Evidence map›Paper›PMID 25729457›Full record

ArticleTranslational behavioral medicine2015

Physician use of persuasion and colorectal cancer screening.

Jennifer Elston Lafata, Tracy Wunderlich, Susan A Flocke, Nancy Oja-Tebbe, Karen E Dyer, Laura A Siminoff

Abstract read
In one paragraph

Article in Translational behavioral medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

6 authors.

Jennifer Elston LafataHenry Ford Health System, MI, USA, Detroit, MI USA ; Virginia Commonwealth University, Richmond, VA USA.
Tracy WunderlichHenry Ford Health System, MI, USA, Detroit, MI USA ; Oakland University, Detroit, MI USA.
Susan A FlockeCase Western Reserve University, Cleveland, OH USA.
Nancy Oja-TebbeHenry Ford Health System, MI, USA, Detroit, MI USA.
Karen E DyerVirginia Commonwealth University, Richmond, VA USA.
Laura A SiminoffVirginia Commonwealth University, Richmond, VA USA.

Funding

Training Program in Behavioral and Health Services Cancer Control ResearchR25CA093423 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI BROWN, RICHARD FREDERICK · 2002 to 2015
$2.9M
PHYSICIAN RECOMMENDATION AND COLORECTAL CANCER SCREENINGR01CA112379 · NCI · HENRY FORD HEALTH SYSTEM · PI ELSTON LAFATA, JENNIFER M · 2006 to 2009
$1.7M
NCI NIH HHS R01 CA112379NCI NIH HHS R25 CA093423
6 · The paper itself

Abstract

The impact of patient-physician communication on subsequent patient behavior has rarely been evaluated in the context of colorectal cancer (CRC) screening discussions. We describe physicians' use of persuasive techniques when recommending CRC screening and evaluate its association with patients' subsequent adherence to screening. Audio recordings of N = 414 periodic health examinations were joined with screening use data from electronic medical records and pre-/post-visit patient surveys. The association between persuasion and screening was assessed using generalized estimating equations. According to observer ratings, primary care physicians frequently use persuasive techniques (63 %) when recommending CRC screening, most commonly argument or refutation. However, physician persuasion was not associated with subsequent screening adherence. Physician use of persuasion may be a common vehicle for information provision during CRC screening discussions; however, our results do not support the sole reliance on persuasive techniques if the goal is to improve adherence to recommended screening.

Indexed as

Colorectal cancerPatient–physician communicationPersuasionScreening

Identifiers

PMID25729457
PMCPMC4332902

What OpenQuestion holds

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Registered trials

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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.