Message Framing and Perinatal Decisions

Haward, Marlyse F.; Murphy, Ryan O.; Lorenz, John M.

doi:10.1542/peds.2007-0620

Cited by 129 publications

(84 citation statements)

References 62 publications

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“…44 Our results are also consistent with previous literature supporting the notion that gain frames induce greater compliance for surgical procedures than loss frames. 10,[35][36][37][38] Our research extended this literature.…”

Section: Discussionmentioning

confidence: 84%

“…Differences between studies in participants' numeracy skills because of the use of convenience samples and nonprobabilistic sampling methods could possibly explain why some reported no framing effects, [48][49][50][51][52][53][54] whereas others found strong effects of message frames. 10,[35][36][37][38] More importantly, our study is unique in its efforts to investigate whether visual aids can overcome framing effects when communicating important health information in participants who were disadvantaged by their lack of numerical skills: When visual aids were added to the numerical information about the risk of the surgical procedure, framing was reduced or disappeared in participants with low numeracy. These results extend our own and others' previous findings about the usefulness of visual aids to enhance comprehension of medical risks, especially in people with low numeracy.…”

Section: Discussionmentioning

confidence: 99%

“…In line with this hypothesis, gain frames have been more effective when promoting exercise, 16 reduced alcohol use, 17 parental use of children's car seat restraints, 18,19 skin cancer prevention behaviors, 20,21 and use of condoms to prevent HIV 22 ; loss frames have been more effective at encouraging individuals to engage in breast self-examination, 23,24 mammography screenings, [25][26][27][28][29][30] blood-cholesterol screenings, 31 HIV screenings, 32,33 and skin cancer detection. 20,34 Finally, for decisions about surgical procedures and treatments, gain frames (probability of success or survival) induce greater compliance than loss frames (probability of failure or death 10,[35][36][37][38] ).…”

Section: Introductionmentioning

confidence: 99%

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How to Reduce the Effect of Framing on Messages About Health

2010

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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How to Reduce the Effect of Framing on Messages About Health

2010

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“…For example, research has demonstrated the impact of framing in medical contexts, influencing decisions about the resuscitation of premature newborns (Haward, Murphy, & Lorenz, 2008), treatment options for cancer (Almashat, Ayotte, Edelstein, & Margrett, 2008) and likelihood of engaging in preventive health practices such as obtaining a mammogram (Banks, Salovey, Greener, Rothman, Moyer, Beauvais, & Epel, 1995). Framing has been 6 found to be particularly influential when interpreting ambiguous situations.…”

Section: Introductionmentioning

confidence: 99%

Framing and perceptions of stalking: the influence of conduct severity and the perpetrator–target relationship

Scott

Rajakaruna

Sheridan

2013

Psychology, Crime & Law

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Research has demonstrated that the way in which questions are presented (i.e., framed) has the capacity to influence responses to subsequent questions (Tourangeau & Rasinski, 1988).In the context of stalking, perception research has often been framed in terms of whether or not particular behaviours constitute stalking. The current research investigates whether the framing of the opening question (question frame), conduct severity and the perpetrator-target relationship influence perceptions of stalking. Two studies employed experimental 3 × 3 independent factorial designs: one to examine question frame and conduct severity, the other to examine question frame and the perpetrator-target relationship. Participants in both studies (total N = 449) were presented with vignettes and asked to answer six questions relating to the behaviour described. Question frame was found to impact on the classification of behaviour, with a greater proportion of participants indicating that the behaviour represented harassment or stalking rather than an illegal act. Consistent with previous research, conduct severity and the perpetrator-target relationship influenced perceptions of stalking. However, there was no evidence to suggest that the framing of the opening question influenced these perceptions. The implications of these findings for previous perception research are discussed.

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“…Physicians can unwittingly influence parental decisions by how they frame information. For example, survey respondents were more likely to elect resuscitation when a hypothetical prognosis was presented positively (i.e., survival without disability) than negatively (i.e., probability of death and disability) [27]. It is important for Dr. Mattingly to present information in terms of both mortality and survival to Miriam and Thomas so his own bias toward either optimism or pessimism does not unduly influence their parental decision making.…”

Section: Shared Decision Making In the Perinatal Periodmentioning

confidence: 99%

Should Long-Term Consequences of NICU Care Be Discussed in Terms of Prognostic Uncertainty or Possible Harm?

Allen¹,

Laventhal²

2017

AMA Journal of Ethics

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We will examine several ethical considerations in the resuscitation of infants born at the margin of gestational viability in analyzing a case of preterm labor. More specifically, we will discuss the obligations of physicians in characterizing expected outcomes, both mortality and longterm morbidity, for extremely premature infants and how potential adverse outcomes should be framed-as complications of prematurity itself or as iatrogenic complications of care. We will also explore how the concept of a "trial of therapy" can support parents and neonatologists in decision making concerning withholding or withdrawing care for periviable infants. CaseDr. Mattingly met Miriam and Thomas when Miriam arrived a week ago in preterm labor, which was successfully stopped with tocolytics. Suspecting that Miriam would again have preterm labor, that the baby would be born extremely prematurely, needing NICU care to survive, and that the baby's prognosis might be poor, he has met with the couple over the last few days to determine which NICU interventions they might want.Miriam and Thomas wanted to know what sort of life their baby would have if they committed to doing everything NICU staff could to help him live. Dr. Mattingly explained that there had been significant advancements in the care of premature infants, but that the future of their child was still uncertain. He discussed various risks premature infants might face including breathing difficulty related to immature lungs, which might necessitate a breathing tube and could result in long-term problems, and injury to the developing brain and eyes that could result in lifelong sensory, cognitive, and motor impairments. He discussed surgery their child might need for his heart, and the risk of intestinal injury and infections while in the NICU. He told the couple that their child might die early or late in his NICU course. "Of course," Dr. Mattingly had said, "decisions about when and how much to intervene are up to you." He also explained the option of comfort care, which would focus on keeping the infant comfortable after birth, without attempts at resuscitation; in this case, the focus would not be on survival, but on making sure the time he had would be as peaceful as possible.

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Message Framing and Perinatal Decisions

Abstract: Framing bias may compromise efforts to approach prenatal counseling in a nondirective manner. This is especially true for subsets of participants who are not highly religious.

Cited by 129 publications

References 62 publications

How to Reduce the Effect of Framing on Messages About Health

How to Reduce the Effect of Framing on Messages About Health

Framing and perceptions of stalking: the influence of conduct severity and the perpetrator–target relationship

Should Long-Term Consequences of NICU Care Be Discussed in Terms of Prognostic Uncertainty or Possible Harm?

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