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Communicating global cardiovascular risk: Are icon arrays better than numerical estimates in improving understanding, recall and perception of risk?

机译:交流全球心血管风险:图标阵列在改善对风险的理解,召回和感知方面是否优于数字估计?

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Objective: Experts recommend that adults have their global cardiovascular risk assessed. We investigated whether icon arrays increase understanding, recall, perception of CVR, and behavioral intent as compared with numerical information. Methods: Male outpatient veterans, at an intermediate to high cardiovascular risk participated in a randomized controlled trial of a computer tutorial presenting individualized risk. Message format was presented in 3 formats: percentages, frequencies, and frequencies with icon arrays. We assessed understanding immediately (T1) and recall at 20. min (T2) and 2 weeks (T3) after the intervention. We assessed perceptions of importance/seriousness, intent to adhere, and self-efficacy at T1. Self-reported adherence was assessed at T3. Results: One-hundred and twenty male veterans participated. Age, education, race, health literacy and numeracy were comparable at baseline. There were no differences in understanding at T1 [p= .31] and recall at T3 [p= .10]. Accuracy was inferior with frequencies with icon arrays than percentages or frequencies at T2 [p≤ .001]. There were no differences in perception of seriousness and importance for heart disease, behavioral intent, self-efficacy, actual adherence and satisfaction. Conclusion: Icon arrays may impair short-term recall of CVR. Practice implications: Icon arrays will not necessarily result in better understanding and recall of medical risk in all patients.
机译:目的:专家建议对成年人进行整体心血管风险评估。我们调查了图标数组与数字信息相比是否增加了对CVR的理解,回想,感知和行为意图。方法:中度心血管疾病高危的男性门诊退伍军人参加了一项针对个人风险的计算机教程的随机对照试验。消息格式以3种格式表示:百分比,频率和带有图标阵列的频率。我们立即评估了理解(T1),并在干预后20分钟(T2)和2周(T3)回忆了。我们评估了在T1时对重要性/严肃性,坚持意愿和自我效能感的看法。在T3评估自我报告的依从性。结果:一百二十名男性退伍军人参加了比赛。基线时的年龄,教育程度,种族,健康素养和计算能力相当。在T1的理解[p = .31]和在T3的回忆[p = .10]没有差异。具有图标阵列的频率的精度低于T2处的百分比或频率[p≤.001]。对心脏病的严重性和重要性,行为意图,自我效能,实际依从性和满意度的认识没有差异。结论:图标阵列可能会损害CVR的短期召回。实践意义:图标阵列不一定会导致所有患者更好地理解和回忆医疗风险。

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