Improving communication of uncertainty in the reports of the intergovernmental panel on climate change.

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Abstract

The Intergovernmental Panel on Climate Change (IPCC) assesses information relevant to the understanding of climate change and explores options for adaptation and mitigation. The IPCC reports communicate uncertainty by using a set of probability terms accompanied by global interpretational guidelines. The judgment literature indicates that there are large differences in the way people understand such phrases, and that their use may lead to confusion and errors in communication. We conducted an experiment in which subjects read sentences from the 2007 IPCC report and assigned numerical values to the probability terms. The respondents' judgments deviated significantly from the IPCC guidelines, even when the respondents had access to these guidelines. These results suggest that the method used by the IPCC is likely to convey levels of imprecision that are too high. We propose an alternative form of communicating uncertainty, illustrate its effectiveness, and suggest several additional ways to improve the communication of uncertainty.

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Communicating the uncertainty of harms and benefits of medical interventions.

Mary C. Politi, Paul Han, Nananda F Col (2015)

There is growing interest in shared medical decision making among patients, physicians, and policy makers. This requires patients to interpret increasing amounts of medical information, much of which is uncertain. Little is known about the optimal approaches to or outcomes of communicating uncertainty about the risks and benefits of treatments. The authors reviewed the literature on various issues related to uncertainty in decision making: conceptualizing uncertainty, identifying its potential sources, assessing uncertainty, potential methods of communicating uncertainty, potential outcomes of communicating uncertainty, and current practices and recommendations by expert groups on communicating uncertainty. There are multiple sources of uncertainty in most medical decisions. There are conceptual differences in how researchers define uncertainty and its sources, as well as in its measurement. The few studies that have assessed alternate means of communicating uncertainty dealt mostly with presenting uncertainty about probabilities. Both patients' and physicians' interpretation of and responses to uncertainty may depend on their personal characteristics and values and may be affected by the manner in which uncertainty is communicated. Research has not yet identified best practices for communicating uncertainty to patients about harms and benefits of treatment. More conceptual, qualitative, and quantitative studies are needed to explore fundamental questions about how people process, interpret, and respond to various types of uncertainty inherent in clinical decisions.