The Science of Visual Data Communication: What Works
Steven L. Franconeri, Lace M. Padilla, Priti Shah, Jeffrey M. Zacks, Jessica Hullman
Jessica Hullman
https://journals.sagepub.com/stoken/default+domain/10.1177%2F15291006211051956-FREE/full
Convey risks with absolute—not relative—rates
A rational decision maker should not make different treatment decisions based on the way that medical risk is conveyed. Unfortunately, the presentation of medical-risk information has a profound influence on judgments, even for highly educated people. In a study of 235 practicing physicians who were asked to indicate how likely they were to treat patients for hypertension and hypercholesterolemia on the basis of information about the treatments; 41.3% were more likely to recommend a treatment when its effects were framed as a relative reduction in risk compared with an absolute reduction in risk (Forrow et al., 1992). Absolute risk is the overall probability of experiencing something, such as getting a disease, during some period of time. Relative risk is a comparison between the absolute risk of two groups (Natter & Berry, 2005). As Fagerlin et al. (2011) illustrated, the change in breast cancer risk from 4% to 2% associated with the drug Tamoxifen can be communicated in a relative format (a reduction of 50%) or an absolute format (an absolute reduction of 2%).
Absolute-risk formats are preferable: Many studies have found that the same treatment outcomes are perceived more favorably when communicated in terms of relative risk as opposed to absolute risk (for a meta-analysis, see Covey, 2007). Further, relative-risk framing can make changes in risk appear larger than absolute-risk framing (e.g., a 50% relative change incorrectly seems larger than a 2% absolute change; Akl et al., 2011; Baron, 1997; Forrow et al., 1992; Malenka et al., 1993). This framing bias makes physicians more likely to prescribe interventions when information about their effects is communicated using a relative-risk format (e.g., Bucher et al., 1994; Lacy et al., 2001; Naylor et al., 1992). A large body of evidence suggests that the absolute-risk format leads to the least biased decisions. Although this has not been tested with visualizations, the evidence points to absolute risk as the best choice.