Predictions and estimates are sometimes qualified as certain. This epistemic marker occupies a privileged position at the top of scales of verbal probability expressions, reflecting probabilities close to 1. But such statements have rarely been compared to plain, unqualified statements in which certainty is not mentioned. We examined in nine studies (N = 2784) whether statements explicitly claimed to be certain are perceived as (1) more (or less) credible, (2) more (or less) precise, and (3) more (or less) strongly based upon evidence, compared to plain, unmarked declarative statements. We find, in apparent contrast with assumptions made by the standard scales, that "certain" are often judged to be less trustworthy, less reliable, and held with lower confidence than unmarked statements. Plain, declarative statements are further assumed to be more precise, while certainty implies that more extreme outcomes are possible. When it is certain that Henry made four errors, it is clear he did not commit less than four, but he might have committed five errors or more. Thus certainty can indicate lower bounds of an interval whose upper bounds are not defined, and certainty statements are consequently more ambiguous than estimates that do not mention certainty. At least-interpretations of certainty affect the interpretation of options in risky choice problems, where "200 lives will be saved" was deemed by a majority to mean exactly 200, while "it is certain that 200 will be saved", could mean 200-600 lives. We also find that credibility is affected by type of certainty, with impersonal certainty ("it is certain") perceived to be more accurate and persuasive than personal certainty ("I am certain"), especially in predictions of future events. Moreover, mentions of certainty can reveal that that a speaker's estimate is based on subjective judgments and guesswork rather than upon objective evidence. These findings have implications for communication. Estimates can appear more consensual when claims of certainty are omitted. To convey certainty it may be better not to mention that one is certain.
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http://dx.doi.org/10.1016/j.cognition.2024.105911 | DOI Listing |
EClinicalMedicine
October 2024
Toronto 3D Knowledge Synthesis and Clinical Trials Unit, Clinical Nutrition and Risk Factor Modification Center, St. Michael's Hospital, Unity Health Toronto, Toronto, ON M5B 1W8, Canada.
Background: Use of health applications (apps) to support healthy lifestyles has intensified. Different app features may support effectiveness, including gamification defined as the use of game elements in a non-game situation. Whether health apps with gamification can impact behaviour change and cardiometabolic risk factors remains unknown.
View Article and Find Full Text PDFFront Immunol
December 2024
Department of Biomedical Sciences, University of Sassari, Sassari, Italy.
Introduction: The critical role played by vascular dysfunction and ineffective angiogenesis in the pathophysiology of systemic sclerosis (SSc) suggests that circulating biomarkers reflecting these alterations may be useful in the clinical evaluation of this patient group. We sought to address this issue by conducting a systematic review and meta-analysis of studies investigating a such candidate biomarker, endostatin, an endogenous glycoprotein exerting anti-angiogenic effects, in SSc patients and healthy controls.
Methods: A literature search was conducted in the electronic databases Web of Science, PubMed, and Scopus from inception to 27 May 2024.
JBI Evid Synth
January 2025
Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Objective: This review aims to examine the impact of early introduction of oral feeding, compared with standard care, on the duration of achieving full oral feeding, postmenstrual ages at full oral feeding and discharge, and weight gain in preterm infants.
Introduction: Because of their immature oral function, preterm infants are prone to feeding difficulties during hospitalization and after hospital discharge. Early introduction of oral feeding helps infants to coordinate sucking, swallowing, and respiration, thereby improving their oral feeding skills.
JBI Evid Synth
January 2025
CINTESIS@RISE, Nursing School of Porto (ESEP), Porto, Portugal.
Objective: The objective of this review is to evaluate the effectiveness of interventions to prevent or treat prolonged grief symptoms among families of patients who die in intensive care units (ICU).
Introduction: Up to 52% of families of patients who die in ICU may be at risk of experiencing prolonged grief symptoms.
Inclusion Criteria: Studies of adult family members (≥18 years) of adult ICU patients (≥18 years) who underwent a treatment withdrawal or withholding decision, and who were exposed to tailored interventions to prevent or treat prolonged grief symptoms before, during, and/or after the patient's death will be considered for inclusion.
JBI Evid Synth
January 2025
School of Nursing of the University of Minho, Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (Esenfc), Coimbra, Portugal.
Objective: The objective of this review will be to evaluate the effect of prior aspiration versus non-aspiration during intramuscular injection on the occurrence of adverse effects in adult patients.
Introduction: Aspiration is a procedure conducted prior to the administration of intramuscular medications that aims to ensure that the needle tip is inserted in the proper place. Although aspiration is a common procedure, questions have been raised about adverse effects.
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