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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
Objective:
To assess the effectiveness of health screening interventions aimed at enhancing informed choice.
Methods:
Studies were selected if (1) they were randomized controlled trials conducted between January 1, 2000, and March 30, 2010, (2) participants in one arm underwent a prescreening intervention aimed at improving informed choice, and (3) informed choice was the primary outcome.
Results:
Eight studies that met the inclusion criteria involved screening for prostate, colorectal and breast cancer, and diabetes. Five of the 8 prescreening interventions led to greater informed choice.
Conclusions:
With researchers mindful of the limited number of studies, findings were encouraging, but conclusions regarding the most effective ways of facilitating informed choice for screening are at best tentative.
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