The influence of information structuring and health literacy on recall and satisfaction in a simulated discharge communication |
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| Authors: | Victoria Siegrist Wolf Langewitz Rui Mata Dominik Maiori Ralph Hertwig Roland Bingisser |
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| Affiliation: | 1. Emergency Department, University Hospital Basel, Basel, Switzerland;2. Center for Cognitive and Decision Sciences, University of Basel, Basel, Switzerland;3. Department of Psychosomatic Medicine, University Hospital Basel, Basel, Switzerland;4. Department of Digital Film Production, SAE Institute Zurich, Zurich, Switzerland;5. Center for Adaptive Rationality, Max Planck Institute for Human Development, Berlin, Germany |
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| Abstract: | ObjectiveWe investigated the effects of information structuring and its potential interaction with pre-existing medical knowledge on recall in a simulated discharge communication.Methods127 proxy-patients (i.e. students) were randomly assigned to one of four conditions. Video vignettes provided identical information, differing in means of information structuring only: The natural conversation (NC) condition was not explicitly structured whereas the structure (S) condition presented information organised by chapter headings. The book metaphor (BM) and the post organizer (PO) conditions also presented structured information but in addition included a synopsis, either at the beginning or at the end of discharge communication, respectively. Proxy-patients’ recall, perception of quality and pre-existing medical knowledge were assessed.ResultsInformation structuring (conditions: S, BM, PO) did not increase recall in comparison to NC, but pre-existing medical knowledge improved recall ( p?p?=?.02). In comparison to the NC, proxy-patients in all information structuring conditions more strongly recommended the physician ( p? ConclusionsStructured discharge communication complemented by the BM is beneficial in individuals with lower pre-existing medical knowledge.Practice implicationsThe lower pre-existing medical knowledge, the more recipients will profit from information structuring with the BM. |
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| Keywords: | Health literacy Information structuring Discharge communication Physician-patient communication Information recall Emergency medicine Book metaphor |
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