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Updated: Jul 13, 2026

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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Testing temporal frames of colorectal cancer risks: evidence from randomized online experiments.
Sandro T Stoffel1,2,3, Ana Hvalica Coldwell2, Christian von Wagner2
1European Commission, Joint Research Centre (JRC), Ispra, Italy.
Psychology, Health & Medicine
|May 31, 2022
Summary
Presenting colorectal cancer (CRC) risk daily, not yearly or hourly, increased information seeking but decreased comprehension. Temporal framing did not impact perceived CRC risk or prevention intentions.
Area of Science:
- Health Psychology
- Behavioral Science
- Cancer Prevention
Background:
- Low perceived risk of disease is linked to reduced engagement in preventive behaviors.
- Temporal framing, or presenting information within narrower time frames, may increase perceived risk and behavioral intentions.
- Colorectal cancer (CRC) screening is crucial for early detection and prevention.
Purpose of the Study:
- To investigate how temporal framing of risk information influences risk perception and preventive behaviors for colorectal cancer (CRC).
- To examine the impact of framing CRC incidence as yearly, daily, or hourly on information-seeking and comprehension.
Main Methods:
- Two online experiments were conducted with 902 adults aged 45-54 from an English online panel.
- Study 1 compared yearly and daily frames for CRC mortality vs. incidence.
- Study 2 framed CRC incidence as yearly, daily, or hourly, measuring risk perception, behavioral intentions, and information engagement.
Main Results:
- Study 1 found no significant difference in intentions based on framing risk as developing vs. dying from CRC.
- Study 2 showed that framing CRC incidence as 'daily' increased information-seeking behavior compared to 'yearly' or 'hourly' frames (57.4% vs. 45.9%/45.6%).
- However, the 'daily' framing group had lower comprehension scores (69.9%) compared to 'yearly' (78.2%) and 'hourly' (85.0%) frames.
Conclusions:
- Temporal framing of CRC risk information did not alter perceived risk or intentions for preventive behaviors.
- Framing risk information on a daily basis may increase engagement with health information but can negatively impact comprehension.
- Future interventions should consider the trade-offs between engagement and understanding when using temporal framing for health risks.
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