Optimism bias in understanding neonatal prognoses.
Journal
Journal of perinatology : official journal of the California Perinatal Association
ISSN: 1476-5543
Titre abrégé: J Perinatol
Pays: United States
ID NLM: 8501884
Informations de publication
Date de publication:
03 2021
03 2021
Historique:
received:
08
02
2020
accepted:
03
08
2020
revised:
14
07
2020
pubmed:
12
8
2020
medline:
1
9
2021
entrez:
12
8
2020
Statut:
ppublish
Résumé
Discrepancies between physician and parent neonatal prognostic expectations are common. Optimism bias is a possible explanation. Parents interpreted hypothetical neonatal prognoses in an online survey. Good prognoses tended to be interpreted accurately, while poor prognoses were interpreted as less than the stated value. One-third of participants consistently overstated survival for the three lowest prognoses, compared to the sample as a whole. Three significant predictors of such optimistic interpretations were single-parent status (OR 0.39; 95% CI 0.2-0.75; p = 0.005), African-American descent (OR 3.78; 95% CI 1.63-8.98; p = 0.002) and the belief that physicians misrepresented prognoses (OR 3.11; 95% CI 1.47-6.65; p = 0.003). Participants' explanations echoed research on optimism bias in clinical and decision science studies. Participants accepted positive prognoses for critically ill neonates, but reinterpreted negative ones as being unduly pessimistic demonstrating optimism bias.
Identifiants
pubmed: 32778685
doi: 10.1038/s41372-020-00773-1
pii: 10.1038/s41372-020-00773-1
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
445-452Commentaires et corrections
Type : CommentIn
Type : CommentIn
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