Patient knowledge and recall of health information following exposure to “facts and myths” message format variations
Open accessAbstract
Objective To assess if exposure to varying "facts and myths" message formats affected participant knowledge and recall accuracy of information related to influenza vaccination.Methods Consenting patients (N=125) were randomized to receive one of four influenza related messages (Facts Only; Facts and Myths; Facts, Myths, and Refutations; or CDC Control), mailed one week prior to a scheduled physician visit. Knowledge was measured using 15 true/false items at pretest and posttest; recall accuracy was assessed using eight items at posttest.Results All participants' knowledge scores increased significantly (p<0.05); those exposed to the CDC Control message had a higher posttest knowledge score (adjusted mean=11.18) than those in the Facts Only condition (adjusted mean 9.61, p=<0.02). Participants accurately recalled a mean of 4.49 statements (SD=1.98). ANOVA demonstrated significant differences in recall accuracy by condition [F(3, 83)=7.74, p<.001, η(2)=0.22].Conclusion Messages that include facts, myths, and evidence to counteract myths appear to be effective in increasing participants' knowledge. We found no evidence that presenting both facts and myths is counterproductive to recall accuracy.Practice implications Use of messages containing facts and myths may engage the reader and lead to knowledge gain. Recall accuracy is not assured by merely presenting factual information.
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A recent study by Cameron et al. found that participants exposed to facts, myths, and evidence to counteract those myths gained more knowledge and had better recall accuracy than those merely presented with factual information.
“A recent study by Cameron et al. [29] employing different facts versus myths message formats justifies the use of myths to overcome health misinformation, as participants who were exposed to facts, myths, and evidence to counteract those myths gained more knowledge regarding a specific health topic and had a better recall accuracy than those who were merely presented with factual information.”
From Misinformation lingers in memory: Failure of three pro-vaccination strategies (2017) · cites this paper as [29]
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Additional file 1 of Examining the replicability of backfire effects after standalone corrections
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- Authors
- Cameron, K. A., Roloff, M. E., Friesema, E. M., Brown, T., Jovanovic, B. D., Hauber, S., & Baker, D. W.
- Affiliations
- Northwestern University (US)
- Corresponding author
- Cameron, Kenzie A.
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2013-09
- Volume
- 92
- Issue
- 3
- Pages
- 381-387
- ISSN
- 0738-3991 (ISSN-L)
- PMC
- PMC3772650
- OpenAlex
- W2033680448
- Cited by
- 76
- References
- 17
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 9 · 2023: 2 · 2022: 4 · 2021: 8 · 2020: 25 · 2019: 3 · 2018: 4 · 2017: 5 · 2016: 3 · 2015: 4 · 2014: 3 · 2013: 1
- FWCI
- 4.17
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Patient Education and Counseling (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (UL1TR000150)
- National Institute on Aging (R21AG031470)
- National Center for Advancing Translational Sciences
- Topics
- Social Sciences › Health › Vaccine Coverage and Hesitancy
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Social Sciences › Arts and Humanities › Literature and Literary Theory › Media Influence and Health
- Keywords
- influenza vaccination, health information recall, health knowledge, myths and facts, message format, refutation, patient education materials, health literacy
- MeSH terms
- Aged, Aged, 80 and over, Delivery of Health Care, Female, Health Promotion, Humans, Influenza Vaccines, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Patient Education as Topic, Mental Recall, Socioeconomic Factors, Vaccination, Health Communication
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