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Developing Health Risk Communications: Four Lessons Learned

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Psychological Perspectives on Risk and Risk Analysis

Abstract

In this chapter, we summarize our research on the development of health risk communications and focus on four lessons we have learned from doing so: (1) Effective communications must be accessible and actionable to the intended audience; (2) effective communications must use an appropriate delivery method; (3) effective communications must be pretested and evaluated prior to wide-scale rollout; and (4) effective communication design and evaluation requires interdisciplinary teams. While the examples provided in this chapter focus on the health domain, we believe that the four lessons outlined here will be helpful to those who wish to implement effective risk communications to a wide range of target audiences on a broad set of applied topics.

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References

  • Angulo, F. J., Tippen, S., Sharp, D. J., Payne, B. J., Collier, C., Hill, J. E., … Swerdlow, D. L. (1997). A community waterborne outbreak of salmonellosis and the effectiveness of a boil water order. American Journal of Public Health, 87, 580–584.

    Article  Google Scholar 

  • Bandura, A. (2000). Self-efficacy: The foundation of agency. In W. J. Perrig & A. Grob (Eds.), Control of human behavior, mental processes, and consciousness. Essays in the honor of the 60th birthday of August Flammer (pp. 17–33). Mahwah NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  • Barrio, P. J., Goldstein, D. G., & Hofman, J. M. (2016, May 7–12). Improving comprehension of numbers in the news. In Association for computing machinery conference on human factors in computing systems, San Jose, CA.

    Google Scholar 

  • Bearman, P. S., & Brueckner, H. (2001). Virginity pledges and first intercourse. American Journal of Sociology, 106, 859–912.

    Article  Google Scholar 

  • Biggs, M. A., & Foster, D. G. (2013). Misunderstanding the risk of conception from unprotected and protected sex. Womens Health Issues, 23(1), e47–e53.

    Article  Google Scholar 

  • Brückner, H., & Bearman, P. (2005). After the promise: The STD consequences of adolescent virginity pledges. Journal of Adolescent Health, 36(4), 271–278.

    Article  Google Scholar 

  • Bruine de Bruin, W., Downs, J. S., & Fischhoff, B. (2007). Adolescents’ thinking about the risks and benefits of sexual behavior. In M. C. Lovett & P. Shah (Eds.), Thinking with data (pp. 421–439). Mahwah, NJ: Erlbaum.

    Google Scholar 

  • Bruine de Bruin, W., Fischhoff, B., Brilliant, L., & Caruso, D. (2006). Expert judgments of pandemic influenza risks. Global Public Health, 1(2), 179–194.

    Article  Google Scholar 

  • Cvetkovich, G., & Lofstedt, R. E. (2013). Social trust and the management of risk. London: Routledge.

    Google Scholar 

  • Daraz, L., Macdermid, J. C., Wilkins, S., Gibson, J., & Shaw, L. (2011). The quality of websites addressing fibromyalgia: An assessment of quality and readability using standardized tools. British Medical Journal – Open, 1, 1–10.

    Google Scholar 

  • Davis, A. L., & Krishnamurti, T. (2013). The problems and solutions of predicting participation in energy efficiency programs. Applied Energy, 111, 277–287.

    Article  Google Scholar 

  • Davis, A. L., Krishnamurti, T., Fischhoff, B., & Bruine de Bruin, W. (2013). Setting a standard for electricity pilot studies. Energy Policy, 62, 401–409.

    Article  Google Scholar 

  • Davis, T. C., Bocchini, J. A., Jr., Fredrickson, D., Arnold, C., Mayeaux, E. J., Murphy, P. W., … Patterson, M. (1996). Parent comprehension of polio vaccine information pamphlets. Pediatrics, 97, 804–810.

    PubMed  Google Scholar 

  • Davis, T. C., Wolf, M. S., Bass, P. F., Middlebrooks, M., Kennen, E., Baker, D. W., & Parker, R. M. (2006). Low literacy impairs comprehension of prescription drug warning labels. Journal of General Internal Medicine, 21, 847–851.

    Article  Google Scholar 

  • Downs, J. S., Bruine de Bruin, W., & Fischhoff, B. (2008). Parents’ vaccination comprehension and decisions. Vaccine, 26, 1595–1607.

    Article  Google Scholar 

  • Downs, J. S., Murray, P. J., Bruine de Bruin, W., White, J. P., Palmgren, C., & Fischhoff, B. (2004). An interactive video program to reduce adolescent females’ STD risk: A randomized controlled trial. Social Science and Medicine, 59, 1561–1572.

    Article  Google Scholar 

  • Dranove, D., Kessler, D., McClellan, M., & Satterthwaite, M. (2002). Is more information better? The effects of report cards’ on health care providers (No. w8697). National Bureau of Economic Research.

    Google Scholar 

  • Ericsson, K. A., & Fox, M. C. (2011). Thinking aloud is not a form of introspection but a qualitatively different methodology: Reply to Schooler (2011). Psychological Bulletin, 137, 351–354.

    Article  Google Scholar 

  • Ericsson, K. A., Krampe, R. T., & Tesch-Römer, C. (1993). The role of deliberate practice in the acquisition of expert performance. Psychological Review, 100, 363–406.

    Article  Google Scholar 

  • Fagerlin, A., Zikmund-Fisher, B. J., & Ubel, P. A. (2007). “If I’m better than average, then I’m ok?”: Comparative information influences beliefs about risk and benefits. Patient Education and Counseling, 69, 140–144.

    Article  Google Scholar 

  • Fischhoff, B., Brewer, N., & Downs, J. S. (2012). Communicating risks and benefits: An evidence based user’s guide. Silver Spring, MD: Food and Drug Administration.

    Google Scholar 

  • Fischhoff, B., Bruine de Bruin, W., Güvenç, U., Brilliant, L., & Caruso, D. (2006). Analyzing disaster risks and plans: An Avian Flu Example. Journal of Risk and Uncertainty, 33, 131–149.

    Article  Google Scholar 

  • Gould, J. D., & Lewis, C. (1985). Designing for usability: Key principles and what designers think. Communications of the ACM, 28(3), 300–311.

    Article  Google Scholar 

  • Halperin, D. T. (1999). Heterosexual anal intercourse: Prevalence, cultural factors, and HIV infection and other health risks part 1. AIDS Patient Care and STDs, 13, 717–730.

    Article  Google Scholar 

  • Isaković, M., Sedlar, U., Volk, M., & Bešter, J. (2016). Usability pitfalls of diabetes mHealth apps for the elderly. Journal of Diabetes Research. vol. 2016, 1604609. 

    Google Scholar 

  • Kesselheim, A. S., Woloshin, S., Eddings, W., Franklin, J. M., Ross, K. M., & Schwartz, L. M. (2016). Physicians’ knowledge about FDA approval standards and perceptions of the “breakthrough therapy” designation. JAMA, 315, 1516–1518.

    Article  Google Scholar 

  • Kirby, D. B. (2008). The impact of abstinence and comprehensive sex and STD/HIV education programs on adolescent sexual behavior. Sexuality Research & Social Policy, 5, 18–27.

    Article  Google Scholar 

  • Kohler, P. K., Manhart, L. E., & Lafferty, W. E. (2008). Abstinence-only and comprehensive sex education and the initiation of sexual activity and teen pregnancy. Journal of Adolescent Health, 42, 344–351.

    Article  Google Scholar 

  • Krishnamurti, T., & Argo, N. (2016). A patient-centered approach to informed consent results from a survey and randomized trial. Medical Decision Making, 36(6), 726–740.

    Article  Google Scholar 

  • Krishnamurti, T., Davis, A., Wong-Parodi, G., Fischhoff, B., Sadovsky, Y., & Simhan, Y. (2017). MyHealthyPregnancy: A feasibility pilot of a behavioral decision research-based tool for assessing and communicating pregnancy risk. JMIR Mhealth and Uhealth. 5(4): e42.

    Article  Google Scholar 

  • Krishnamurti, T., Eggers, S. L., & Fischhoff, B. (2008). The impact of over-the-counter availability of‚ “Plan B” on teens’ contraceptive decision making. Social Science & Medicine, 67(4), 618–627.

    Article  Google Scholar 

  • Krishnamurti, T., Woloshin, S., Schwartz, L. M., & Fischhoff, B. (2015). A randomized trial testing US Food and Drug Administration “breakthrough” language. JAMA Internal Medicine, 175(11), 1856–1858.

    Article  Google Scholar 

  • Kujala, S. (2003). User involvement: A review of the benefits and challenges. Behaviour & Information Technology, 22, 1–16.

    Article  Google Scholar 

  • LaPalombara, J. (2001). Power and politics in organizations: Public and private sector comparisons. In M. Dierkes, A. B. Antal, J. Child, & I. Nonaka (Eds.), Handbook of organizational learning and knowledge. Oxford: Oxford University Press.

    Google Scholar 

  • Mathematica Policy Research. (2007). Impacts of four title V, Section 510 abstinence education programs. http://files.eric.ed.gov/fulltext/ED496286.pdf

  • Mathematica Policy Research. (2010). Identifying programs that impact teen pregnancy, sexually transmitted infections, and associated sexual risk behaviors. https://www.hhs.gov/ash/oah/oah-initiatives/webinars/evreviewweb2011.pdf

  • McGaw, S., & Sturmey, P. (1989). The effects of text readability and summary exercises on parental knowledge of behaviour therapy: The portage parent readings. Educational Psychology, 9(2), 127–132.

    Article  Google Scholar 

  • Morgan, M. G., Fischhoff, B., Bostrom, A., & Atman, C. J. (2002). Risk communication: A mental models approach. New York, NY: Cambridge University Press.

    Google Scholar 

  • Neuhauser, L., & Paul, K. (2011). Readability, comprehension, and usability. In B. Fischhoff, N. T. Brewert, & J. S. Downs (Eds.), Communicating risks and benefits: An evidence-based user’s guide (pp. 129–148). Silver Spring, MD: U. S. Department of Health and Human Services.

    Google Scholar 

  • Overland, J. E., Hoskins, P. L., McGill, M. J., & Yue, D. K. (1993). Low literacy: A problem in diabetes education. Diabetic Medicine, 10(9), 847–850.

    Article  Google Scholar 

  • Paashe-Orlow, M. K., Taylor, H. A., & Brancati, F. L. (2003). Readability standards for informed-consent forms as compared with actual readability. New England Journal of Medicine, 348, 721–726.

    Article  Google Scholar 

  • Pew Research Center. (2015a). Spring 2015 global attitudes survey. Retrieved from Pew Research Center http://www.pewglobal.org/2015/06/23/spring-2015-survey/

  • Pew Research Center. (2015b). The smartphone difference. Washington, DC: Pew Research Center.

    Google Scholar 

  • Pittet, D. (2001). Compliance with hand disinfection and its impact on hospital-acquired infections. Journal of Hospital Infections, 48, S40–S46.

    Article  Google Scholar 

  • Santelli, J., Ott, M. A., Lyon, M., Rogers, J., Summers, D., & Schleifer, J. D. (2006). Abstinence and abstinence-only education: A review of US policies and programs. Journal of Adolescent Health, 38, 72–81.

    Article  Google Scholar 

  • Schuster, M. A., Bell, R. M., Berry, S. H., & Kanouse, D. E. (1998). Impact of a high school condom availability program on sexual attitudes and behaviors. Family Planning Perspectives, 30, 67–72.

    Article  Google Scholar 

  • Schwartz, D., Fischhoff, B., Krishnamurti, T., & Sowell, F. (2013). The Hawthorne effect and energy awareness. Proceedings of the National Academy of Sciences, 110, 15242–15246.

    Article  Google Scholar 

  • Shaklee, H., & Fischhoff, B. (1990). The psychology of contraceptive surprises: Cumulative risk and contraceptive effectiveness. Journal of Applied Social Psychology, 20(5), 385–403.

    Article  Google Scholar 

  • Smith, S. K., Trevena, L., Nutbeam, D., Barratt, A., & McCaffery, K. J. (2008). Information needs and preferences of low and high literacy consumers for decisions about colorectal cancer screening: Utilizing a linguistic model. Health Expectations, 11, 123–136.

    Article  Google Scholar 

  • Spiegelhalter, D., & Pearson, M. (2009). Understanding uncertainty: 2845 ways of spinning risk. Retrieved January 13, 2017, from https://plus.maths.org/content/understanding-uncertainty-2845-ways-spinning-risk-0

  • Underhill, K., Montgomery, P., & Operario, D. (2007). Sexual abstinence only programmes to prevent HIV infection in high income countries: Systematic review. BMJ, 335(7613), 248.

    Article  Google Scholar 

  • US Food and Drug Administration. (1996). Guidance for industry E6 good clinical practice: consolidated guidance. http://www.fda.gov/downloads/Drugs/Guidances/ucm073122.pdf

  • US Food and Drug Administration. (2012). Safety and Innovation Act, 21 USC 356 § 3187.

    Google Scholar 

  • Wong-Parodi, G., & Strauss, B. H. (2014). Team science for science communication. Proceedings of the National Academy of Sciences, 111, 13658–13663.

    Article  Google Scholar 

  • Zikmund-Fisher, B. J., Witteman, H. O., Fuhrel-Forbis, M. A., Exe, N. L., Kahn, V. C., & Dickson, M. (2012). Animated graphics for comparing two risks: A cautionary tale. Journal of Medical Internet Research, 14, e106.

    Article  Google Scholar 

  • .

    Google Scholar 

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Correspondence to Tamar Krishnamurti .

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Krishnamurti, T., Bruine de Bruin, W. (2018). Developing Health Risk Communications: Four Lessons Learned. In: Raue, M., Lermer, E., Streicher, B. (eds) Psychological Perspectives on Risk and Risk Analysis. Springer, Cham. https://doi.org/10.1007/978-3-319-92478-6_13

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