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Personalised risk communication for informed decision making about taking screening tests

  1. Adrian GK Edwards1,*,
  2. Gurudutt Naik1,
  3. Harry Ahmed1,
  4. Glyn J Elwyn1,
  5. Timothy Pickles2,
  6. Kerry Hood2,
  7. Rebecca Playle2

Editorial Group: Cochrane Consumers and Communication Group

Published Online: 28 FEB 2013

Assessed as up-to-date: 24 MAR 2012

DOI: 10.1002/14651858.CD001865.pub3

How to Cite

Edwards AGK, Naik G, Ahmed H, Elwyn GJ, Pickles T, Hood K, Playle R. Personalised risk communication for informed decision making about taking screening tests. Cochrane Database of Systematic Reviews 2013, Issue 2. Art. No.: CD001865. DOI: 10.1002/14651858.CD001865.pub3.

Author Information

  1. 1

    Cardiff University, Cochrane Institute of Primary Care and Public Health, School of Medicine, Cardiff, Wales, UK

  2. 2

    Cardiff University, South East Wales Trials Unit, Institute of Translation, Innovation, Methodology and Engagement, Cardiff, Wales, UK

*Adrian GK Edwards, Cochrane Institute of Primary Care and Public Health, School of Medicine, Cardiff University, 2nd Floor, Neuadd Meirionnydd, Heath Park, Cardiff, Wales, CF14 4YS, UK.

Publication History

  1. Publication Status: New search for studies and content updated (conclusions changed)
  2. Published Online: 28 FEB 2013



References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
  5. References to other published versions of this review
Bastani 1999 {published data only}
Bloom 2006 {published data only}
Bodurtha 2009 {published data only}
  • Bodurtha J, Quillin JM, Tracy KA, Borzelleca J, McClish D, Wilson DB, et al. Mammography screening after risk-tailored messages: the Women Improving Screening through Education and Risk assessment (WISER) randomized controlled trial. Journal of Women's Health 2009;18(1):41-7.
Bowen 2002 {published data only}
  • Bowen D, Burke W, Yasui Y, McTiernan A, McLeran D. Effects of risk counseling on interest in breast cancer genetic testing for lower risk women. Genetics in Medicine 2002;4(5):359-65.
Bowen 2006 {published data only}
  • Bowen DJ, Powers D, Greenlee H. Effects of breast cancer risk counseling for sexual minority women. Health Care for Women International 2006;27(1):59-74.
Bowen 2010 {published data only}
Campbell 1997 {published data only}
  • Campbell E, Peterkin D, Abbott R, Rogers J. Encouraging underscreened women to have cervical cancer screening: the effectiveness of a computer strategy. Preventive Medicine 1997;26(6):801-7.
Champion 1994 {published data only}
Champion 1995 {published data only}
Champion 2000a {published data only}
  • Champion VL, Ray DW, Heilman DK, Springston J. A tailored intervention for mammography among low-income African-American women. Journal of Psychosocial Oncology 2000;18(4):1-13.
Champion 2002 {published data only (unpublished sought but not used)}
  • Champion V, Skinner C, Menon U, Seshadri R, Anzalone D, Rawl S. Comparisons of tailored mammography interventions at two months postintervention. Annals of Behavioral Medicine 2002;24(3):211-8.
Champion 2003 {published data only}
  • Champion V, Maraj M, Hui S, Perkins AJ, Tierney W, Menon U, et al. Comparison of tailored interventions to increase mammography screening in nonadherent older women. Preventive Medicine 2003;36(2):150-8.
Champion 2007 {published data only}
  • Champion V, Skinner CS, Hui S, Monahan P, Juliar B, Daggy J, Menon U. The effect of telephone versus print tailoring for mammography adherence. Patient Education and Counseling 2007;65(3):416-23.
Curry 1993 {published data only}
  • Curry SJ, Taplin SH, Anderman C, Barlow WE, McBride C. A randomized trial of the impact of risk assessment and feedback on participation in mammography screening. Preventive Medicine 1993;22(3):350-60.
Geller 2006 {published data only}
Glanz 2007 {published data only}
Glazebrook 2006 {published data only}
  • Glazebrook C, Garrud P, Avery A, Coupland C, Williams H. Impact of multimedia intervention "Skinsafe" on patients' knowledge and protective behaviours. Preventive Medicine 2006;42:449-54.
Helmes 2006 {published data only}
Hutchison 1998 {published data only}
  • Hutchison B, Birch S, Evans C, Goldsmith L, Markham B, Frank J, Paterson M. Screening for hypercholesterolaemia in primary care: randomised controlled trial of postal questionnaire appraising risk of coronary heart disease. BMJ 1998;316(7139):1208-13.
Jibaja-Weiss 2003 {published data only}
  • Jibaja-Weiss M, Volk R, Kingery P, Smith Q, Holcomb J. Tailored messages for breast and cervical cancer screening of low-income and minority women using medical records data. Patient Education and Counseling 2003;50(2):123-32.
  • Jibaja-Weiss M, Volk R, Smith Q, Holcomb J, Kingery P. Differential effects of messages for breast and cervical cancer screening. Journal of Health Care for the Poor and Underserved 2005;16(1):42-52.
Kreuter 1996 {published data only}
Lee 1991 {published data only}
  • Lee CY. A randomized controlled trial to motivate work site fecal occult blood testing. Yonsei Medical Journal 1991;32(2):131-8.
Lerman 1995 {published data only}
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  • Lerman C, Schwartz MD, Miller SM, Daly M, Sands C, Rimer BK. A randomized trial of breast cancer risk counseling: interacting effects of counseling, educational level, and coping style. Health Psychology 1996;15(2):75-83.
Lerman 1997 {published data only}
  • Lerman C, Biesecker B, Bekendorf JL, Kerner J, Gomez-Caminero A, Hughes C, et al. Controlled trial of pretest education approaches to enhance informed decision-making for BRCA1 gene testing. Journal of the National Cancer Institute 1997;89(2):148-57.
Lipkus 2005 {published data only}
  • Lipkus I, Skinner C, Dement J, Pompeii L, Moser B, Samsa G, et al. Increasing colorectal cancer screening among individuals in the carpentry trade: test of risk communication interventions. Preventive Medicine 2005;40(5):489-501.
  • Lipkus I, Skinner C, Green L, Dement J, Samsa G, Ransohoff D. Modifying attributions of colorectal cancer risk. Cancer Epidemiology Biomarkers and Prevention 2004;13(4):560–6.
Lipkus 2007b {published data only}
  • Lipkus IM, Klien WM. Effects of communicating social comparison information on risk perceptions for colorectal cancer. Journal of Health Communication 2007;11(4):391-407.
Manne 2009 {published data only}
  • Manne S, Coups EJ, Markowitz A, Meropol NJ, Haller D, Jacobsen PB, et al. A randomized trial of generic versus tailored interventions to increase colorectal cancer screening among intermediate risk siblings. Annals of Behavioral Medicine 2009;37(2):207-17.
Manne 2010 {published data only}
  • Manne S, Jacobsen PB, Ming ME, Winkel G, Dessureault S, Lessin SR. Tailored versus generic interventions for skin cancer risk reduction for family members of melanoma patients. Health Psychology 2010;29(6):583-93.
Marcus 2005 {published data only}
  • Marcus AC, Mason M, Wolfe P, Rimer BK, Lipkus I, Strecher V, et al. The efficacy of tailored print materials in promoting colorectal cancer screening: results from a randomized trial involving callers to the National Cancer Institute's cancer information service. Journal of Health Communication 2005;10(1):83-104.
Myers 1999 {published data only}
Nagle 2008 {published data only}
Rawl 2008 {published data only}
  • Rawl SM, Champion VL, Scott LL, Zhou H, Monahan P, Ding Y, et al. A randomized trial of two print interventions to increase colon cancer screening among first degree relatives. Patient Education and Counseling 2008;71(2):215-27.
Rimer 2002 {published data only}
  • Rimer B, Halabi S, Skinner C, Lipkus I, Strigo T, Kaplan E, et al. Effects of a mammography decision-making intervention at 12 and 24 months. American Journal of Preventive Medicine 2002;22(4):247-57.
  • Rimer B, Halabi S, Sugg Skinner C, Kaplan E, Crawford Y, Samsa G, et al. The short-term impact of tailored mammography decision-making interventions. Patient Education and Counseling 2001;43(3):269-85.
Saywell 1999 {published data only}
  • Saywell RM Jr, Champion VL, Skinner CS, McQuillen D, Martin D, Maraj M. Cost-effectiveness comparison of five interventions to increase mammography screening. Preventive Medicine 1999;29(5):374-82.
Schwartz 1999 {published data only}
  • Schwartz M, Rimer B, Daly M, Sands C, Lerman C. A randomized trial of breast cancer risk counseling: the impact on self-reported mammography use. American Journal of Public Health 1999;89(6):924-6.
Sequist 2011 {published data only}
  • Sequist T, Zaslavsky A, Ayanian J, Colditz G. Electronic patient messages and personalized risk assessments to promote colorectal cancer screening: a randomised controlled trial. Journal of General Internal Medicine 2011;25:636-41.
Skinner 1994 {published data only (unpublished sought but not used)}
Skinner 2002 {published data only}
  • Skinner C, Schildkraut J, Berry D, Calingaert B, Marcom P, Sugarman J, et al. Pre-counseling education materials for BRCA testing: does tailoring make a difference?. Genetic Testing 2002;6(2):93-105.
Smith 2010 {published data only}
  • Smith SK, Trevena L, Simpson JM, Barratt A, Nutbeam D, McCaffery KJ. A decision aid to support informed choices about bowel cancer screening among adults with low education: randomised controlled trial. BMJ (Clinical research ed.) 2010;341:c5370.
Steckelberg 2011 {published data only}
  • Steckelberg A, Hulfenhaus C, Haastert B, Muhlhauser I. Effect of evidence based risk information on "informed choice" in colorectal cancer screening: randomised controlled trial. BMJ 2011;342:d3193.
Trevena 2008 {published data only}

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
  5. References to other published versions of this review
Alexander 1996 {published data only}
  • Alexander NE, Ross J, Sumner W, Nease RF Jr, Littenberg B. The effect of an educational intervention on the perceived risk of breast cancer. Journal of General Internal Medicine 1996;11(2):92-7.
Arimori 2006 {published data only}
  • Arimori N. Randomized controlled trial of decision aids for women considering prenatal testing: the effect of the Ottawa Personal Decision Guide on decisional conflict. Japan Journal of Nursing Science 2006;3:119-30.
Champion 2000b {published data only}
  • Champion V, Skinner C, Foster J. The effects of standard care counseling or telephone/in-person counseling on beliefs, knowledge, and behavior related to mammography screening. Oncology Nursing Forum 2000;27(10):1565-71.
Champion 2006b {published data only}
  • Champion VL, Springston JK, Zollinger TW, Saywell Jr RM, Monahan PO, Zhao Q, et al. Comparison of three interventions to increase Mammography screening in low income African American women. Cancer Detection and Prevention 2006;30:535-44.
Chan 2011 {published data only}
  • Chan ECY, McFall SL, Byrd TL, Mullen PD, Volk RJ, Ureda J, et al. A community-based intervention to promote informed decision making for prostate cancer screening among Hispanic American men changed knowledge and role preferences: a cluster RCT. Patient Education and Counseling 2011;84:e44-51.
Costanza 2007 {published data only}
  • Costanza ME, Luckmann R, Stoddard AM, White M, Stark JR, Avrunin JS, et al. Using tailored telephone counseling to accelerate the adoption of colorectal cancer screening. Cancer Detection and Prevention 2007;31:191-8.
Dignan 1996 {published data only}
  • Dignan M, Michielutte R, Blinson K, Wells HB, Case LD, Sharp P, et al. Effectiveness of health education to increase screening for cervical cancer among eastern band Cherokee Indian women in North Carolina. Journal of the National Cancer Institute 1996;88(22):1670-6.
Engelstad 2005 {published data only}
  • Engelstad L, Stewart S, Otero-Sabogal R, Leung M, Davis P, Pasick R. The effectiveness of a community outreach intervention to improve follow-up among underserved women at highest risk for cervical cancer. Preventive Medicine 2005;41(3):741-8.
Gagnon 1996 {published data only}
Giles 2001 {published data only}
Jerant 2007 {published data only}
  • Jerant A, Kravitz RL, Rooney M, Amerson S, Kreuter M, Franks P. Effects of a tailored interactive multimedia computer program on determinants of colorectal cancer screening: a randomized controlled pilot study in physician offices. Patient Education and Counseling 2007;66:67-74.
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Kreuter 2005 {published data only}
  • Kreuter M, Sugg-Skinner C, Holt C, Clark E, Haire-Joshu D, Fu Q, et al. Cultural tailoring for mammography and fruit and vegetable intake among low-income African-American women in urban public health centers. Preventive Medicine 2005;41(1):53-62.
Leigh 1991 {published data only}
  • Leigh J, Harrison J. Reduction of ischaemic heart disease risk factors following direct probabilistic risk communication in the workplace. Journal of Occupational Health & Safety 1991;7:467-72.
Lipkus 2000 {published data only}
Miller 2005 {published data only}
  • Miller S, Fleisher L, Roussi P, Buzaglo J, Schnoll R, Slater E, et al. Facilitating informed decision making about breast cancer risk and genetic counseling among women calling the NCI's Cancer Information Service. Journal of Health Communication 2005;10(Suppl 1):119-36.
Misra 2011 {published data only}
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Myers 2007 {published data only}
Ockhuysen-Vermey 2008 {published data only}
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Pye 1988 {published data only}
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Rakowski 1998 {published data only}
  • Rakowski W, Ehrich B, Goldstein MG, Rimer BK, Pearlman DN, Clark MA, et al. Increasing mammography among women aged 40-74 by use of a stage-matched, tailored intervention. Preventive Medicine 1998;27(5 pt 1):748-56.
Rhodes 2001 {published data only}
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Rimer 1999 {published data only}
  • Rimer BK, Conaway M, Lyna P, Glassman B, Yarnall KSH, Lipkus I, et al. The impact of tailored interventions on a community health center population. Patient Education and Counseling 1999;37(2):125-40.
Russell 2010 {published data only}
  • Russell KM, Champion VL, Monahan PO, Millon-Underwood S, Zhao Q, Spacey N, et al. Randomized trial of a lay health adviser and computer intervention to increase mammography screening in African American women. Cancer Epidemiology Biomarkers and Prevention 2010;19:201-10.
Schroy 2008 {published data only}
  • Schroy PC, Glick JT, Wilson S, Robinson PA, Heeran TC. An effective educational strategy for improving knowledge, risk perception and risk communication among colorectal adenoma patients. Journal of Clinical Gastroenterology 2008;42:708-14.
Vernon 2011 {published data only}
  • Vernon SW, Bartholomew LK, McQueen A, Bettencourt JL, Greisinger A, Coan SP, et al. A randomized controlled trial of a tailored interactive computer-delivered intervention to promote colorectal cancer screening: sometimes more is just the same. Annals of Behavioral Medicine 2011;41(3):284-99.
Walker 2008 {published data only}
  • Walker EA, Schechter CB, Caban A, Basch CE. Telephone intervention to promote diabetic retinopathy screening among the urban poor. American Journal of Preventative Medicine 2008;34(3):185-91.
Walsh 2010 {published data only}
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Weber 1997 {published data only}

References to ongoing studies

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
  5. References to other published versions of this review
Glenn 2011 {published data only}
  • Glenn BA, Herrmann AK, Crespi CM, Mojica CM, Chang LC, Maxwell AE, et al. Changes in risk perceptions in relation to self-reported colorectal cancer screening among first-degree relatives of colorectal cancer cases enrolled in a randomized trial. Health Psychology 2011;30(4):481-91.
Lowery 2012 {published data only}
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  4. Additional references
  5. References to other published versions of this review
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References to other published versions of this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
  5. References to other published versions of this review
Edwards 1999b
  • Edwards A, Hood K, Matthews E, Russell I, Wilkinson C. Personalised risk communication in health screening programs. Cochrane Database of Systematic Reviews 1999, Issue 4.
Edwards 2003b
Edwards 2003c
  • Edwards A, Unigwe S, Elwyn G, Hood K. Personalised risk communication for informed decision making about entering screening programs. Cochrane Database of Systematic Reviews 2003, Issue 1. [DOI: 10.1002/14651858.CD001865]
Edwards 2006