An interventional study of Benefit statement and Risk Statement in Patient Lying, Privacy Statements and Risk Statements, sponsored by University of Utah. Completed at 1 site in United States. Open to participants aged 18 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-03-17.
Sponsored by University of Utah · Not applicable, Interventional, and Prevention
Accurate patient information disclosure is critical to provide optimal treatment. Methods that can detect and then increase the truthfulness of information are relatively unknown.
To investigate the impact of communication about privacy, benefits, and risk on patient truthfulness, the investigators test two new methods to detect patient truthfulness and demonstrate the effects of privacy notices (e.g. HIPPA statements).
Participants include a national online sample randomly assigned to one of six treatment statements that might be typically given before health information was requested. The assigned treatments include one or mix of the following: privacy notice, statement of the benefits of accurate disclosure, and statement of the risks of inaccurate disclosure and control of no statement before being asked typical health questions.
The investigators propose that based on elaboration likelihood model, statements reminding participants of their privacy will increase lying.
The investigators hypothesis the use of a new biometric mouse movement lie detection method and answer adjustment can measure patient lies.
The investigators hypothesis that reminders of the risk of not telling the truth will reduce lying due to risk aversion.
Lastly the investigators hypothesis that statements of benefits of answering truthfully will increase truthfulness.
After agreeing to an IRB-approved modified consent form designed to hide the true purpose of the study to detect lying, all participants will complete the CESD-10 depression scale. This validated measure of depression was used in order to simulate the false pretense of the experiment.
This online survey randomly assigns participating adults to one of six intervention statements after which they are asked eight typical questions about their health. The statements include:
An example of an intervention benefit statement followed by a health question about weight reads: "What is your weight? Accurately answering this will increase the likelihood of a correct diagnosis." A risk statement reads: "What is your weight? Inaccurately answering this will increase the likelihood of an incorrect diagnosis." A privacy statement read: "What is your weight? We will not share or sell this personal health information with anyone. We will comply with all HIPPA regulations regarding the protection of your data."
The dependent variable - patient truthfulness, will be measured in two ways.
No personal identifiers are collected. Age and gender are collected.
University of Utah is the lead sponsor of 969 studies on the registry; 178 are open to participants now.
Of its 107 completed or terminated interventional studies of FDA-regulated products, 62 (58%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
No statement is provided before asking the health care question. Example: What is your weight in pounds?
A statement of benefit will be given (see intervention) after the health question.
Behavioral: Benefit statement
A statement of risk will be given (see intervention) after the health question.
Behavioral: Risk Statement
A statement of privacy will be given (see intervention) after the health question.
Behavioral: Privacy Statement
A statement of benefit and privacy will be given (see intervention) after the health question.
Behavioral: Benefit + Privacy
A statement of risk and privacy will be given (see intervention) after the health question.
Behavioral: Risk + Privacy
The participant reads this statement after asked one of eight health questions 1. What is your height in inches? 2. What is your weight in pounds? 3. How many days out of the last 2 weeks did you drink alcohol? 4. How often a month do you use other substance such as marijuana, cocaine, ecstasy, or other drugs 5. How often a month do you use Rx or non-Rx medications to excessive amounts? 6. When was the last time you smoked a cigarette? 7. How many days in the last 2 weeks did you engage in more than 30 min exercise? 8. How many times did you engage in sexual activity in the last month with another individual? . The statement reads: Accurately answering this will increase the likelihood of a correct diagnosis. An example of this with one of the 8 health questions is... What number of days in the last 2 weeks you engaged in \>30 minutes of exercise? Accurately answering this will increase the likelihood of a correct diagnosis.
The participant reads this statement after being asked one of eight health questions. The statement reads: Inaccurately answering this will increase the likelihood of an incorrect diagnosis.
The participant reads this statement after being asked one of eight health question for example. "We will not share or sell this personal health information with anyone. We will comply with all HIPPA regulations regarding the protection of your data."
The statement reads "Accurately answering this will increase the likelihood of a correct diagnosis. We will not share or sell this personal health information with anyone. We will comply with all HIPPA regulations regarding the protection of your data."
The statement reads "Inaccurately answering this will increase the likelihood of an incorrect diagnosis. We will not share or sell this personal health information with anyone. We will comply with all HIPPA regulations regarding the protection of your data."
Patient truthfulness - biometric mouse-movement distance
The measure of the distance (mm) the mouse travels to the response.
Time frame: The time frame of data collection will be from when the survey is opened by the participant until it is completed and submitted. This will take 10 - 20 minutes.
Patient truthfulness - biometric mouse-movement time
The measure of the time (ms) the mouse travels to the response.
Time frame: The time frame of data collection will be from when the survey is opened by the participant until it is completed and submitted. This will take 10 - 20 minutes.
Patient truthfulness Weight - answer adjustment from -5 to 5 for each health question
Participants will be given a summary of their answers from their health questions in a read-only format and asked to indicate how over- or understated each initial response was (e.g., "You indicated that your current weight is 185 lbs. How overstated or understated is that value?") on a scale from -5 (understated) to 5 (overstated). The absolute value of their response represents the extent to which participants' initial response deviated from the truth. Participant's actual response to the health questions are NOT an outcome measure but rather how much they adjust their answer on a scale of (-5 to +5).
Time frame: The time frame of data collection will be from when the survey is opened by the participant until it is completed and submitted. This will take 10 - 20 minutes.
Patient truthfulness Height - answer adjustment from -5 to 5 for each health question
Participant will be shown a summary of their answer from their health question (What is your height in inches) and then respond to how much they under represented the information (-5) to being accurate (0) to overstated the information (+5). Participant response will be on a sliding scale -5 to +5
Time frame: The time frame of data collection will be from when the survey is opened by the participant until it is completed and submitted. This will take 10 - 20 minutes.
Patient truthfulness Drink Alcohol - answer adjustment from -5 to 5 for each health question
Participant will be shown a summary of their answer from their health question (How many days out of the last 2 weeks did you drink alcohol? (1 = 0 time; 6 = 13-14 times)) and then respond to how much they under represented the information (-5) to being accurate (0) to overstated the information (+5). Participant response will be on a sliding scale -5 to +5
Time frame: The time frame of data collection will be from when the survey is opened by the participant until it is completed and submitted. This will take 10 - 20 minutes.
Patient truthfulness Drug Activity - answer adjustment from -5 to 5 for each health question
Participant will be shown a summary of their answer from their health question (How often a month do you use other substance such as marijuana, cocaine, ecstasy, or other drugs (1 = never; 6 = all the time)) and then respond to how much they under represented the information (-5) to being accurate (0) to overstated the information (+5). Participant response will be on a sliding scale -5 to +5
Time frame: The time frame of data collection will be from when the survey is opened by the participant until it is completed and submitted. This will take 10 - 20 minutes.
Patient truthfulness Prescription Use - answer adjustment from -5 to 5 for each health question
Participant will be shown a summary of their answer from their health question (How often a month do you use Rx or non-Rx medications to excessive amounts? (1 = never; 6 = all the time)) and then respond to how much they under represented the information (-5) to being accurate (0) to overstated the information (+5). Participant response will be on a sliding scale -5 to +5
Time frame: The time frame of data collection will be from when the survey is opened by the participant until it is completed and submitted. This will take 10 - 20 minutes.
Patient truthfulness Cigarette Smoking- answer adjustment from -5 to 5 for each health question
Participant will be shown a summary of their answer from their health question (When was the last time you smoked a cigarette? (1 = 6+ weeks ago to 6 = today)) and then respond to how much they under represented the information (-5) to being accurate (0) to overstated the information (+5). Participant response will be on a sliding scale -5 to +5
Time frame: The time frame of data collection will be from when the survey is opened by the participant until it is completed and submitted. This will take 10 - 20 minutes.
Patient truthfulness Exercise Activity- answer adjustment from -5 to 5 for each health question
Participant will be shown a summary of their answer from their health question (How many days in the last 2 weeks did you engage in more than 30 min exercise? (1 = 13-14 times; 6 = 0 times)) and then respond to how much they under represented the information (-5) to being accurate (0) to overstated the information (+5). Participant response will be on a sliding scale -5 to +5
Time frame: The time frame of data collection will be from when the survey is opened by the participant until it is completed and submitted. This will take 10 - 20 minutes.
Patient truthfulness Sexual Activity - answer adjustment from -5 to 5 for each health question
Participant will be shown a summary of their answer from their health question (How many times did you engage in sexual activity in the last month with another individual? (1 = 0; 6 = 20+ times)) and then respond to how much they under represented the information (-5) to being accurate (0) to overstated the information (+5). Participant response will be on a sliding scale -5 to +5
Time frame: The time frame of data collection will be from when the survey is opened by the participant until it is completed and submitted. This will take 10 - 20 minutes.
Gender
Participants will record their gender they identify with - Male or Female
Time frame: The time frame of data collection will be from when the survey is opened by the participant until it is completed and submitted. This will take 10 - 20 minutes.
Plan to share: No — The IRB does not allow for sharing of individual participant data
This study is completed, as verified in Mar 2021. You cannot join it, but the record below documents what was studied.
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