© 2004 BMJ Publishing Group Ltd. & Royal College of Nursing
Treatment
Review: personalised risk communication may improve uptake of screening tests more than general risk communication
Edwards A, Unigwe S, Elwyn G, et al. Personalised risk communication for informed decision making about entering screening programs. Cochrane Database Syst Rev 2003;(1):CD001865 (latest version 18 Nov 2002).
Q Do personalised risk communication (PRC) strategies about participation in health screening programmes increase screening uptake compared with general risk communication (GRC) strategies?
Key Words: mass screening • decision making • communication • patient participation
| The first 150 words of the full text of this article appear below. |
Data sources:
Cochrane Consumers and Communication Review Group specialised register (March 2001), Medline (1985–2001), EMBASE/Excerpta Medica (1985–2001), CancerLit (1985–2001), CINAHL (1985–2001), ClinPSYC (1989–2001), and Science Citation Index Expanded (March 2002); and hand searches of bibliographies of key publications, journals, and authors.
Study selection and assessment:
randomised controlled trials (RCTs) that included participants facing real life decisions about whether to be screened (an investigation done by a health professional); compared PRC with GRC; and assessed cognitive, affective, behavioural, health status, or economic outcomes. Exclusion criteria: studies of mass communication or military, school, or prison interventions. Quality of individual studies was assessed using the Jadad scale and a second method score.
Outcome:
uptake of screening test.
13 trials met the selection criteria. Studies addressed screening for breast cancer (10 trials), cervical cancer (1 trial), prostate cancer (1 trial), colorectal cancer (1 trial), and high cholesterol (2 trials). Overall quality of individual studies
Department of Health Sciences and the Hull York Medical School
University of York, York, UK
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