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Related Experiment Videos

Personalised risk communication for informed decision making about entering screening programs.

A Edwards1, S Unigwe, G Elwyn

  • 1Department of Primary Care, Swansea Clinical School, University of Wales Swansea, Singleton Park, Swansea, Wales, UK, SA2 8PP. Adriangkedwards@btinternet.com

The Cochrane Database of Systematic Reviews
|January 22, 2003
PubMed
Summary

Personalized risk communication increases screening test uptake, but evidence for improved informed decision-making is lacking. Simpler risk communication methods showed higher uptake rates than detailed numerical risk assessments.

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Area of Science:

  • Health communication
  • Decision science
  • Public health

Background:

  • Patient involvement in healthcare decisions is increasing.
  • Effective patient involvement requires clear communication of risks and benefits.
  • Informed decision-making is a key goal for screening programs.

Purpose of the Study:

  • To evaluate the impact of different personalized risk communication strategies on consumer screening decisions.
  • To assess whether personalized risk communication enhances informed decision-making.

Main Methods:

  • Systematic review of randomized controlled trials (RCTs) on personalized risk communication for screening decisions.
  • Searched multiple databases including Cochrane, MEDLINE, EMBASE, CancerLit, CINAHL, ClinPSYC, and Science Citation Index Expanded.

Related Experiment Videos

  • Included RCTs reporting cognitive, affective, or behavioral outcomes related to screening participation.

    • Main Results:

    • Personalized risk communication, in various formats, increased screening test uptake (OR 1.5).
    • Less detailed communication (e.g., listing risk factors) was associated with higher uptake than detailed numerical risk calculations.
    • Studies on mammography screening showed similar trends, with simpler communication yielding higher uptake.

    Conclusions:

    • Personalized risk communication effectively increases screening program uptake.
    • Current evidence does not confirm that increased uptake equates to informed consumer decision-making.
    • Further research is needed to assess the impact on other decision-making outcomes.