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The Effect of Different Graphical and Numerical Likelihood Formats on Perception of Likelihood and Choice

Author

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  • Jurriaan P. Oudhoff
  • Daniëlle R. M. Timmermans

Abstract

Background. Quantitative risk information plays an important role in decision making about health. This study focuses on commonly used numerical and graphical formats and examines their effect on perception of different likelihoods and choice preferences. Methods. An experimental study was conducted with 192 participants, who evaluated 2 sets of 4 lotteries. Numerical formats to describe likelihood varied systematically between participants (X%, X-in-100, or 1-in-X). The effect of graphic formats (bar charts, icon charts) was assessed as a within-subjects factor. Dependent measures included perceived likelihood, choice preferences about participating in the lottery, and processing times. Results. Numerical likelihoods presented as 1-in-X were processed fastest and were perceived as conveying larger likelihoods than the X-in-100 and percentages formats (mean response times in seconds: 5.65 v. 7.31 and 6.50; mean rating on a 1–9 scale: 4.38 v. 3.30 and 3.31, respectively). The 1-in-X format also evoked a stronger willingness to participate in a lottery than the 2 other numerical formats. The effect of adding graphs on perceived likelihood was moderated by numerical aptitude. Graphs reduced ratings of perceived likelihood of participants with lower numeracy, while there was no overall effect for participants with higher numeracy. Conclusion. Perception of likelihood differs significantly depending on the numerical format used. The 1-in-X format yields higher perceived likelihoods and it appears to be the easiest format to interpret. Graphs primarily affect perception of likelihood of people with lower numerical aptitude. These effects should be taken into account when discussing medical risks with patients.

Suggested Citation

  • Jurriaan P. Oudhoff & Daniëlle R. M. Timmermans, 2015. "The Effect of Different Graphical and Numerical Likelihood Formats on Perception of Likelihood and Choice," Medical Decision Making, , vol. 35(4), pages 487-500, May.
  • Handle: RePEc:sae:medema:v:35:y:2015:i:4:p:487-500
    DOI: 10.1177/0272989X15576487
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    References listed on IDEAS

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    1. Vivianne H. M. Visschers & Ree M. Meertens & Wim W. F. Passchier & Nanne N. K. De Vries, 2009. "Probability Information in Risk Communication: A Review of the Research Literature," Risk Analysis, John Wiley & Sons, vol. 29(2), pages 267-287, February.
    2. Stefania Pighin & Lucia Savadori & Elisa Barilli & Laura Cremonesi & Maurizio Ferrari & Jean-François Bonnefon, 2011. "The 1-in-X Effect on the Subjective Assessment of Medical Probabilities," Medical Decision Making, , vol. 31(5), pages 721-729, September.
    3. repec:cup:judgdm:v:3:y:2008:i::p:140-152 is not listed on IDEAS
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    1. Carissa Bonner & Lyndal J. Trevena & Wolfgang Gaissmaier & Paul K. J. Han & Yasmina Okan & Elissa Ozanne & Ellen Peters & Daniëlle Timmermans & Brian J. Zikmund-Fisher, 2021. "Current Best Practice for Presenting Probabilities in Patient Decision Aids: Fundamental Principles," Medical Decision Making, , vol. 41(7), pages 821-833, October.
    2. Suk, Kwanho & Hwang, Sanyoung & Jeong, Yunjoo, 2022. "The 1-in-X effect in perceptions of risk likelihood differences," Organizational Behavior and Human Decision Processes, Elsevier, vol. 170(C).
    3. Lyndal J. Trevena & Carissa Bonner & Yasmina Okan & Ellen Peters & Wolfgang Gaissmaier & Paul K. J. Han & Elissa Ozanne & Danielle Timmermans & Brian J. Zikmund-Fisher, 2021. "Current Challenges When Using Numbers in Patient Decision Aids: Advanced Concepts," Medical Decision Making, , vol. 41(7), pages 834-847, October.

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