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Enhancing informed choice to undergo health screening: a systematic review
Barbara Bowles Biesecker1, Marc D Schwartz, Theresa M Marteau
1Social and Behavioral Research Branch, National Human Genome Research Institute/NIH, Bethesda, MD, USA. barbarab@mail.nih.gov
American Journal of Health Behavior
|August 30, 2013
Summary
Health screening interventions can improve informed choice, with five of eight studies showing positive results. More research is needed to determine the most effective methods for facilitating informed decision-making in screening programs.
Area of Science:
- Health Services Research
- Preventive Medicine
- Decision Science
Background:
- Informed choice is crucial for effective health screening.
- Previous research has explored various interventions to enhance patient decision-making.
- A systematic review is needed to synthesize evidence on prescreening interventions.
Purpose of the Study:
- To evaluate the effectiveness of health screening interventions designed to improve informed choice.
- To identify which prescreening interventions are most successful in enhancing informed decision-making.
Main Methods:
- Systematic review of randomized controlled trials published between January 1, 2000, and March 30, 2010.
- Inclusion criteria required prescreening interventions aimed at improving informed choice as the primary outcome.
- Studies covered screening for prostate cancer, colorectal cancer, breast cancer, and diabetes.
Main Results:
- Eight studies met the inclusion criteria.
- Five of the eight prescreening interventions demonstrated a positive impact on informed choice.
- The interventions were applied to various cancer screenings and diabetes screening.
Conclusions:
- Prescreening interventions show promise in enhancing informed choice for health screenings.
- Findings are encouraging but tentative due to the limited number of studies.
- Further research is necessary to establish definitive conclusions on optimal methods for facilitating informed choice.
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