Express treatment effects as absolute risk reduction
For treatment-benefit comparison in non-temporal numerical risk displays, prefer absolute risk reduction wording on baseline-versus-treatment summaries to improve fidelity and mitigate misreading of treatment benefit for mixed-numeracy audiences.
- purpose:refine
- basis:empirical
- task:compare
- quality:fidelity:use
- lever:text-annotation
- operator:difference
- communication:framing
- knowledge:mixed
advice
Rewrite benefit as baseline versus treated risk
State treatment benefit as absolute risk reduction rather than as a relative percentage reduction when readers must understand the size of the effect. For example, say how many out of a fixed population are affected without treatment and with treatment instead of giving only a statement such as “reduces risk by 13%.”
reason
Why absolute wording improves understanding
Absolute risk reduction exposes both the starting risk and the treated risk directly. That removes a conversion step readers would otherwise have to do from a relative percentage reduction.
Mechanism: Readers can compare two stated risks directly instead of reconstructing the effect from a relative claim.
Evidence: In the experiment, numerical descriptions using absolute rather than relative risk reduction produced much higher accuracy in older adults and students; icon arrays added further gains, but the advantage of absolute wording remained large (Galesic et al., 2009).
context
Use when the message is a reduction from baseline to treatment
- User Goal: Explain the size of a treatment or screening benefit in numbers.
- Task: Compare baseline risk with treated risk.
- Data: Two risks for the same outcome, without treatment and with treatment.
- Chart Setting: The message is carried in numerical text or labels accompanying a display.
- Audience: Readers with mixed numeracy.
- Success Criterion: Readers can correctly state the size of the risk reduction.
exceptions
Do not use when there is no baseline-versus-treatment comparison
Break it when: The message is not a reduction from a baseline risk to a treated risk. Why: The source only tests absolute versus relative wording for benefit comparisons built from two risk values.
costs
What you trade away
Sacrifice: A brief relative-percentage claim can sound more dramatic than the equivalent absolute statement. Risk: Using relative reduction alone can make a modest benefit seem larger than readers can accurately recover from the display. Mitigation: If you want stronger comprehension without reverting to relative-only wording, pair the absolute statement with icon arrays.
mistakes
Common failure mode with benefit wording
Mistake: Labeling benefit only as a relative reduction while omitting the baseline and treated risks. Why it fails: Readers are less accurate at recovering the actual size of the effect.
check
How to test the revision
Failure Sign: Readers cannot tell how many people are affected before and after treatment from the wording alone. Quick Check: Compare a relative-risk-reduction phrasing against an absolute-risk-reduction phrasing for the same scenario and ask for the untreated and treated counts out of a fixed population. Stronger Test: Score whether readers derive the reduction correctly within a small tolerance rather than only recognizing that the treatment helps.
fix
What to change
- Replace a lone relative-percentage reduction with both the untreated risk and the treated risk.
- Express those two risks over the same denominator as counts or percentages.
- Keep the comparison explicit in one sentence or one compact summary.
- If you need additional support, add paired icon arrays rather than reverting to relative-only wording.