Yes the vacuum advance works by controlling 'when' it activates the advance mechanism, but in doing so it most certainly does control the amount of timing advance added (within the limit of how much total your particular canister can add). The issue gets confused because it's not as easy as "x turns of the screw adds x degrees".
Your engine only produces so much vacuum, and it changes with load and throttle position/ rpm. The only way to truly know how much and when, is to
drive with a vacuum gauge hooked up so you can see it. (this is helpful for carb tuning as well).
Adjusting the diaphragm to start advancing sooner, will give more degrees of timing as vacuum increases. On the flip side, adjusting it for a later start will only add a few degrees before the engine reaches it's maximum vacuum. And, the vacuum advance unit is only capable of adding a certain amount of degrees, some more than others. And! Some aren't adjustable

In other words the mechanism doesn't just slam to full advance when the spring activates.
So let's say your engine makes 10" of vacuum at off-idle cruise. As you increase cruise speed let's pretend it makes a max of 20". Say you've set the advance to activate at 12" of vacuum...that's where it just begins to move the plate/add timing. It adds more timing as it is acted on by more vacuum. So you may pull in an extra 2 or 3 degrees at the lower speed, and up to an extra 10 or 15 at the higher speed. If you were to set it to start at, say, 18" of vacuum, it's only gonna add a couple of degrees because the engine stops pulling on it at the 20" max = it doesn't have the opportunity to pull in any more. Clear as mud, right?
So getcha a long piece of vacuum hose, put the gauge where you can safely watch it (I drop it through my vent window, some guys fasten it to the driver side windshield wiper) and go drive.
If you have a vacuum tester (mity-vac or similar), you can dial it in under the hood in the garage, because you'll know how the engine behaves vacuum-wise. If you don't have a mity-vac you'll have to make adjustments, then start the car and watch the timing with your timing light.
Okay sorry for the long-winded post!