Less Is More in Presenting Quality Information to Consumers

Peters, Ellen; Dieckmann, Nathan F.; Dixon, Anna; Hibbard, Judith H.; Mertz, C. K.

doi:10.1177/10775587070640020301

Cited by 460 publications

(429 citation statements)

References 12 publications

(9 reference statements)

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“…Numerous educational approaches or interventions have been used to improve health outcomes for patients with low health literacy. Educational strategies such as considering the structure and design of information [42,43] , using numbers to indicate higher quality options [44] , pictorial representations [43] , using media presentations [44] , limiting the information and simplifying the readability of the information [42,44] , have all been used to improve health outcomes for patients with low health literacy. Emergency nurses can potentially design material for specific levels of education such as fifth grade reading ability (as recommended) for patients with limited health literacy level using available tools which measure readability [45] .…”

Section: Discussionmentioning

confidence: 99%

Measuring health literacy in emergency departments

Alqudah

Johnson

Cowin

et al. 2013

JNEP

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Background: Literacy and health literacy are important concepts that are related to how important health care messages are understood by patients. Emergency nurses are engaged in health promotion and require an understanding of the patient's health literacy. To assist emergency nurses in assessing a patient's level of health literacy a series of valid and reliable health literacy measurement tools have been presented. The aim of this paper is to nominate one of these tools to be used by emergency nurses in testing individual and group levels of health literacy. Methods:Databases searched included Scopus, Science direct, PubMed, PsycINFO and Educational Resources Information Center (ERIC). Included articles were published between 1990 and 2011, English language only, and articles that discussed word recognition tools and tools that take five minutes or less to administer resulting in sixteen articles. Results:The Rapid Estimate of Adult Literacy in Medicine-Short Format (REALM-SF) has been used successfully within an emergency setting to identify patients' level of health literacy and to supply appropriate health information. This tool was found by nursing staff to be easily administered, and more acceptable when used in private areas. However, further research within varying age groups is recommended. Conclusion:Most of the available tools are related to each other and have the ability to measure varying levels of health literacy. The REALM-SF is a simple quick approach to measuring health literacy in busy clinical settings. Emergency nurses require training in administering these tests in a non-threatening and accurate manner.

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Section: Discussionmentioning

confidence: 99%

Measuring health literacy in emergency departments

Alqudah

Johnson

Cowin

et al. 2013

JNEP

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“…Specifically, participants completed the 15-item expanded numeracy scale, which is composed of the 3-item general numeracy scale (with minor variations) created by Schwartz, Woloshin, Black and Welch (1997), an additional 8 items proposed by Lipkus, Samsa and Rimer (2001), and four items added by Peters et al (2007), which test familiarity with simple arithmetical operations (e.g. multiplication), basic probability and related ratio concepts (e.g., fractions, decimals, proportions, percentages, and probability), and ability to keep track of class-inclusion relations (Liberali et al, 2012;Reyna & Brainerd, 2008).…”

Section: Methodsmentioning

confidence: 99%

From Meaning to Money: Translating Injury into Dollars

Helm¹,

Reyna²

2018

Preprint

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Legal systems often require the translation of qualitative assessments into quantitative judgments, yet the qualitative-to-quantitative conversion is a challenging, understudied process.We conducted an experimental test of predictions from a new theory of juror damage award decision making, examining how 154 lay people engaged in the translation process in recommending money damages for pain and suffering in a personal injury tort case. The experiment varied the presence, size, and meaningfulness of an anchor number to determine how these factors influenced monetary award judgments, perceived difficulty, and subjective meaningfulness of awards. As predicted, variability in awards was high, with awards participants considered to be "medium" (rather than "low" or "high") having the most dispersion.The gist of awards as low, medium, or high fully mediated the relationship between perceived pain/suffering and award amount. Moreover, controlling for participants' perceptions of plaintiffs and defendants, as well as their desire to punish and to take economic losses into account, meaningful anchors predicted unique variance in award judgments: A meaningful large anchor number drove awards up and a meaningful small anchor drove them down, whereas meaningless large and small anchors did not differ significantly. Numeracy did not predict award magnitudes or variability, but surprisingly, more numerate participants reported that it was more difficult to pick an exact figure to compensate the plaintiff for pain and suffering. The results support predictions of the theory about qualitative gist and meaningful anchors, and suggest that we can assist jurors to arrive at damage awards by providing meaningful numbers.

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“…In the context of presenting comparative health performance information, the use of a simplified framework and plain language to describe medical practitioner quality indicators was found to improve consumers' understanding as well as ratings of the information's usefulness [10]. Minimising the amount of information presented was also found to improve understanding of hospital quality information, particularly for those with low numeracy [11].…”

Section: Introductionmentioning

confidence: 99%

Choosing a Doctor: Does Presentation Format Affect the Way Consumers Use Health Care Performance Information?

Kenny

Goodall

Street

et al. 2017

Patient

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Telephone +41 2 95144750, Fax +41 2 95144730 2 Abstract BackgroundChoosing a new health service provider can be difficult and is dependent on the type and clarity of the information available. This study examines if the presentation of service quality information affects the decisions of consumers choosing a general medical practice. ObjectivesTo examine the impact of presentation format on attribute level interpretation and relative importance. MethodsA discrete choice experiment eliciting preferences for a general medical practice was conducted using four different presentation formats for service quality attributes: 1) frequency and percentage with an icon array, 2) star ratings, 3) star ratings with a text benchmark, and 4) percentage alone. A total of 1208 respondents from an online panel were randomised to see two formats, answering nine choices for each, where one was a dominated choice. Logistic regression was used to assess the impact of presentation format on the probability of choosing a dominated alternative. A generalised multinomial logit model was used to estimate the relative importance of the attribute levels. ResultsThe probability of incorrectly choosing a dominated alternative was significantly higher when the quality information was presented as a percentage relative to a frequency with icon array, star rating or bench-marked star rating. Preferences for a practice did not differ significantly by presentation format, nor did the probability of finding the information difficult to understand. ConclusionsQuantitative health service quality information will be more useful to consumers if presented by combining the numerical information with a graphic, or using a star rating if appropriate for the context. 3 Key points for decision makersInformation about service quality such as that collected in patient experience surveys would be useful for consumers choosing a new general practice.Presentation of performance quality information for consumers will be most useful if presented as frequency and percent with icons or start ratings.4

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Less Is More in Presenting Quality Information to Consumers

Cited by 460 publications

References 12 publications

Measuring health literacy in emergency departments

Measuring health literacy in emergency departments

From Meaning to Money: Translating Injury into Dollars

Choosing a Doctor: Does Presentation Format Affect the Way Consumers Use Health Care Performance Information?

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