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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Bibliographic Details
Published in:PloS one 2022-11, Vol.17 (11), p.e0276442-e0276442
Main Authors: Masters, Tamara M, Keith, Mark, Hess, Rachel, Jenkins, Jeffrey L
Format: Article
Language:English
Subjects:
Biology and Life Sciences
Biometrics
Cognition & reasoning
Consumers
Credibility
Data collection
Data entry
Disclosure
Disclosure of information
Drug use
Engineering and Technology
Gender
Gender aspects
Health aspects
Health care
Health care policy
Health Insurance Portability & Accountability Act 1996-US
Health risks
Health services
Laws, regulations and rules
Lying
Medicine and Health Sciences
Methods
Patients
Personal health
Personal information
Prescription drugs
Privacy
Privacy, Right of
Research and Analysis Methods
Sex differences
Social Sciences
Substance abuse treatment
Tracking
Web portals
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Description
Summary: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
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0276442