The association between exaggeration in health related science news and academic press releases: retrospective observational study
BMJ 2014; 349 doi: https://doi.org/10.1136/bmj.g7015 (Published 10 December 2014) Cite this as: BMJ 2014;349:g7015
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I think the findings of this research are very interesting—this is something very much worth investigating as press releases are so uniformly used as the basis for science reporting.
What I have found through my own research (it was also noted by Fahnestock (1)) that often a significant amount of the advice/exaggeration that creeps into reporting of science comes from ‘off the cuff’ quotes from researchers or others, that are then not made clear whether they relate to findings published in the paper or are something more speculative. I would be interested to see if this also commonly stems from the press releases.
This might be difficult to analyse however, as the context that the quote is placed in is so important as to what level of credibility the reader assigns to it. Researchers and reporters alike could learn a great deal about how a story has been interpreted by looking at reader’s responses to it, either in comment sections or on social media—these are often overlooked as a chance for genuine dialogue with an audience.
1) Fahnestock, J. (1986) Accommodating Science: The Rhetorical Life of Scientific Facts. Written Communication [Online] 3 (3) 275-296. Available from: doi: 10.1177/0741088386003003001
Competing interests: No competing interests
There is another side to the evidence brought forward by Sumner and colleagues (1) on the exaggeration of results in health-related science news and academic press releases: the silence surrounding contradictory evidence. A notable case is that of mindfulness meditation. A practice that a few decades ago was hippie is now hip; it has made its way into the NHS, schools and the parliament, and a multitude of scientists are churning out new studies on its health merits.
The positive reports of mindfulness are given wide coverage but the same can’t be said for the published contradictory evidence. To give one example: where is the academic press release or science news for the most recent — and by far the most rigorous — clinical trial on the effects of mindfulness based cognitive therapy for recurrent depression funded by the Welcome Trust (2)? Does the silence correlate with the undermining of the techniques’ benefits? The debate that would have followed its public dissemination is yet to happen; in the meanwhile, mindfulness keeps its key priority status for the treatment of recurrent depression by the National Institute for Health and Clinical Excellence (3).
Goldacre (4) argues that biases in the reporting of science news are not a peripheral matter and suggests ways of making individuals accountable for how they write about health-related research. But how can we deal with the heavy, mindful silence surrounding null or negative published results in health research?
References
1. Sumner P, Vivian-Griffiths S, Boivin J, Williams A, Venetis CA, Davies A, et al. The association between exaggeration in health related science news and academic press releases: retrospective observational study. BMJ 2014;349:g7015.
2. William, M., et al (2013). Mindfulness-based cognitive therapy for preventing relapse in recurrent depression: a randomized dismantling trial. Journal of Consulting and Clinical Psychology, 82(2):275-86.
3. National Institute for Health and Clinical Excellence. Depression: the treatment and management of depression in adults (update). (Clinical guideline 90). 2009. http://guidance.nice.org.uk/CG90.
4. Goldacre B. Preventing bad reporting on health research. BMJ 2014; 349: g7465.
Competing interests: No competing interests
Sumner et al. have provided an insightful content analysis of a wide number of health-related press releases, along with their respective news articles and peer review papers. From this analysis, the authors illustrate how exaggeration in health-related news articles is strongly associated with exaggeration in press releases. They raise concerns about how such exaggeration may mislead the public about health research. Moreover, by highlighting how scientists also have a role to play in drafting press releases (a finding GS has also reported in her research (1)), they conclude that calling for scientists to improve the accuracy of academic press releases could represent a key opportunity for reducing misleading and exaggerated health related news.
Similar to this research, much of our work has also explored the role of press releases and news stories in reporting health stories, and the effect of such stories on readers and/or patients. In particular, we have examined the press release and news media’s portrayal of a specific neurotechnology – the use of fMRI for severely-brain injured patients – alongside an exploration of relatives of severely brain-injured patients’ views about the technology. Our findings align with the findings of this study. Indeed, we agree with many of the conclusions drawn by the authors in relation to the importance of steering away from exaggerated claims in both press releases and news articles.
However, whilst efforts to change how press releases are written are important steps towards ensuring that less exaggerated claims are made during the news reporting process, for a variety of reasons we are more sceptical than the authors about the effect of calling for such changes. Our reasons for this are three fold. First, whilst exaggerated claims might begin at the point of the scientists, from the scientist to the newspaper there are a variety of contributors, including press officers, journalists, and editors, who may all potentially add a 'pinch of hype' (2) to the reporting of any science ‘story’. We would argue that changes in the way in which health-related news stories are written would thus require a more ambitious approach to change, which involves all potential contributors.
Second, re-iterating what the authors stated in their article, scientists work in a highly competitive environment which is driven primarily by the need to secure funding. In such a climate ‘selling’ science and getting research ‘out there’ is one route to garnering such resources (3). Research institutions, too, have their own agenda with regards to attracting the best students, academics and researchers that involves publicizing the research within their organisation. Changes to this political climate would arguably need to be implemented before we might see scientists or institutions altering the ways in which they disseminate research findings via their public relations departments.
Third, whilst much of the academic literature and rhetoric speaks about ‘exaggerated findings’ and the need to not mislead readers and patients alike (for example, see (4-7)), calls for more appropriate claims need to carefully consider that what is viewed as ‘appropriate’ may depend to whom one is speaking (1). We demonstrate this using our findings: when we interviewed ten science press officers about the press releases reporting the fMRI study, and about their role as science press officers more generally, all of them stated that they believed they acted responsibly when preparing press releases - they were cautious in terms of avoiding overly exaggerated claims. Moreover, they believed that the appropriateness of press releases was reflected in its accuracy and the necessary caveats it contained. What was less frequently seen as related to appropriateness of reporting was the particular style in which the articles were written – a point noted previously (8) - and the type of language that was used. However, the language style used in these press releases directly influenced how at least some of the relatives we interviewed viewed the health technology (9).
Whilst we are in total agreement with the authors about the need for scientists and press officers to write “more appropriately” in press releases, we think that differences remain as to what this term means across different perspectives, and consequently in relation to “doing harm” to readers and/or patients. Moreover, as we have described above, unlike the authors, we would argue that much broader changes are required to tackle the problem of science reporting head on. These changes need to relate not only to how science is communicated to the public, but also the political environment that surrounds science communication. We would also argue that the press released science “stories” so often reported in newspapers do not constitute “informing the public about science”. Rather, what we should, and indeed are beginning to do, is to search for more appropriate means which draw on concepts of public engagement, to engage the public in health-related research.
1. Samuel G. fMRI for severely brain-injured patients: a media analysis: Brunel University; 2014.
2. Nuffield Council on Bioethics. Novel neurotechnologies: intervening in the brain. 2013.
3. Samuel G. Stop the blame game: scientists, journalists and neuroscience in the public realm. American Journal of Bioethics. 2011;2(4):33-5.
4. Nerlich B, Clarke DD, Dingwall R. Fictions, fantasies, and fears. The literary foundations of the cloning debate. Journal of Literary Semantics. 2001;30:37-52.
5. Seale C. Media and Health London: SAGE; 2003.
6. Caulfield T, Bubela T. Media representations of genetic discoveries: hype in the headlines? Health Law Review. 2004;12(2153-2161).
7. Williams C, Kitzinger J, Henderson L. Envisaging the embryo in stem cell research: rhetorical strategies and media reporting of the ethical debates. Sociology of health & illness. 2003;25(7):793-814.
8. Bubela T, Nisbet MC, Borchelt R, Brunger F, Critchley C, Einsiedel E, et al. Science communication reconsidered. Nature biotechnology. 2009;27(6):514-8.
9. Samuel G, Kitzinger J. Reporting consciousness in coma: media framing of neuro-scientific research, hope, and the response of families with relatives in vegetative and minimally conscious states. JOMEC journal. 2013;3(June).
Competing interests: No competing interests
Dissemination of scientific information by news media may influence patients and physicians medical decision-making (1). Thus, exaggerated interpretation of findings in news stories could lead to harmful or costly modifications in healthcare utilisation. Sumner et al. (2) observed that exaggeration in science news was associated with inaccuracies in press releases of academic medical centres. The likelihood of exaggerated advice in news was more than six times higher when the press release contained exaggerated advice than when it did not. Therefore, sensationalism in medical science rarely originates solely from misrepresentation of facts by medical journalists (1). The authors consider that press officers are not to blame, as press releases are written together with and approved by scientists, who retain the responsibility for exaggerations.
Press releases inherently involve self-interest (1). As the research is ongoing (2), it would be interesting to assess whether an association also exists between exaggerations or explicit advices in press releases and conflicts of interest (COIs) of scientists who authored the report in medical journals. According to Moynihan and co-workers, a financial tie to a manufacturer that had been disclosed in the original scientific article was not disclosed in almost two thirds of news stories about some medications (3). However, whether these ties were mentioned also in press releases is unknown. Press releases regarding also non-interventional studies might hide financial interests if mechanisms are promoted that anticipate marketing of a new test or drug.
Goldacre suggests that all academic press releases should have named authors, including both the press officers involved and the individual named academics from the original article (4). Including also COIs of investigators would further increase accountability of press releases, and would urge medical journalists to include such COIs in news stories (5), thus possibly limiting the consequences of overselling the results of studies.
1. Steinbrook R, Medical journals and medical reporting. N Engl J Med 2000;342:1668-71.
2. Sumner P, Vivian-Griffiths S, Boivin J, Williams A, Venetis CA, Davies A, et al. The association between exaggeration in health related science news and academic press releases: retrospective observational study. BMJ 2014;349:g7015.
3. Moynihan R, Bero L, Ross-Degnan D, Henry D, Lee K, Watkins J, et al. Coverage by the news media of the benefits and risks of medications. N Engl J Med 2000;342:1645-50.
4. Goldacre B. Preventing bad reporting on health research. BMJ 2014;349:g7465.
5. Schwitzer G. A statement of principles for health care journalists. Am J Bioeth 4: W9-W13.
Competing interests: No competing interests
Re: The association between exaggeration in health related science news and academic press releases: retrospective observational study
Only the " corresponding author" should issue any press releases.
You do not need Press Officers.
Competing interests: No competing interests