Effect of different visual presentations on the comprehension of prognostic information: a systematic review

Abstract Background Understanding prognostic information can help patients know what may happen to their health over time and make informed decisions. However, communicating prognostic information well can be challenging. Purpose To conduct a systematic review to identify and synthesize research tha...

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Main Authors: Eman Abukmail, Mina Bakhit, Chris Del Mar, Tammy Hoffmann
Format: Article
Language:English
Published: BMC 2021-08-01
Series:BMC Medical Informatics and Decision Making
Subjects:
Online Access:https://doi.org/10.1186/s12911-021-01612-9
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author Eman Abukmail
Mina Bakhit
Chris Del Mar
Tammy Hoffmann
author_facet Eman Abukmail
Mina Bakhit
Chris Del Mar
Tammy Hoffmann
author_sort Eman Abukmail
collection DOAJ
description Abstract Background Understanding prognostic information can help patients know what may happen to their health over time and make informed decisions. However, communicating prognostic information well can be challenging. Purpose To conduct a systematic review to identify and synthesize research that has evaluated visual presentations that communicate quantitative prognostic information to patients or the public. Data sources MEDLINE, EMBASE, CINAHL, PsycINFO, ERIC and the Cochrane Central Register of Controlled Trials (CENTRAL) (from inception to December 2020), and forward and backward citation search. Study selection Two authors independently screened search results and assessed eligibility. To be eligible, studies required a quantitative design and comparison of at least one visual presentation with another presentation of quantitative prognostic information. The primary outcome was comprehension of the presented information. Secondary outcomes were preferences for or satisfaction with the presentations viewed, and behavioral intentions. Data extraction Two authors independently assessed risk of bias and extracted data. Data synthesis Eleven studies (all randomized trials) were identified. We grouped studies according to the presentation type evaluated. Bar graph versus pictograph (3 studies): no difference in comprehension between the groups. Survival vs mortality curves (2 studies): no difference in one study; higher comprehension in survival curve group in another study. Tabular format versus pictograph (4 studies): 2 studies reported similar comprehension between groups; 2 found higher comprehension in pictograph groups. Tabular versus free text (3 studies): 2 studies found no difference between groups; 1 found higher comprehension in a tabular group. Limitations Heterogeneity in the visual presentations and outcome measures, precluding meta-analysis. Conclusions No visual presentation appears to be consistently superior to communicate quantitative prognostic information.
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spelling doaj.art-fbc149a0388240d9b4c5973563a589282022-12-21T20:04:00ZengBMCBMC Medical Informatics and Decision Making1472-69472021-08-0121111010.1186/s12911-021-01612-9Effect of different visual presentations on the comprehension of prognostic information: a systematic reviewEman Abukmail0Mina Bakhit1Chris Del Mar2Tammy Hoffmann3Faculty of Health Sciences and Medicine, Institute for Evidence-Based Healthcare, Bond UniversityFaculty of Health Sciences and Medicine, Institute for Evidence-Based Healthcare, Bond UniversityFaculty of Health Sciences and Medicine, Institute for Evidence-Based Healthcare, Bond UniversityFaculty of Health Sciences and Medicine, Institute for Evidence-Based Healthcare, Bond UniversityAbstract Background Understanding prognostic information can help patients know what may happen to their health over time and make informed decisions. However, communicating prognostic information well can be challenging. Purpose To conduct a systematic review to identify and synthesize research that has evaluated visual presentations that communicate quantitative prognostic information to patients or the public. Data sources MEDLINE, EMBASE, CINAHL, PsycINFO, ERIC and the Cochrane Central Register of Controlled Trials (CENTRAL) (from inception to December 2020), and forward and backward citation search. Study selection Two authors independently screened search results and assessed eligibility. To be eligible, studies required a quantitative design and comparison of at least one visual presentation with another presentation of quantitative prognostic information. The primary outcome was comprehension of the presented information. Secondary outcomes were preferences for or satisfaction with the presentations viewed, and behavioral intentions. Data extraction Two authors independently assessed risk of bias and extracted data. Data synthesis Eleven studies (all randomized trials) were identified. We grouped studies according to the presentation type evaluated. Bar graph versus pictograph (3 studies): no difference in comprehension between the groups. Survival vs mortality curves (2 studies): no difference in one study; higher comprehension in survival curve group in another study. Tabular format versus pictograph (4 studies): 2 studies reported similar comprehension between groups; 2 found higher comprehension in pictograph groups. Tabular versus free text (3 studies): 2 studies found no difference between groups; 1 found higher comprehension in a tabular group. Limitations Heterogeneity in the visual presentations and outcome measures, precluding meta-analysis. Conclusions No visual presentation appears to be consistently superior to communicate quantitative prognostic information.https://doi.org/10.1186/s12911-021-01612-9PrognosisNatural historyHealth communicationDecision support techniques
spellingShingle Eman Abukmail
Mina Bakhit
Chris Del Mar
Tammy Hoffmann
Effect of different visual presentations on the comprehension of prognostic information: a systematic review
BMC Medical Informatics and Decision Making
Prognosis
Natural history
Health communication
Decision support techniques
title Effect of different visual presentations on the comprehension of prognostic information: a systematic review
title_full Effect of different visual presentations on the comprehension of prognostic information: a systematic review
title_fullStr Effect of different visual presentations on the comprehension of prognostic information: a systematic review
title_full_unstemmed Effect of different visual presentations on the comprehension of prognostic information: a systematic review
title_short Effect of different visual presentations on the comprehension of prognostic information: a systematic review
title_sort effect of different visual presentations on the comprehension of prognostic information a systematic review
topic Prognosis
Natural history
Health communication
Decision support techniques
url https://doi.org/10.1186/s12911-021-01612-9
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