Guidelines
Suggest edit

Use pictograph frequency displays for comparative risk and benefit counts

For comparative decision communication of quantitative risks and benefits, use pictograph frequency encoding on risk/benefit displays to improve gist and verbatim understanding and mitigate numerical misinterpretation for lay audiences with mixed numeracy.

  • purpose:refine
  • basis:empirical
  • task:compare
  • data:quantitative
  • quality:fidelity
  • lever:encoding
  • knowledge:mixed
  • audience:decision-maker

advice

Pictograph frequency display

Encode comparative frequencies with a pictograph-style 100-unit grid instead of text-only counts or tables when readers must compare risks and benefits. For example, show 60 of 100 outcomes as 60 colored blocks and show a 5-point change between options as five changed blocks rather than only writing percentages or listing them in a table.

reason

Why pictograph frequency displays work

A 100-unit pictograph gives readers a visible count and a visible comparison at the same time. That makes it easier to extract both the overall direction of the comparison and the exact frequencies, even when readers differ in numeracy.

Mechanism: The pictograph turns percentages into countable units, so readers can see both the total affected group and the change between options without translating text or scanning a table.

Evidence: In a randomized Internet survey of 4,685 parents, pictographs produced higher adequate gist understanding (66.4% vs 61.3% for text and 62.9% for tables) and higher adequate verbatim knowledge (66.5% vs 49.1% and 44.6%), and this advantage appeared in both low- and high-numeracy groups; pictographs were also rated more effective, helpful, trustworthy, and scientific than text or tables (Tait et al., 2010).

Notes: In the same study, pictographs also made risks seem lower and benefits seem higher than text or tables.

context

When to use pictograph frequency displays

  • User Goal: Compare the risks and benefits of two options before making a decision.
  • Task: Read both the overall comparison and the approximate counts correctly.
  • Data: Quantitative frequencies expressed out of 100, including small differences between options.
  • Chart Setting: A static or browsable risk/benefit display where readers can review the information while answering questions.
  • Audience: Lay decision-makers, including readers with lower and higher numeracy.
  • Success Criterion: More readers can identify which option has more or less of each outcome and can report the approximate frequencies correctly.

exceptions

When not to rely on pictograph frequency displays alone

Break it when: The display also adds a separate severity graphic beside each outcome. Why: In this study, the added severity cue reduced gist understanding and shifted perceived risk and benefit.

costs

Tradeoffs of pictograph frequency displays

Sacrifice: You may change perceptions as well as comprehension. Risk: Readers may judge the option as less risky and more beneficial than they do from text or tables. Mitigation: Review both answer accuracy and perceived risk/benefit after switching formats.

mistakes

Common failure mode in this comparison

Mistake: Replacing text with a table and expecting the same comprehension gain. Why it fails: Tables performed similarly to text and worse than pictographs on verbatim knowledge in this study.

check

How to check pictograph frequency displays

Failure Sign: Readers cannot say which option has more or fewer outcomes, or they miss the approximate counts out of 100. Quick Check: Show the current display and a pictograph version, then ask readers who is more likely to experience each outcome and approximately how many out of 100 are affected. Stronger Test: Compare the share of readers reaching at least 3 of 4 gist answers and at least 5 of 7 verbatim answers.

fix

How to fix a non-pictograph risk display

  • Convert each probability into a 100-block pictograph with affected and unaffected blocks distinguished visually.
  • Show the comparison option as an incremental change on the same 100-unit reference rather than only as text.
  • Remove text-only paragraphs or table-only summaries when the main goal is accurate comparative reading.

References

Tait, A. R., Voepel-Lewis, T., Zikmund-Fisher, B. J., & Fagerlin, A. (2010). The Effect of Format on Parents’ Understanding of the Risks and Benefits of Clinical Research: A Comparison Between Text, Tables, and Graphics. Journal of Health Communication, 15(5), 487–501. https://doi.org/10.1080/10810730.2010.492560