Evidence map›Paper›PMID 14687272›Full record

Trial reportJournal of general internal medicine2003

A randomized trial of three videos that differ in the framing of information about mammography in women 40 to 49 years old.

Carmen L Lewis, Michael P Pignone, Stacey L Sheridan, Stephen M Downs, Linda S Kinsinger

Open access · bronzeAbstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Journal of general internal medicine, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 8 pooled it
0.6field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 8 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024
    Pooled it
  4. Recommendations on screening for breast cancer in women aged 40-74 years who are not at increased risk for breast cancer.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2018
    Guideline
  5. Pooled it
  6. Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2017
    Pooled it
  7. Framing of health information messages.The Cochrane database of systematic reviews · 2011
    Pooled it
  8. A systematic review of information in decision aids.Health expectations : an international journal of public participation in health care and health policy · 2007
    Pooled it
  9. Trial
  10. What is lacking in current decision aids on cancer screening?CA: a cancer journal for clinicians · 2013
    Review
  11. Informed decision making before initiating screening mammography: does it occur and does it make a difference?Health expectations : an international journal of public participation in health care and health policy · 2008
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Carmen L LewisDivision of General Medicine and Clinical Epidemiology, The University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7110, USA. Carmen_Lewis@med.unc.edu
Michael P Pignone
Stacey L Sheridan
Stephen M Downs
Linda S Kinsinger
University of North Carolina at Chapel Hill · USIndiana University Health · US

Funding

PHS HHS 14001-14
6 · The paper itself

Abstract

objectiveTo assess the effect of providing structured information about the benefits and harms of mammography in differing frames on women's perceptions of screening.

designRandomized control trial.

settingGeneral internal medicine academic practice.

participantsOne hundred seventy-nine women aged 35 through 49.

interventionWomen received 1 of 3 5-minute videos about the benefits and harms of screening mammography in women aged 40 to 49. These videos differed only in the way the probabilities of potential outcomes were framed (positive, neutral, or negative). MEASUREMENTS AND MAIN

resultsWe measured the change in accurate responses to questions about potential benefits and harms of mammography, and the change in the proportion of participants who perceived that the benefits of mammography were more important than the harms. Before seeing the videos, women's knowledge about the benefits and harms of mammography was inaccurate (82% responded incorrectly to all 3 knowledge questions). After seeing the videos, the proportion that answered correctly increased by 52%, 43%, and 30% for the 3 knowledge questions, respectively, but there were no differences between video frames. At baseline, most women thought the benefits of mammography outweighed the harms (79% positive frame, 80% neutral frame, and 85% negative frame). After the videos, these proportions were similar among the 3 groups (84%, 81%, 83%, P =.93).

conclusionsWomen improved the accuracy of their responses to questions about the benefits and harms of mammography after seeing the videos, but this change was not affected by the framing of information. Women strongly perceived that the benefits of mammography outweighed the harms, and providing accurate information had no effect on these perceptions, regardless of how it was framed.

Indexed as

Health Knowledge, Attitudes, PracticeMammographyVideo RecordingAdultAttitude to HealthBreast NeoplasmsFemaleHealth PromotionHumansMiddle AgedPatient Education as Topic

Identifiers

PMID14687272
PMCPMC1494949
OpenAlexW1969802025

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.