Table 2 Influence of descriptive versus simulated-experience formats on correct risk estimates of the benefits and harms of long-term administration of strong opioids for general practitioners and pain specialists
Proportion of correct estimates (%) at T1 | Absolute increase from baseline (T0) in the proportion (%) of correct estimates at T1 | |||||
|---|---|---|---|---|---|---|
Fact box | Simulation | p* (Cramer’s V) 95% CI** | Fact box | Simulation | p* (Cramer’s V) 95% CI | |
General practitioners | ||||||
Reduction in pain | 8.7 | 4.7 | .166 (.080) 0.76 – 4.52 | 7.3 | 4.7 | .331 (.056) 0.63 – 3.94 |
Increase in physical function | 48.7 | 42.7 | .297 (.060) 0.89 – 1.46 | 22.7 | 17.3 | .330 (.086) 0.83 – 2.07 |
Risk of falls/ fractures | 19.3 | 19.3 | 1.00 (.000) 0.63 – 1.59 | 10.7 | 9.3 | .700 (.022) 0.68 – 1.57 |
Risk of misuse/ addiction | 44.7 | 47.3 | .643 (.027) 0.74 – 1.21 | 22.7 | 22.0 | .758 (.043) 0.58 – 2.26 |
Risk of dizziness | 46.0 | 47.3 | .817 (.013) 0.76 – 1.24 | 20.0 | 18.7 | .803 (.038) 0.67 – 1.70 |
Risk of nausea, obstipation, or vomiting | 30.7 | 29.3 | .801 (.015) 0.74 – 1.48 | 15.3 | 14.0 | .896 (.027) 0.63 – 1.89 |
Pain specialists | ||||||
Reduction in pain | 9.3 | 6.7 | .395 (.049) 0.64 – 1.27 | 9.3 | 6.0 | .342 (.085) 0.69 – 3.48 |
Increase in physical function | 40.7 | 42.7 | .815 (.014) 0.73 – 1.27 | 24.0 | 17.3 | .292 (.091) 0.88 – 2.17 |
Risk of falls/ fractures | 30.0 | 14.7 | .001*(.184) 1.29 – 3.23 | 14.7 | 8.7 | .236 (.098) 0.88 – 3.23 |
Risk of misuse/ addiction | 45.3 | 37.0 | .090 (.151) 1.10 – 1.99 | 13.3 | 13.3 | .954 (.018) 0.56 – 1.78 |
Risk of dizziness | 62.0 | 62.0 | 1.00 (.000) 0.84 – 1.19 | 14.7 | 16.7 | .318 (.087) 0.52 – 1.49 |
Risk of nausea, obstipation, or vomiting | 48.7 | 40.7 | .163 (.080) 0.93 – 1.54 | 15.3 | 15.3 | .929 (.022) 0.59 – 1.70 |