Evidence map›Paper›PMID 20739135›Full record

ReviewPatient education and counseling2010

Risky feelings: why a 6% risk of cancer does not always feel like 6%.

Brian J Zikmund-Fisher, Angela Fagerlin, Peter A Ubel

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Patient education and counseling, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03511690 (Testing an Intelligent Tutoring System Intervention to Enhance Genetic Risk Assessment in Underserved Blacks and Latinas at Risk of Hereditary Breast Cancer), which is not on this map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
10.8field-weighted citation impact, top 2% 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.

NCT03511690 nacompletednot on this mapstarted 2017, after this paper: background citation

Testing an Intelligent Tutoring System Intervention to Enhance Genetic Risk Assessment in Underserved Blacks and Latinas at Risk of Hereditary Breast Cancer

TypeinterventionalSponsorGeorgetown UniversityRan2017 to 2022Enrolled95ConditionsHereditary Breast and Ovarian CancerArmsBRCA-Gist
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 102 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Effect of Superstitious Beliefs and Risk Intuitions on Genetic Test Decisions.Medical decision making : an international journal of the Society for Medical Decision Making · 2022
    Article
  10. Article
  11. Article
  12. The Influence of Emotions on Treatment Decisions About Low-Risk Thyroid Cancer: A Qualitative Study.Thyroid : official journal of the American Thyroid Association · 2021
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
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  20. 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

3 authors at 1 institution in 1 country.

Brian J Zikmund-FisherDepartment of Health Behavior and Health Education, University of Michigan, Ann Arbor, MI 48109-2029, USA. bzikmund@umich.edu
Angela Fagerlin
Peter A Ubel
University of Michigan–Ann Arbor · US

Funding

Training / Career DevelopmentP50CA101451 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI STRECHER, VICTOR J · 2003 to 2012
$18.2M
IDENTIFY &REDUCE COGNITIVE BIASES OF DECISION AIDSR01CA087595 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI UBEL, PETER A · 2002 to 2011
$4.2M
NCI NIH HHS P50 CA101451NCI NIH HHS R01 CA087595NCI NIH HHS R01 CA87595
6 · The paper itself

Abstract

objectiveEmotion plays a strong role in the perception of risk information but is frequently underemphasized in the decision-making and communication literature. We sought to discuss and put into context several lines of research that have explored the links between emotion and risk perceptions.

methodsIn this article, we provide a focused, "state of the science" review of research revealing the ways that emotion, or affect, influences people's cancer-related decisions. We identify illustrative experimental research studies that demonstrate the role of affect in people's estimates of cancer risk, their decisions between different cancer treatments, their perceptions of the chance of cancer recurrence, and their reactions to different methods of presenting risk information.

resultsThese studies show that people have strong affective reactions to cancer risk information and that the way risk information is presented often determines the emotional gist people take away from such communications.

conclusionCancer researchers, educators and oncologists need to be aware that emotions are often more influential in decision making about cancer treatments and prevention behaviors than factual knowledge is. PRACTICE IMPLICATIONS: Anticipating and assessing affective reactions is an essential step in the evaluation and improvement of cancer risk communications.

Indexed as

AffectCommunicationDecision MakingRiskHealth Knowledge, Attitudes, PracticeHumansNeoplasmsRisk AssessmentRisk Reduction Behavior

Identifiers

PMID20739135
PMCPMC2993812
OpenAlexW2051310544

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.