering health advice in dental settings.

PATIENT EDUCATION AND COUNSELING (2024)

Review Public, Environmental & Occupational Health

The 'Kidney' model for optimising feedback in undergraduate clinical communication: A meta-ethnographic systematic review

Katherine Miles, Bernadette O'Neill, Shuangyu Li

Summary: This study conducted a meta-ethnography to identify and synthesize guidance for optimizing feedback interactions in undergraduate clinical communication simulations. The findings led to the development of a new Feedback Kidney Model, which can guide medical education and future research on feedback in promoting learning. Incorporating meta-cognitive training and utilizing the model can help improve students' learning and communication with patients through on-site face-to-face feedback.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

Implementing bedside handovers in mental health care: Insights from an experience-based co-design

Ellen Van de Velde, Ann Van Hecke, Kristof Eeckloo, Simon Malfait

Summary: This study investigates the suitability of experience-based co-design as a method for designing bedside handover in mental health care, and finds that it is a suitable method for enhancing patient involvement in nursing handovers in a general hospital's mental healthcare unit.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

Exploring factors to interpretation of targeted nutrition messages for people living with multiple sclerosis

Yasmine Probst, Maddison Luscombe, Marta Hilfischer, Vivienne Guan, Lauren Houston

Summary: This study explores the interpretation of MS-targeted nutrition messages using semi-structured interviews. The findings reveal that dietary changes made by patients with MS after diagnosis are a coping mechanism to address uncertainty, fear of disease progression, and the risk of relapse. The admiration and skepticism towards extremist MS diets depend on individual vulnerability and support from healthcare professionals. The unique MS journey influences the interpretation of the messages, driven by engagement, practicality, and credibility.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

Role of digital health communication, sociodemographic factors, and medical conditions on perceived quality of patient-centered communication

Aisha T. Langford, Kerli Orellana, Nancy Buderer, Katerina Andreadis, Stephen K. Williams

Summary: This study examined the associations between digital health, sociodemographic factors, and medical conditions on patient-centered communication (PCC). The results suggested that age, education level, household income, and history of hypertension were related to the quality of PCC.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

'Symptom-free' when inflammatory bowel disease is in remission: Expectations raised by online resources

Danielle Huisman, Taylor Burrows, Louise Sweeney, Kirsty Bannister, Rona Moss-Morris

Summary: This study found limited information on symptoms during remission of inflammatory bowel disease (IBD) on readily searchable patient websites, which fails to adequately explain the persistence of symptoms during remission for patients.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

Why affiliation matters: A conversation analysis of complaints calls to the NHS

Bethan Benwell, Maria Erofeeva, Catrin S. Rhys

Summary: This study examined how language choices made by call handlers affect the progress of complaint calls and the stance of the callers. The findings showed that displaying affiliation at relevant moments in the conversation helps advance the call and de-escalate the complaint, while the absence or misplacement of affiliation may lead to escalation. Early intervention in establishing affiliation with the caller's concerns and reasoning is crucial for de-escalation.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

Race differences in patient trust and distrust from audio-recorded cardiology encounters

Sarah V. Hantzmon, Clemontina A. Davenport, Maya N. Das Gupta, Temi A. Adekunle, Sarah E. Gaither, Maren K. Olsen, Sandro O. Pinheiro, Kimberly S. Johnson, Hannah Mahoney, Allison Falls, Lauren Lloyd, Kathryn I. Pollak

Summary: This study examined the impact of racial differences on patient trust and distrust in physician-patient interactions through audio-recorded cardiologist-patient encounters. The results showed that Black patients had lower expressions of trust and a higher level of guardedness compared to White patients. It suggests that White clinicians can improve communication with Black patients to increase expressions of trust.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

Youth perspectives on mobile health adherence interventions: A qualitative study guided by the supportive accountability model

Caitlin S. Sayegh, Ellen Iverson, Karen K. Macdonell, Shinyi Wu, Marvin Belzer

Summary: This study applied a Supportive Accountability Model to examine youth's perception of remote human coaching and automated reminders for medication adherence. The findings indicated that both coaching and automated reminders were effective in improving adherence, with coaching being viewed as more potent and engaging. Phone calls enhanced the sense of supportive accountability, but texts were more convenient and flexible. Individual preferences varied.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

Conversation starters: Understanding the facilitators and barriers to physician-initiated secure firearm storage conversations

Jennifer Necci Dineen, Mitchell Doucette, Mekaila Carey, Kerri M. Raissian

Summary: This paper aims to understand the facilitators and barriers perceived by general practice physicians in initiating anticipatory guidance around firearm safety. Qualitative interviews were conducted with 18 GPs to explore their perspectives. Barriers to providing secure firearm storage counseling include inadequate screening mechanisms, limited understanding of who is at risk for firearm injury, time pressures, concerns about patient receptivity, and a need for training. Structural issues need to be addressed before focusing on how to have conversations about firearm safety.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

The use of outcome data in patient consultations from the healthcare professionals' and patients' perspectives: A mixed methods study

Henrike J. Westerink, Cato C. Bresser, Mirjam M. Garvelink, Cornelia F. van Udenkraan, Ouisam Zouitni, Hans A. J. Bart, Philip J. van der Wees, Paul B. van der Nat

Summary: This study aims to explore the perspectives and needs of healthcare professionals (HCPs) and patients regarding the use of outcome data in consultations. The findings indicate that HCPs do not routinely use aggregated outcome data in consultations due to various barriers. Patients, however, consider aggregated outcome data important but have different preferences based on their health conditions.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

Co-facilitation to foster equity in codesign: Mechanisms underpinning practice

Bronwyn Newman, Mashreka Sarwar, Ashfaq Chauhan, Reema Harrison

Summary: Co-facilitation presents an opportunity to address inequity in codesign, and through our experiences in the CanEngage project, we have identified three mechanisms to promote equity.

PATIENT EDUCATION AND COUNSELING (2024)

Review Public, Environmental & Occupational Health

Group-based patient education via videoconference: A scoping review

Andre Vaagan, Mette Haaland-Overby, Alison Axisa Eriksen, Kari Fredriksen, Vibeke Stenov, Cecilie Varsi, Brynja Ingadottir, Bryan Richard Cleal, Anita Royneberg Alvheim, Karl Fredrik Westermann, Hilde Stromme, Olof Birna Kristjansdottir

Summary: This study summarizes the recent evidence on the feasibility, acceptability, and effectiveness of videoconference group-based patient and caregiver education. The results suggest that this education approach is highly feasible and acceptable, and may improve health outcomes for participants. However, the evidence of effectiveness is limited and the quality of studies varies. Further research is needed to establish the effectiveness of this education approach for different patient and caregiver groups.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

Conversation topics in psychiatric consultations conducted with and without a shared decision-making tool: A qualitative content analysis

Momoka Igarashi, Takayuki Kawaguchi, Takuma Shiozawa, Sosei Yamaguchi

Summary: The study aims to identify conversation topics, who initiated the topics, and differences in topics with and without the use of a shared decision-making (SDM) tool in psychiatric outpatient consultations. The findings show that daily life issues, especially related to work, were the main topics discussed, and the SDM tool seems to facilitate discussion of patients' concerns.

PATIENT EDUCATION AND COUNSELING (2024)

Article Public, Environmental & Occupational Health

What's after COVID-19?: Communication pathways influencing future use of telehealth

Qiwei Luna Wu, Grace Ellen Brannon

Summary: This study explores how patient-centered communication, media, and organizational factors influence patients' intentions to use telehealth. The findings suggest that positive healthcare experiences, organizational support, and quality media designs are associated with telehealth adoption.

PATIENT EDUCATION AND COUNSELING (2024)