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G.R.A.P.H.I.C.
PRINCIPLES
OF PUBLIC
HEALTH
INFOGRAPHIC
DESIGN
A new set of
evidence-based guidelines
to help the production &
commissioning of health
infographics for use with the
general public.
Dr Catherine Stones
School of Design,
University of Leeds, UK
Dr Mike Gent
Public Health England
Yorkshire & The Humber, UK
01
01
SUMMARY
& CONTENTS
Introduction
What is an infographic? 02
Anatomy of an infographic 02
Common Information Types in Public Health 03
G
1 Get to know your Audience
Define your audience - 05
Build a persona to help understand your audience - 06
Consider where your audience will see the infographic - 07
Devise a key message & tone - 08
Choose key messages that are personally relevant and surprising - 09
Acknowledge disbelief - 09
Consider an infographic’s role in behavioural change - 10
Avoid complexity - 10
R
Evaluate designs with your audience - 11
2 Restrict Colour
Restrict your colour palette to between 3 and 5 colours - 14
Check colours for legibility - 15
Choose colours sensitively to your subject - 15
A
3
Align Elements
Use a grid to align elements within the infographic - 17
Keep alignments consistent - 18
P Prioritise Parts
4
Make sure there’s a focal point - 20
Pick out key statistics in a larger font - 20
Acknowledge other elements that attract attention - 21
Practicalities
Software Advice - 39
Sources of Inspiration & Reading - 40
Acknowledgements - 41
02
INTRODUCTION
Who is this guide for? Where did the guidelines Add your own findings
These guidelines are for any organisation come from? The section on research meth-
or designer who needs to design or com- 1. Results of interviews and viewing tasks ods is designed to encourage
mission public health infographics for the with 85 members of the general public you to contribute your own
general public. across Leeds, Wakefield and Halifax in research findings to
West Yorkshire, UK. www.visualisinghealth.com.
Using the Guidelines: 2. Original findings from focus groups The more we know about
The 7 GRAPHIC principles are all equally with 25 members of the general public in reception to and understand-
important. We strongly recommend that you Leeds and York, UK. ing of infographics, the more
go through each one in turn. 3. Original analysis of popular health effectively we can design
infographic formats. them.
4. Principles from key academic literature.
WHAT IS AN INFOGRAPHIC?
The word ‘Infographic’ is an
abbreviation of ‘Information Graphic’.
According to Lankow, Ritchie & Crooks
(2012), put simply:
“AN INFOGRAPHIC
USES
VISUAL CUES TO
COMMUNICATE
INFORMATION”
This guide focuses on infographics
that communicate a clear message
and that simplify information for a
general audience.
HEALTH
PROBABILITIES
Often public health data is used to communicate personal health risks
-e.g. frequencies or probabilities. Such information may play a role in
behavioural change.
HEALTH !
QUANTITIES
81,700
Some data is concerned with
quantities and comparisons, 2,222 15,479 29,000
sometimes comparing rates
over time or comparing causes
of death or disease. Whilst not Alcohol
(2010)
as personally relevant as risk Long term
exposure to PM2.5
information, it is still useful for the (2008)
Quite Low
FAMILIARITY NUMERACY
Unlikely WITH HEALTH
TERMINOLOGY
LIFE
EXPERIENCES, Short on cash. Has
one young child so
BEHAVIOURS &
PERSONA OPINIONS
is very busy.
HEALTH
Smokes and drinks regularly .
EXPERIENCES, Her Dad is 84 and still smokes.
TV and internet
GO-TO MEDIA & BEHAVIOURS & She doesn’t like being told what
Uses the bus everyday to get to to do
work and reads the Metro. GO-TO PLACES OPINIONS
Skills
Life variables
Pace of life
Places of life
01 GET TO KNOW YOUR AUDIENCE 07
Attention-Seeking Sharing
These infographics will require simple messages Be clear in your identification of appropriate media. Consider
presented with greater attention to visual qualities such scenerios and critique your distribution strategies. Why would
as bright colours and relevant images. a health infographic be shared on social media amongst
teenage friends?
Accompaniment
These infographics will require simple messages that
provide a clear accompaniment to surrounding text.
Websites
(Information Organisation Campaign News
pulled by the Website Microsite Website
audience)
Digital
Media
Social Media
(Information
pushed at the Facebook Twitter
audience)
Leaflet in Leaflet at
Community Space Health Service
08 01 GET TO KNOW YOUR AUDIENCE
CHOOSE KEY MESSAGES During a recall test of 12 infographics 85 participants were asked why
they thought they could remember a particular infographic or a fact.
THAT ARE PERSONALLY
The top 4 reasons cited for their recall of
RELEVANT & SURPRISING particular infographics were:
1. Personal Experience/Relevance
“Congestion in Leeds is 2. Surprise
3. No Reason
a real issue for me” 4. Visual Appearance of Infographic
Male, 31 To try to ensure as much Notice also how ‘surprise’ ap-
personal relevance ensure that pears on the list. Avoid familiar
your target audience is tightly facts and highlight new findings
“I didn’t realise liver specified. If you want to target
smokers, ensure it reaches them
or equivalencies. For instance,
the fact that smoking and inac-
disease had gone up through specific media. tivity have equal risk of mortality
was cited as being surprising in
that much” our study.
Male, 50
ACKNOWLEDGE DISBELIEF
“I think that’s a load of Just because the infographic In your own field of pub-
rubbish...I don’t believe a word is based on a reliable source lic health where does
it doesn’t mean the viewer will
of it. That’s not my scepticism lie? Counter
always believe it. People apply
experience” their own knowledge when it through use of a small
Female, 51
considering facts. Some people
will integrate their own personal
piece of simplified text
“But executives have a different such as :
anecdotes and experiences to
type of stress so I thought it the data and will be keen to
would be pretty even” question it.
Female, 63 ‘Even accounting for
People may also question how where you live, or your
“I think they’re useful as I’ve the information has been found.
A simplified statement about
genetic history, 20
always tried to be healthy but
where do they get their figures ‘How we know’ may be useful to studies in 5 countries
from? How do they know? It’s
append. found the above to be
50/50 I believe” true’
Female, 71
10 01 GET TO KNOW YOUR AUDIENCE
AVOID COMPLEXITY
People, in general, value simplicity and simple messages
Whilst the image on the left “It’s obvious – people
resembles contemporary infographics would get the message
in terms of busyness, people interviewed straight away”
generally thought it had too much infor-
Male, 31
mation on it. This was particularly the
67 33
case for people in the sample who left
school at 16 or had no qualifications.
!
Open recall involves showing the Short Term Recall When you analyse your results ensure that you factor
This will involve asking partic- in ‘primacy’ and ‘recency’ effects - e.g. the infographic
participants a series of designs.
that is seen last or first likely to be recalled more.
These may be nested within larger ipants what they remember To minimise this effect, ensure there is a distrac-
documents or on their own. You can almost immediately after they tion before asking participants what they recall. In
fix the time they are viewed or allow saw the designs. psychology tests where participants have been found
This provides a quick snapshot to memorise through verbal rehearsal (e.g. saying the
for self-directed viewing. The latter is
facts over and over), distraction tasks have involved
recommended where your audience of immediacy though doesn’t counting down in 3’s from 100 or asking them a
is diverse. guarantee that the message or different set of questions for at least a minute.
the graphic will be retained in
Pros:
Once they have been viewed you memory. In our study we per-
1. Helps to identify what ‘sticks’
ask them to say out loud what they formed short term recall tasks
in people’s minds.
remember and why they think they only due to the timescale of the
remember it. project. Cons:
1. People often struggle to
Also consider what it is you want to Long Term Recall remember many details.
measure about the recall: This will involve a follow up 2. It can feel artificial.
1. Having seen the infographic interview after, say 7-14 days,
2. Correctly remembering the gist where you ask participants again
(overall meaning) of the infographic. what they remember seeing.
3. Correctly remembering actual sta- Whilst more useful than short-
tistics from the infographic (verbatim term recall this method is more
knowledge). resource intensive.
02 RESTRICT COLOUR
14 02 RESTRICT COLOUR
02 RESTRICT COLOUR
IN OUR INTERVIEWS WITH THE PUBLIC, COLOUR WAS THE SINGLE MOST DISCUSSED
VISUAL QUALITY OF AN INFOGRAPHIC.
SEE IN A JOURNAL”
Male, 31
Source: www.drinkaware.co.uk
02 RESTRICT COLOUR 15
Do, for instance, consider using colour coding to signify ‘good’ and
‘bad’. In this infographic to the right, red is used to signify negativity
whereas green indicates a positive outcome.
Different values of colour can help show levels of severity. A darker
green is used here to show a ‘better’ result.
There is much literature about the subject
of colour theory and the difference colour
makes in general to designs.
Ali, N., & Peebles, D. (2013). Ali & Peebles (2013) called for more
The effect of gestalt laws colour coding to be used in graphs to help
of perceptual organization even those with higher levels of education
on the comprehension of
three-variable bar and line interpret data.
graphs. Human Factors: The
Journal of the Human Factors Also see Kosslyn (2006) for an extensive
and Ergonomics Society, 55(1), chapter on colour in graph design.
183-203.
03 ALIGN ELEMENTS
03 ALIGN ELEMENTS 17
03 ALIGN ELEMENTS
Alignment is very important aspect of infographic design that allows the whole Notice how elements sit flush
composition (and its component parts) to form a harmonious whole. with each other vertically
A grid is a series of invisible lines that help elements to line up. All the pictures and text
elements should line up with each other along a series of invisible lines. You can create a
set of boxes as shown below that line up. These will act as placeholders for your content.
04 PRIORITISE PARTS
20 04 PRIORITISE PARTS
04 PRIORITISE PARTS
“IT’S GOOD BECAUSE IT’S IN THE “THERE ARE TOO MANY FACTS...MY
FOREFRONT - IT FOCUSED MY EYE” EYES ARE WANDERING ABOUT”
Female, 50 Male, 80
In the example on the right, if you half close your eyes you
should see the red box of the title, the hearse and perhaps the
red bracket, leading the vans to the hearse.
Infographics tend NOT to In our research, looking at early is consider position and visual
be the first thing we look at fixation data in eye tracking studies dominance to help the infograph-
unless they are very visually (e.g. where readers look first), there ic ‘stand out’.
dominant (Holmqvist & is no conclusive evidence that an
Wartenberg, 2005;). infographic, per se, attracts the eye
instantly. W
hat we can do though
TO TELL US ‘SO
WHAT’ ”
Male, 52
Source: www.drinkaware.co.uk
For a multiple display infographic the heading should contain the topic
of the infographic. For a single display infographic (e.g. just one fact) it
may instead say the main message (e.g. what was found).
OFF”
Female, 45
24 05 HIGHLIGHT THE HEADING
The Message
Approach
“Globally 1 in 10 children are obese”
“Obesity and Overweight Increasing Worldwide”
The Question
Approach “What is the current state of obesity in America?”
The headings above are all taken from obesity infographics available on-line.
You may wish to discuss the heading with your team or with your designer
as there are many different approaches to take.
The 10 picture types shown here 6. Equivalencies The equivalence of say how To make abstract
should be used with caution. many calories you burn during numbers more
= exercise. relatable.
Not all infographics should use
all types as this will in all likeli-
hood overwhelm the reader. 7. Recommended Recommendations of To educate the
Identify instead which of the Action behavioural change - e.g. reader about action
types are appropriate for your exercising for 30 minutes to take.
audience and the purpose of the a day.
infographic.
Where possible try to ensure 8. Outcome These represent what health To motivate
that pictures enhance rather behaviours might lead to, e.g. or dissuade.
than distract from the data death.
you’re representing.
ADDING IMAGERY CAN AID RECALL Bateman, S., Mandryk, R. L., Gutwin,
C., Genest, A., McDine, D., & Brooks,
C. (2010, April). Useful junk?: the
Bateman et al (2010) found that by using drawn pictures within and around the effects of visual embellishment on
data, long term memory of the graphs was increased when compared with using comprehension and memorability
of charts. In Proceedings of the
very plain graphs. SIGCHI Conference on Human
Factors in Computing Systems (pp.
2573-2582). ACM.
USING PICTOGRAMS
Pictograms carry a more formal and “THE PICTURE
objective tone than, say, cartoons. They are DRAWS YOU IN
usually made of simple shapes and lack de-
tail (so they are good for general representa- STRAIGHT AWAY”
tions of populations). They are generally easy Male, 46
to source, though are perhaps overly familiar
and lack personality.
“THIS LOOKS A
BIT SIMPLISTIC”
Female, 35
USING PHOTOGRAPHY
You can use photography to reflect the subject matter “It connects with me…it’s a “Photos attract your attention
of the infographic. This is particularly useful when the local photo – eye catching. It more – you go with the visual
subject relates to local issues (and local images can says immediately what it is” aids – take it in more.”
be inserted). In general it is also seen as a strength in
Male, 66 Female, 30
terms of reflecting reality more closely than drawings.
The integrated photography message was less 1 out of 43 (2%) participants 15 out of 42 (36%) participants
could recall this message. could recall this message.
memorable however when the participants found the
photography generally unappealing. Generally then
it’s important to carefully consider the overall appeal
of your graphic, including the amount of colour and
texture within the work.
When asked about their preference for photography most of the participants interviewed
responded positively to photographic-based infographics. Here are a mixture of their views
that capture both their support for the format and their concerns.
“I think it’s a
really good idea…definitely.
It has more visual impact.
It becomes more real”
Male, 35
Female, 33
PIE CHARTS
Pie charts seem an effective way of communicating pro-
portion to a broad audience, regardless of whether they use “I prefer pie charts
Galesic, M., &
photographic embeliishment or are plain. They should also
be accompanied by text that relays the main message or to graphs”
Garcia-Retamero, R.
proportion. Some people still struggle to read percentages
(2011). Graph Litera- from a pie chart (Galesic & Garcia-Retamero, 2011) Female, 70
cy A Cross-Cultural
Comparison. Medi-
cal Decision Making, 67 33
31(3), 444-457
33
67
Pie Charts are generally good for part/whole judgements but not for
ALWAYS LABEL THE accurate representation of exact numbers. In a large sample (n.2414) test
by Hawley et al (2008) it was found that pie charts performed the least well
SEGMENTS OF THE PIE for accurate verbatim knowledge in comparison with 5 other formats (table,
CHART AS IT’S DIFFICULT pictograph, bar, sparkplug and clock). However they did perform the best for
‘gist knowledge’ (for both low and high numeracy participants).
TO DISCERN AN EXACT Hawley, S. T., Zikmund-Fisher, B., Ubel, P., Jancovic, A., Lucas, T., & Fagerlin, A. (2008).
NUMBER BY ONLY The impact of the format of graphical presentation on health-related knowledge and
treatment choices. Patient education and counseling, 73(3), 448-455.
LOOKING AT AN ANGLE
}
Comparison. Medi-
the biggest number out of either the numerator or denominator. cal Decision Making,
31(3), 444-457
“It looks beautiful but it Goldberg & Helfman (2010) also “It has to be studied”
doesn’t help...took me a showed how circular scanning was Male, 32
less effective than usual horizontal
while to get it” and vertical directions. Attempting to say, show rises or
Female, 41
Goldberg, J. H., & Helfman, J. I.
falls via a bespoke slopegraph
(2010, April). Comparing informa- wasn’t always effective for a general
tion graphics: a critical look at eye
tracking. In Proceedings of the
audience. Whilst some graphs may
3rd BELIV’10 Workshop: BEyond look visually compelling, first check
time and errors: novel evaLuation that they are understandable by your
methods for Information Visuali-
zation (pp. 71-78). ACM. audience.
Renshaw (2004) found also that readers paid more attention to legends
in plain graphs whereas they spent more time looking at data areas in 3D
graphs. Ideally place the legend around the graph, rather than separate the
two areas.
01
i
PRACTICALITIES
39
SOFTWARE ADVICE
On-line chart generators Making the most of software
There are a myriad of on-line tools that allow you to quickly More commonly available software in the workplace such
create charts and graphs. Some of these tools also provide as Microsoft Excel or Microsoft Powerpoint can be used to
access to pictograms that you can use freely. create simple infographics.
Piktochart.com Powerpoint
Piktochart.com is a fully customisable website useful for Simple shapes can be dragged and manipulated in Pow-
the quick generation of infographics with a wide range of erpoint allowing you to create simple representations that
draggable features and sample graphics. This is a particular- can be exported in PDF format. By using the Shape Palette
ly good option for longer scrollable infographics. together with the Quick Style menu, it’s possible to create
graphics as shown below. You can also import your own pho-
tography or sourced pictograms. The clip art within software
such as Powerpoint tends to be very limited in potential use
and is generally not recommended.
1
SIMPLE
DIAGRAMS
MAY
BE
MADE
IN
POWERPOINT.
SHADOWS
AND
SHADING
CAN
2
BE
TURNED
OFF
FOR
A
MORE
3
CONTEMPORY
LOOK.
SOURCES OF INSPIRATION
& READING
On-line Sources/Inspiration Recommended Books
It’s important to be familiar with infographics that your Whilst there are many books available about
audience may be encountering during their day, such as in infographic design we would recommend
newspapers or on-line. Share exampes of good practice essential reading as follows.:
within your team by collecting them on Pinterest or a
similar site.
INFOGRAPHICS
Be careful about simply commissioning a piece of work Cairo, A. (2012). The Functional Art: An introduction to
that resembles an example seen on-line. Ensure that the information graphics and visualization. New Riders.
intended message and tone drive the key design deci- Lankow, J., Ritchie, J., & Crooks, R. (2012). Infographics:
sions. The power of visual storytelling. John Wiley & Sons.
Kosslyn, S. M. (2006). Graph design for the eye and mind. Oxford University Press. Yantis, S., & Gibson, B. S. (1994). Object continuity in apparent motion and
attention. Canadian Journal of Experimental Psychology/Revue canadienne de
Lankow, J., Ritchie, J., & Crooks, R. (2012). Infographics: The power of visual storytell- psychologie expérimentale, 48(2), 182
ing. John Wiley & Sons.
41
ACKNOWLEDGEMENTS