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Getting it right – without hyping
Kara Gavin, M.S.
U-M Health Communicators Forum
February 23, 2017
v
Our job in telling health-related stories:
Use & protect the
public’s TRUST
in the
vThe risks…
• Raise hopes of patients
& their families about potential
new options
• Create false
expectations about the
path from lab to clinical use
• Open floodgates of
inappropriate calls/emails
• Open us to criticism by
watchdogs & regulatory entities
v
Our challenge:
How to walk the tightrope
(and still get people to pay attention)
vWalk that tightrope!
• If it’s in animals, cells or computer
models, say so & and list next steps
• If it used data from populations or past
patients (not actual testing) say so
• If it tested a drug, device or
intervention in people, include:
– how many
– what phase of testing it’s in
– where it stands in the FDA process
– what it costs or if insurance covers
– what else is available & how well it works
– the size of the effect it had & any problems
If there’s
IRB-approved
language, use it
or link to it!
vHow NOT to run afoul of the FDA
• Don’t say or imply that a
pre-approval drug,
biologic or device is
safe, effective, or equal
to/better than another
option.
• Don’t use "new
treatment," "new
medication" or "new
drug" for something
that’s still in testing – use
potential, experimental
or investigational
vDon’t confuse correlation with causation!
Observational studies can never
correct for every factor – so they can’t
show cause & effect.
vWhen communicating about observational studies:
Avoid:
• “X is linked to Y”
• “X cut the risk of Y”
• “X helped increase Y”
• or even wiggle words
like “X may help do Y”,
“X appears to cut the risk
of Y” or “X seems to lead
to Y”
Instead:
• “Showed an X percent
difference in Y”
• “People who did X were Y
percent less likely to get Z”
• “Compared to those who did
X, those who did Y had
more/less chance of Z”
• Note that the study couldn’t
show cause & effect
vClinical tests: Relative vs. Absolute Risk Reduction
• 50% reduction in risk of X!
(relative risk)
• ABSOLUTE risk:
– The risk of X fell from 2% to 1%.
– The risk of X dropped 1 percentage point.
– 1 less person in every 100 will experience X if they do Y.
• Include both. Or stick with just absolute.
• Express both benefits and harms in the same way.
vIs a company or advocacy group involved?
• ASK the researcher/clinician about
industry/advocacy group support for
their work, or interest in the outcome
• CHECK
– With Conflict of Interest office for
appropriate language
– With Tech Transfer about patents,
licenses, startup companies
– The way U-M is mentioned in
industry/advocacy materials
• DISCLOSE this info!
Follow the
money…
vJust don’t. (including quotes!)
• breakthrough
• could become the new
standard of care
• cure
• first-of-its-kind
• game-changer
• Holy Grail
• magic/miracle
• simple blood test
• this might/may/could lead to……
(without immediately saying what it will take to…)
• Also – use disease-specific data from rep
vResources
www.healthnewsreview.org/toolkit/
www.healthnewsreview.org/about-us/review-criteria/
www.nih.gov/nih-pio-network/pio-101
www.aaas.org/pes/communicatingscience

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How not to hype

  • 1. Getting it right – without hyping Kara Gavin, M.S. U-M Health Communicators Forum February 23, 2017
  • 2. v Our job in telling health-related stories: Use & protect the public’s TRUST in the
  • 3. vThe risks… • Raise hopes of patients & their families about potential new options • Create false expectations about the path from lab to clinical use • Open floodgates of inappropriate calls/emails • Open us to criticism by watchdogs & regulatory entities
  • 4. v Our challenge: How to walk the tightrope (and still get people to pay attention)
  • 5. vWalk that tightrope! • If it’s in animals, cells or computer models, say so & and list next steps • If it used data from populations or past patients (not actual testing) say so • If it tested a drug, device or intervention in people, include: – how many – what phase of testing it’s in – where it stands in the FDA process – what it costs or if insurance covers – what else is available & how well it works – the size of the effect it had & any problems If there’s IRB-approved language, use it or link to it!
  • 6. vHow NOT to run afoul of the FDA • Don’t say or imply that a pre-approval drug, biologic or device is safe, effective, or equal to/better than another option. • Don’t use "new treatment," "new medication" or "new drug" for something that’s still in testing – use potential, experimental or investigational
  • 7. vDon’t confuse correlation with causation! Observational studies can never correct for every factor – so they can’t show cause & effect.
  • 8. vWhen communicating about observational studies: Avoid: • “X is linked to Y” • “X cut the risk of Y” • “X helped increase Y” • or even wiggle words like “X may help do Y”, “X appears to cut the risk of Y” or “X seems to lead to Y” Instead: • “Showed an X percent difference in Y” • “People who did X were Y percent less likely to get Z” • “Compared to those who did X, those who did Y had more/less chance of Z” • Note that the study couldn’t show cause & effect
  • 9. vClinical tests: Relative vs. Absolute Risk Reduction • 50% reduction in risk of X! (relative risk) • ABSOLUTE risk: – The risk of X fell from 2% to 1%. – The risk of X dropped 1 percentage point. – 1 less person in every 100 will experience X if they do Y. • Include both. Or stick with just absolute. • Express both benefits and harms in the same way.
  • 10. vIs a company or advocacy group involved? • ASK the researcher/clinician about industry/advocacy group support for their work, or interest in the outcome • CHECK – With Conflict of Interest office for appropriate language – With Tech Transfer about patents, licenses, startup companies – The way U-M is mentioned in industry/advocacy materials • DISCLOSE this info! Follow the money…
  • 11. vJust don’t. (including quotes!) • breakthrough • could become the new standard of care • cure • first-of-its-kind • game-changer • Holy Grail • magic/miracle • simple blood test • this might/may/could lead to…… (without immediately saying what it will take to…) • Also – use disease-specific data from rep