Heuristics and Biases in Audience Decision Making 227
level of readership for specifi c news stories.^212 Elements of news stories that newspapers manipulate
in order to frame them include news story headlines, subheads, photos, photo captions, sources
and quotes, and concluding paragraphs.^213 Misleading newspaper headlines that emphasize minor
details rather than the article’s main point routinely bias readers’ comprehension in ways that make
it diffi cult for them to correct their initial misconceptions.^214
The formats of different graphs can also affect how audiences interpret and use the same infor-
mation.^215 For example, audiences interpret the same data differently depending on whether it is
presented in pie charts, bar graphs, or line graphs.^216 They also interpret the same information dif-
ferently depending on which variables are assigned to the x- and y -axes.^217
In addition, excluding information from a message frame affects how people interpret the
message.^218 A study of the effects of message framing on newspaper readers compared the
selective publication of UPI photos of an antiwar protest by The New York Times with the more
extensive publication of UPI photos by The National Guardian. The photos The Times editors
chose to omit, or to leave outside the frame, made a signifi cant difference in how readers inter-
preted the protest.^219
Despite the dramatic effects of frames on decision making, audiences “are normally unaware
of alternative frames and of their potential effects on the relative attractiveness of options.”^220 One
reason audiences usually fail to recognize that differently framed decision problems are similar to
each other is that the surface characteristics of the frames distract them.^221 Even when two compet-
ing frames are presented one after the other, as they are in debates, audience members rarely choose
between them. Instead, they simply adopt the position most consistent with their preexisting val-
ues.^222 Audiences with high levels of statistical sophistication also fail to recognize the impact of
frames on their decisions.^223 For example, experienced physicians are just as likely as their patients
to fail to recognize how framing a treatment either in terms of mortality rates or survival rates
affects their decision about it.^224
Nonetheless, it is sometimes possible for the audience to recognize and reject message frames.
For example, TV audiences will sometimes reject the media’s frames and access frames from other
sources to make sense of the news.^225 A study of older adults (aged 65 to 89) asked to choose a
treatment for lung cancer described either in terms of mortality rates or survival rates fi nds they
are less susceptible to framing effects than younger adults (aged 18 to 24). The reason? Older
adults rely more on their own experience as opposed to the data presented to them to make their
decisions.^226
Framing is most effective when the framed message recommends behaviors that are congruent
with the frame. Thus, consumers are more likely to take action and make purchases when prod-
uct ads are positively framed (e.g., “Save money!”) versus negatively framed (e.g., “Stop wasting
money!”). One study asked 390 women who either owned or were thinking about buying a video
camera to read positively and negatively framed ads and to make purchase decisions. Women who
read the positively framed advertising were much more likely to decide to purchase the advertised
camera than those who read the negatively framed ads.^227
Depending on the behavior recommended, either a positively or negatively framed message
might be more congruent with it. In the health care fi eld, for example, messages that are positively
framed and stress benefi ts, also called gain-framed messages (e.g., “Enjoy a healthy life style”), are
most effective when they encourage preventative behaviors such as regular physical exercise,^228
smoking cessation,^229 and using sunscreen to prevent skin cancer.^230 Negatively framed messages
that emphasize potential problems, also called loss-framed messages (e.g., “Stay out of the hospi-
tal”), are most effective when they encourage detection behaviors such as HIV screening,^231 breast
self-examination,^232 and mammography use.^233