Measuring Graph Literacy without a Test: A Brief Subjective Assessment

Medical Decision Making

Volumn 36, Issue 7, 2016, Pages 854-867

  Garcia Retamero, Rocio ^a,c   Cokely, Edward T ^b,c   Ghazal, Saima ^d   Joeris, Alexander ^e  

^a UNIVERSITY OF GRANADA   (Spain)

^b UNIVERSITY OF OKLAHOMA   (United States)

^c MAX PLANCK INSTITUTE FOR HUMAN DEVELOPMENT   (Germany)

^d UNIVERSITY OF THE PUNJAB   (Pakistan)

^e AO Clinical Investigation   (Switzerland)

Author keywords

graph literacy; medical decision making; numeracy; risk communication; risk literacy; visual AIDS

Indexed keywords

ADULT; AUDIOVISUAL AID; DECISION MAKING; FEMALE; HEALTH LITERACY; HUMAN; INFORMATION PROCESSING; MALE; PSYCHOMETRY; REPRODUCIBILITY; SPAIN; VALIDATION STUDY; YOUNG ADULT;

ADULT; AUDIOVISUAL AIDS; DECISION MAKING; FEMALE; FOCUS GROUPS; HEALTH LITERACY; HUMANS; MALE; PSYCHOMETRICS; REPRODUCIBILITY OF RESULTS; SPAIN; YOUNG ADULT;

EID: 84985914749     PISSN: 0272989X     EISSN: 1552681X     Source Type: Journal    
DOI: 10.1177/0272989X16655334     Document Type: Article

References (65)

1. Waters EA, Weinstein ND, Colditz GA, Emmons KM., Reducing aversion to side effects in preventive medical treatment decisions. J Exp Psychol Appl. 2007; 13 (1): 11-21.
2. Zikmund-Fisher BJ, Fagerlin A, Ubel PA., Improving understanding of adjuvant therapy options by using simpler risk graphics. Cancer. 2008; 113 (12): 3382-90.
3. Spiegelhalter D, Pearson M, Short I., Visualizing uncertainty about the future. Science. 2011; 333 (6048): 1393-400.
4. Garcia-Retamero R, Cokely ET., Effective communication of risks to young adults: using message framing and visual aids to increase condom use and STD screening. J Exp Psychol Appl. 2011; 17 (3): 270-87.
5. Garcia-Retamero R, Cokely ET., Communicating health risks with visual aids. Curr Dir Psychol Sci. 2013; 22 (5): 392-9.
6. Garcia-Retamero R, Galesic M., Transparent Communication of Health Risks: Overcoming Cultural Differences. New York, NY: Springer; 2013.
7. Keller C, Siegrist M., Effect of risk communication formats on risk perception depending on numeracy. Med Decis Making. 2009; 29 (4): 483-90.
8. Zikmund-Fisher BJ, Witteman HO, Dickson M, et al. Blocks, ovals, or people? Icon type affects risk perceptions and recall of pictographs. Med Decis Making. 2014; 34 (4): 443-53.
9. Garcia-Retamero R, Galesic M., Who profits from visual aids: overcoming challenges in people's understanding of risks. Soc Sci Med. 2010; 70 (7): 1019-25.
10. Galesic M, Garcia-Retamero R., Graph literacy: a cross-cultural comparison. Med Decis Making. 2011; 31 (3): 444-57.
11. Cokely ET, Galesic M, Schulz E, Ghazal S, Garcia-Retamero R., Measuring risk literacy: the Berlin Numeracy Test. Judgm Decis Mak. 2012; 7 (1): 25-47.
12. Schwartz LM, Woloshin S, Black WC, Welch HG., The role of numeracy in understanding the benefit of screening mammography. Ann Intern Med. 1997; 127 (11): 966-72.
13. Lipkus IM, Samsa G, Rimer BK., General performance on a numeracy scale among highly educated samples. Med Decis Making. 2001; 21 (1): 37-44.
14. Anderson BL, Schulkin J., Numerical Reasoning in Judgments and Decision Making about Health. Cambridge, UK: Cambridge University Press; 2014.
15. Garcia-Retamero R, Andrade A, Sharit J, Ruiz JG., Is patient's numeracy related to physical and mental health? Med Decis Making. 2015; 35 (4): 501-11.
16. Ruiz JG, Andrade AD, Garcia-Retamero R, Anam R, Rodriguez R, Sharit J., Communicating global cardiovascular risk: are icon arrays better than numerical estimates in improving understanding, recall and perception of risk? Patient Educ Couns. 2013; 93 (3): 394-402.
17. Gaissmaier W, Wegwarth O, Skopec D, Müller A, Broschinski S, Politi MC., Numbers can be worth a thousand pictures: individual differences in understanding graphical and numerical representations of health-related information. Health Psychol. 2012; 31 (3): 286-96.
18. Garcia-Retamero R, Cokely ET., The influence of skills, message frame, and visual aids on prevention of sexually transmitted diseases. J Behav Decis Making. 2014; 27 (2): 179-89.
19. Okan Y, Garcia-Retamero R, Cokely ET, Maldonado A., Individual differences in graph literacy: overcoming denominator neglect in risk comprehension. J Behav Decis Making. 2012; 25 (4): 390-401.
20. Garcia-Retamero R, Muñoz R., How to improve comprehension of medical risks in older adults. Rev Latinoam Psicol. 2013; 45 (2): 253-64.
21. Okan Y, Garcia-Retamero R, Cokely ET, Maldonado A., Improving risk understanding across ability levels: encouraging active processing with dynamic icon arrays. J Exp Psychol Appl. 2015; 21 (2): 178-94.
22. Okan Y, Galesic M, Garcia-Retamero R., How people with low and high graph literacy process health graphs: evidence from eye-tracking. J Behav Decis Making. 2015; 29 (2-3): 271-94.
23. Okan Y, Garcia-Retamero R, Galesic M, Cokely ET., When higher bars are not larger quantities: on individual differences in the use of spatial information in graph comprehension. Spatial Cogn Comput. 2012; 12 (2-3): 195-218.
24. Woller-Carter MM, Okan Y, Cokely ET, Garcia-Retamero R., Communicating and distorting risks with graphs: an eye-tracking study. Proc Hum Fact Ergon Soc Annu Meet. 2012; 56 (1): 1723-7.
25. Rodríguez V, Andrade AD, García-Retamero R, et al. Health literacy, numeracy, and graphical literacy among veterans in primary care and their effect on shared decision making and trust in physicians. J Health Commun. 2013; 18 (Suppl 1): 273-89.
26. Sharit J, Lisigurski M, Andrade AD, et al. The roles of health literacy, numeracy, and graph literacy on the usability of the VA's personal health record by veterans. J Usability Stud. 2014; 9 (4): 173-93.
27. Okan Y, Garcia-Retamero R, Cokely ET, Maldonado A,. Biasing and debiasing health decisions with bar graphs: costs and benefits of graph literacy. Under review.
28. Ghazal S, Cokely ET, Garcia-Retamero R., Predicting biases in very highly educated samples: numeracy and metacognition. Judgm Decis Mak. 2014; 9 (1): 15-34.
29. Reyna VF, Nelson WL, Han PK, Dieckmann NF., How numeracy influences risk comprehension and medical decision making. Psychol Bull. 2009; 135 (6): 943-73.
30. Peters E., Beyond comprehension the role of numeracy in judgments and decisions. Curr Dir Psychol Sci. 2012; 21 (1): 31-35.
31. Peters E, Bjalkebring P., Multiple numeric competencies: when a number is not just a number. J Pers Soc Psychol. 2015; 108 (5): 802-22.
32. Dolan JG, Cherkasky OA, Li Q, Chin N, Veazie PJ., Should health numeracy be assessed objectively or subjectively? Med Decis Making. 2015 6 [Epub ahead of print].
33. Fagerlin A, Zikmund-Fisher BJ, Ubel PA, Jankovic A, Derry HA, Smith DM., Measuring numeracy without a math test: development of the Subjective Numeracy Scale. Med Decis Making. 2007; 27 (5): 672-80.
34. Zikmund-Fisher BJ, Smith DM, Ubel PA, Fagerlin A., Validation of the subjective numeracy scale: effects of low numeracy on comprehension of risk communications and utility elicitations. Med Decis Making. 2007; 27 (5): 663-71.
35. Galesic M, Garcia-Retamero R., Statistical numeracy for health: a cross-cultural comparison with probabilistic national samples. Arch Intern Med. 2010; 170 (5): 462-8.
36. Hess R, Visschers VH, Siegrist M, Keller C., How do people perceive graphical risk communication? The role of subjective numeracy. J Risk Res. 2011; 14 (1): 47-61.
37. Zikmund-Fisher BJ, Witteman HO, Fuhrel-Forbis A, Exe NL, Kahn VC, Dickson M., Animated graphics for comparing two risks: a cautionary tale. J Med Internet Res. 2012; 14 (4): e106.
38. Paolacci G, Chandler J, Ipeirotis PG., Running experiments on Amazon Mechanical Turk. Judg Decis Making. 2010; 5 (5): 411-9.
39. Garcia-Retamero R, Cokely ET., Promoting shared medical decision making in doctors and their patients. Manuscript in preparation. 2016.
40. Schneider RH, Staggers F, Alxander CN, et al. A randomised controlled trial of stress reduction for hypertension in older African Americans. Hypertension. 1995; 26 (5): 820-7.
41. Chan JM, Rimm EB, Colditz GA, Stampfer MJ, Willett WC., Obesity, fat distribution, and weight gain as risk factors for clinical diabetes in men. Diabetes Care. 1994; 17 (9): 961-9.
42. Colditz GA, Willett WC, Rotnitzky A, Manson JE., Weight gain as a risk factor for clinical diabetes mellitus in women. Ann Intern Med. 1995; 122 (7): 481-6.
43. Knowler WC, Barrett-Connor E, Fowler SE, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002; 346 (6): 393-403.
44. Suárez PS, García AMP, Moreno JB., Escala de autoeficacia general: Datos psicométricos de la adaptación para población española. Psicothema. 2000; 12: 509-13.
45. Falces C, Briñol P, Sierra B, Becerra A, Alier E., Validación de la escala de necesidad de cognición y su aplicación al estudio del cambio de actitudes. Psicothema. 2001; 13 (4): 622-8.
46. Gosling SD, Rentfrow PJ, Swann WB., A very brief measure of the Big-Five personality domains. J Res Pers. 2003; 37 (6): 504-28.
47. Garcia-Retamero R, Galesic M., Communicating treatment risk reduction to people with low numeracy skills: a cross-cultural comparison. Am J Public Health. 2009; 99 (12): 2196-202.
48. Garcia-Retamero R, Galesic M, Gigerenzer G., Do icon arrays help reduce denominator neglect? Med Decis Making. 2010; 30 (6): 672-84.
49. Baron J., Rationality and Intelligence. Cambridge, UK: Cambridge University Press; 2005.
50. Garcia-Retamero R, Cokely ET, Hoffrage U., Visual aids improve diagnostic inferences and metacognitive judgment calibration. Front Psychol. 2015; 6: 932.
51. Bruine de, Bruin W, Parker AM, Fischhoff B., Individual differences in adult decision-making competence. J Pers Soc Psychol. 2007; 92 (5): 938-56.
52. Davis FM, Laurenson VG, Gillespie WJ, Wells JE, Foate J, Newman E., Deep vein thrombosis after total hip replacement: a comparison between spinal and general anaesthesia. J Bone Joint Surg Br. 1989; 71 (2): 181-5.
53. Sobel ME., Asymptotic confidence intervals for indirect effects in structural equation models. Sociol Method. 1982; 13 (1982): 290-312.
54. Lipkus IM., Numeric, verbal, and visual formats of conveying health risks: suggested best practices and future recommendations. Med Decis Making. 2007; 27 (5): 696-713.
55. Buhrmester M, Kwang T, Gosling SD., Amazon's Mechanical Turk a new source of inexpensive, yet high-quality, data? Pers Psychol Sci. 2011; 6 (1): 3-5.
56. Jaeggi SM, Buschkuehl M, Jonides J, Shah P., Short- and long-term benefits of cognitive training. Proc Natl Acad Sci USA. 2011; 108 (25): 10081-6.
57. Cokely ET, Kelley CM., Cognitive abilities and superior decision making under risk: a protocol analysis and process model evaluation. Judg Decis Making. 2009; 4 (1): 20-33.
58. Cokely ET, Kelley CM, Gilchrist AL., Sources of individual differences in working memory: contributions of strategy to capacity. Psychon Bull Rev. 2006; 13 (6): 991-7.
59. Garcia-Retamero R, Cokely ET, Wicki B, Joeris A,. Improving surgeons' risk literacy with visual aids. Patient Educ Couns. In press.
60. Schulte-Mecklenbeck M, Kühberger A, Ranyard R., A Handbook of Process Tracing Methods for Decision Research: A Critical Review and User's Guide. New York, NY: Psychology Press; 2010.
61. Cronbach LJ, Meehl PE., Construct validity in psychological tests. Psychol Bull. 1955; 52 (4): 281-302.
62. Messick S., Validity of psychological assessment: validation of inferences from persons' responses and performances as scientific inquiry into score meaning. Am Psychol. 1995; 50 (9): 741-9.
63. Gigerenzer G, Gaissmaier W, Kurz-Milcke E, Schwartz LM, Woloshin S., Helping doctors and patients make sense of health statistics. Psychol Sci Public Interest. 2007; 8 (2): 53-96.
64. Garcia-Retamero R, Cokely ET., Using visual aids to help people with low numeracy make better decisions. In: Anderson BL, Schulkin J, eds. Numerical Reasoning in Judgments and Decision Making about Health. Cambridge, UK: Cambridge University Press; 2014. p 153-74.
65. Galesic M, Garcia-Retamero R., Using analogies to communicate information about health risks. Appl Cognitive Psych. 2013; 27 (1): 33-42.