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Words matter: a randomized controlled study evaluating the impact of decision‐framing on treatment preferences in adults with psoriasis and psoriatic arthritis

Decision-framing describes how choices are presented or framed.1 A choice can be worded either positively (gain-framed) to explain the benefits of a therapy, or negatively (loss-framed) to explain the risks of not taking a therapy. In the management of chronic diseases, patients' agreement with clinician recommendations during the shared decision making process predicts long-term adherence to therapies.2-5 In this randomized controlled trial, we examined the effects of gain- versus loss-framing on patient preferences for a proposed therapy among psoriasis patients with and without psoriatic arthritis (PsA).