Text-Based vs. Graphical Information Formats in Sepsis Prevention and Early Detection: A Randomized Controlled Trial on Informed Choice.

Sepsis is associated with 11 million global deaths annually. Although serious consequences of sepsis can generally be avoided with prevention and early detection, research has not yet addressed the efficacy of evidence-based health information formats for different risk groups. This study examines whether two evidence-based health information formats­text based and graphical­differ in how well they foster informed choice and risk and health literacy and in how well they support different sepsis risk groups. Based on a systematic literature review, two one-page educative formats on sepsis prevention and early detection were designed­one text based and one graphical. A sample of 500 German participants was randomly shown one of the two formats; they were then assessed on whether they made informed choices and on their risk and health literacy. For both formats, >70% of participants made informed choices for sepsis prevention and >75% for early detection. Compared with the graphical format, the text-based format was associated with higher degrees of informed choice (p = 0.012, OR = 1.818) and risk and health literacy (p = 0.032, OR = 1.710). Both formats can foster informed choices and risk and health literacy on sepsis prevention and early detection, but the text-based format appears to be more effective.

Polarized but illusory beliefs about tap and bottled water: A product- and consumer-oriented survey and blind tasting experiment.

BACKGROUND: Despite the rigorous control of tap water quality, substantial price differences, and environmental concerns, bottled water consumption has increased in recent decades. To facilitate healthy and sustainable consumer choices, a deeper understanding of this "water consumption paradox" is needed. Therefore, the aim of the two present studies was to examine health-related beliefs and risk perceptions and their accuracy by implementing a combined product- and consumer-oriented approach. METHODS: An online survey (N = 578) and a blind taste test (N = 99) assessed perceptions and behaviors for tap and bottled water within primarily tap and bottled water consumers in a fully crossed design. The combined product- and consumer-oriented approach yielded significant consumer × product interaction effects. RESULTS: The two consumer groups showed "polarized" ratings regarding perceived quality/hygiene, health risks and taste for bottled and tap water, indicating that the two consumer groups substantially diverged in their beliefs. However, in the blind taste test, neither consumer group was able to distinguish tap from bottled water samples (consumer perspective). Moreover, tap or bottled water samples did not systemically vary in their ascribed health-risk or taste characteristics (product perspective). CONCLUSIONS: Although the two consumer groups differ greatly in their beliefs, the perceived health risk and taste differences seem to reflect illusionary beliefs rather than actual experiences or product characteristics. Public health campaigns should address these illusions to promote healthy and sustainable consumer choices.