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Do privacy assurances work? a study of truthfulness in healthcare history data collection

Patients often provide untruthful information about their health to avoid embarrassment, evade treatment, or prevent financial loss. Privacy disclosures (e.g. HIPAA) intended to dissuade privacy concerns may actually increase patient lying. We used new mouse tracking-based technology to detect lies...

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Detalles Bibliográficos
Autores principales: Masters, Tamara M., Keith, Mark, Hess, Rachel, Jenkins, Jeffrey L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9645639/
https://www.ncbi.nlm.nih.gov/pubmed/36350919
http://dx.doi.org/10.1371/journal.pone.0276442
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author Masters, Tamara M.
Keith, Mark
Hess, Rachel
Jenkins, Jeffrey L.
author_facet Masters, Tamara M.
Keith, Mark
Hess, Rachel
Jenkins, Jeffrey L.
author_sort Masters, Tamara M.
collection PubMed
description Patients often provide untruthful information about their health to avoid embarrassment, evade treatment, or prevent financial loss. Privacy disclosures (e.g. HIPAA) intended to dissuade privacy concerns may actually increase patient lying. We used new mouse tracking-based technology to detect lies through mouse movement (distance and time to response) and patient answer adjustment in an online controlled study of 611 potential patients, randomly assigned to one of six treatments. Treatments differed in the notices patients received before health information was requested, including notices about privacy, benefits of truthful disclosure, and risks of inaccurate disclosure. Increased time or distance of device mouse movement and greater adjustment of answers indicate less truthfulness. Mouse tracking revealed a significant overall effect (p<0.001) by treatment on the time to reach their final choice. The control took the least time indicating greater truthfulness and the privacy + risk group took the longest indicating least truthfulness. Privacy, risk, and benefit disclosure statements led to greater lying. These differences were moderated by gender. Mouse tracking results largely confirmed the answer adjustment lie detection method with an overall treatment effect (p < .0001) and gender differences (p < .0001) on truthfulness. Privacy notices led to decreased patient honesty. Privacy notices should perhaps be administered well before personal health disclosure is requested to minimize patient untruthfulness. Mouse tracking and answer adjustment appear to be health care lie-detection methods to enhance optimal diagnosis and treatment.
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spelling pubmed-96456392022-11-15 Do privacy assurances work? a study of truthfulness in healthcare history data collection Masters, Tamara M. Keith, Mark Hess, Rachel Jenkins, Jeffrey L. PLoS One Research Article Patients often provide untruthful information about their health to avoid embarrassment, evade treatment, or prevent financial loss. Privacy disclosures (e.g. HIPAA) intended to dissuade privacy concerns may actually increase patient lying. We used new mouse tracking-based technology to detect lies through mouse movement (distance and time to response) and patient answer adjustment in an online controlled study of 611 potential patients, randomly assigned to one of six treatments. Treatments differed in the notices patients received before health information was requested, including notices about privacy, benefits of truthful disclosure, and risks of inaccurate disclosure. Increased time or distance of device mouse movement and greater adjustment of answers indicate less truthfulness. Mouse tracking revealed a significant overall effect (p<0.001) by treatment on the time to reach their final choice. The control took the least time indicating greater truthfulness and the privacy + risk group took the longest indicating least truthfulness. Privacy, risk, and benefit disclosure statements led to greater lying. These differences were moderated by gender. Mouse tracking results largely confirmed the answer adjustment lie detection method with an overall treatment effect (p < .0001) and gender differences (p < .0001) on truthfulness. Privacy notices led to decreased patient honesty. Privacy notices should perhaps be administered well before personal health disclosure is requested to minimize patient untruthfulness. Mouse tracking and answer adjustment appear to be health care lie-detection methods to enhance optimal diagnosis and treatment. Public Library of Science 2022-11-09 /pmc/articles/PMC9645639/ /pubmed/36350919 http://dx.doi.org/10.1371/journal.pone.0276442 Text en © 2022 Masters et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Masters, Tamara M.
Keith, Mark
Hess, Rachel
Jenkins, Jeffrey L.
Do privacy assurances work? a study of truthfulness in healthcare history data collection
title Do privacy assurances work? a study of truthfulness in healthcare history data collection
title_full Do privacy assurances work? a study of truthfulness in healthcare history data collection
title_fullStr Do privacy assurances work? a study of truthfulness in healthcare history data collection
title_full_unstemmed Do privacy assurances work? a study of truthfulness in healthcare history data collection
title_short Do privacy assurances work? a study of truthfulness in healthcare history data collection
title_sort do privacy assurances work? a study of truthfulness in healthcare history data collection
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9645639/
https://www.ncbi.nlm.nih.gov/pubmed/36350919
http://dx.doi.org/10.1371/journal.pone.0276442
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