Effects of thrombolytic information in different time windows upon thrombolytic decision making in patients with cerebral infarction / 中华行为医学与脑科学杂志

ABSTRACT

Objective To discuss the influence of framing information and time window information upon risk decision making about thrombolysis therapy in patients with cerebral infarction or their relatives in the scenarios of thrombolytic therapy for acute cerebral infarction.Methods Inpatients and outpatients with cerebral infarction or their relatives(n=327) were randomly divided into positive framing group(n=187) and negative framing group(n=140).Every participant underwent risky messages about thrombolytic treatment in three different time windows:0-90 minutes,91-180 minutes and 181-270 minutes.Results In any thrombolytic time window condition,there was no significant difference in thrombolytic tendency of participants between the positive framing group and the negative framing group (0-90 min:x2=1.24,P＞ 0.05;91-180 minutes:x2 =0.35,P＞0.05;181-270 minutes:x2 =0.07,P＞ 0.05).In a negative framework conditions,compared with the participants receiving thrombolytic information in 181-270 minutes time window,subjects receiving thrombolytic information in 0-90 minutes window were more tolerant of thrombolytic treatment (69.3 ％ vs 51.5 ％,P＜ 0.0125).Conclusion There are mutual effects of time window and framing information upon participants' preferences for thrombolysis.Different thrombolytic information are presented according to their corresponding time windows.