Evidence map›Paper›PMID 27631750›Full record

Trial reportAmerican journal of public health2016

Harnessing the Question-Behavior Effect to Enhance Colorectal Cancer Screening in an mHealth Experiment.

Lea Hagoel, Efrat Neter, Nili Stein, Gad Rennert

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 4 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

20 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  13. Activation Versus Change as a Principle Underlying Intervention Strategies to Promote Health Behaviors.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2023
    Review
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  15. Translational Research in Cancer Screening: Long-Term Population-Action Bridges to Diffuse Adherence.International journal of environmental research and public health · 2021
    Article
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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

4 authors.

Lea HagoelLea Hagoel, Nili Stein, and Gad Rennert are with the Department of Community Medicine and Epidemiology, Carmel Medical Center and Faculty of Medicine, Technion, Haifa, Israel. Efrat Neter is with the Department of Behavioral Sciences, Ruppin Academic Center, Emeq Hefer, Israel.
Efrat NeterLea Hagoel, Nili Stein, and Gad Rennert are with the Department of Community Medicine and Epidemiology, Carmel Medical Center and Faculty of Medicine, Technion, Haifa, Israel. Efrat Neter is with the Department of Behavioral Sciences, Ruppin Academic Center, Emeq Hefer, Israel.
Nili SteinLea Hagoel, Nili Stein, and Gad Rennert are with the Department of Community Medicine and Epidemiology, Carmel Medical Center and Faculty of Medicine, Technion, Haifa, Israel. Efrat Neter is with the Department of Behavioral Sciences, Ruppin Academic Center, Emeq Hefer, Israel.
Gad RennertLea Hagoel, Nili Stein, and Gad Rennert are with the Department of Community Medicine and Epidemiology, Carmel Medical Center and Faculty of Medicine, Technion, Haifa, Israel. Efrat Neter is with the Department of Behavioral Sciences, Ruppin Academic Center, Emeq Hefer, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess whether asking questions about a future behavior changes this behavior (i.e., the question-behavior effect) when applied to a population-level intervention to enhance colorectal cancer screening.

methodsIn 2013, text-message reminders were sent to a national sample of 50 000 Israeli women and men aged 50 to 74 years following a fecal occult blood test invitation. Participants were randomized into 4 intervention groups (2 interrogative reminders, with or without reference to social context; 2 noninterrogative reminders, with or without social context) and a no-intervention control group. The outcome was fecal occult blood test uptake (n = 48 091, following attrition).

resultsPerformance of fecal occult blood test was higher in the interrogative-reminder groups than in the other 3 groups (odds ratio = 1.11; 95% confidence interval = 1.05, 1.19); the effect size was small, varying in the different group comparisons from 0.03 to 0.06.

conclusionsThe question-behavior effect appears to be modestly effective in colorectal cancer screening, but the absolute number of potential screenees may translate into a clinically significant health promotion change.

Indexed as

Reminder SystemsText MessagingAgedColorectal NeoplasmsEarly Detection of CancerFemaleHealth PromotionHumansIsraelMaleMiddle AgedModels, PsychologicalOccult BloodOdds RatioSocioeconomic FactorsTelemedicine

Identifiers

PMID27631750
PMCPMC5055767

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.