Interactive graphics for communicating health risks
by Ancker, Jessica S., Ph.D., COLUMBIA UNIVERSITY, 2009, 152 pages; 3374085

Abstract:

Materials for consumer informatics, patient decision support, and health promotion frequently incorporate quantitative risks such as percentages, rates, or proportions. These risks are frequently illustrated with stick figures, bar charts, or other graphics. However, risk communication models (such as the extended parallel process model) and decision models (such as prospect theory) generally focus on features of the verbal message, while failing to explore the effects of number format and illustration design. That these factors are important is shown by growing literatures that describe consumers' difficulty comprehending numbers, as well as strong effects of numeracy and risk graphic design on perceived risk and choices. This dissertation proposes an integrated model of risk communication that draws from cognitive psychology and health behavior models to consider contributions of the verbal message, features of the graphic illustration, and the audience's numeracy. Next, the dissertation presents an ontology of features of risk graphics (including animation and interactivity) and their cognitive/perceptual effects, developed through a systematic literature review. Third, a qualitative formative study was conducted that resulted in the design of several animated and interactive risk graphics with applications in Web-based communication. Finally, a questionnaire study was conducted to assess the effect of the interactive graphics on risk estimates, risk feelings, and decisions, and interactions with numeracy. Numeracy strongly affected risk estimates, risk feelings, and decisions, with lower numeracy correlated with higher perceived risks. Interaction with one of the interactive graphics affected risk perceptions and narrowed differences between high- and low-numeracy respondents. Computer-based graphical displays such as the ones developed in this project have the potential to be applied in informatics interventions for health education, tailored health and risk communication, shared medical decision-making, and patient decision support. The methods used are also promising for assessing effects of other scientific data graphics.

 
AdviserRita Kukafka
SchoolCOLUMBIA UNIVERSITY
SourceDAI/B 70-08, p. , Oct 2009
Source TypeDissertation
SubjectsPublic health; Mass communication; Health care management
Publication Number3374085
Adobe PDF Access the complete dissertation:
 

» This is an open access dissertation.
  Use the link below to access the full text PDF of this graduate work:
  http://gradworks.umi.com/3374085.pdf
  Use the link below to search and retrieve all open access dissertations:
  http://pqdtopen.proquest.com

About ProQuest Dissertations & Theses
With over 2.3 million records, the ProQuest Dissertations & Theses (PQDT) database is the most comprehensive collection of dissertations and theses in the world. It is the database of record for graduate research.

The database includes citations of graduate works ranging from the first U.S. dissertation, accepted in 1861, to those accepted as recently as last semester. Of the 2.3 million graduate works included in the database, ProQuest offers more than 1.9 million in full text formats. Of those, over 860,000 are available in PDF format. More than 60,000 dissertations and theses are added to the database each year.

If you have questions, please feel free to visit the ProQuest Web site - http://www.proquest.com - or call ProQuest Hotline Customer Support at 1-800-521-3042.