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Enhancing Informed Choice to Undergo Health Screening: A Systematic Review

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Abstract:

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.

Keywords: HEALTH SCREENING; INFORMED CHOICE; PRESCREENING INTERVENTIONS; RANDOMIZED CONTROL TRIALS; SYSTEMATIC REVIEW

Document Type: Research Article

DOI: http://dx.doi.org/10.5993/AJHB.37.3.8

Affiliations: 1: Associate Investigator, Social and Behavioral Research Branch, National Human Genome Research Institute/NIH, Bethesda, MD;, Email: barbarab@mail.nih.gov 2: Professor of Oncology, Leader, Cancer Control Program, Population Sciences, Lombardi Cancer Center, Georgetown University, Washington DC 3: Professor of Health Psychology, Psychology Department (at Guy's), Health Psychology Section, King's College London, England, United Kingdom

Publication date: May 1, 2013

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.
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