Leonard E Egede, Rebekah J Walker, Sebastian Linde, Joni S Williams
Identifying Individuals with Highest Social Risk in Adults with Type 2 Diabetes Using Item Response Theory
Journal of general internal medicine
clear communication medical risk helps ensure proper patient understanding healthcare options supports informed decisionmaking communication involving visual written risk typically conveys risk effectively conversations alone patient clinician however perception risk contextdependent efficacy preferences commonlyused risk communication formats wellunderstood pregnancy time complex decisionmaking sought address knowledge gap study aimed assess pregnant recently pregnant peoples understanding preferences different risk communication formats conducted open online redcap survey pregnant recently pregnant people 1month period 2022 study participants aged 16 49 years pregnant recently pregnant able provide informed consent english data collected included demographics measurements accuracy understanding including gist accuracy general understanding verbatim accuracy numeric quantification preferences risk communication formats including icon arrays pie charts bar graphs text descriptive analyses proportion correctly answered questions calculated total 247 participants completed 1 item accuracy risk communication preferences 230 provided complete responses gist general understanding accurate 74 89 time graphical formats verbatim understanding exact numeric quantification approximately 90 accurate formats respondents preferred figures used circles display risk icon arrays infants although figures generated worry however participants substantially preferred pie charts bar graphs 5970 vs 1925 respondents preferred risk expressed lower denominator 200 rather higher denominator 1000 79 vs 13 although lower denominator generated worry terms chance survival rather chance death 50 vs 33 survey pregnant recently pregnant people respondents preferred pie charts graph formats lower rather higher denominators text presentations survival rather death estimates also preferred approximately 75 90 respondents accurately understood risk presented visual written communication remaining participants accurate understanding challenging new strategies need developed