Evidence map›Paper›PMID 27768135›Full record

ArticleOncology nursing forum2016

Message Framing and Physical Activity Promotion in Colorectal Cancer Survivors.

Rachel Hirschey, Isaac Lipkus, Lee Jones, Christopher Mantyh, Richard Sloane, Wendy Demark-Wahnefried

Open access · bronzeAbstract read
In one paragraph

Article in Oncology nursing forum, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 26% 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, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Effectiveness of message framing on pulmonary rehabilitation behavior for lung cancer surgery patients: Randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
  4. Getting Real About Colorectal Cancer Education (GRACCE): Pilot Evaluation of a Community-Led Education Program.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
  5. Review
  6. Review
  7. Article
  8. Get the message? A scoping review of physical activity messaging.The international journal of behavioral nutrition and physical activity · 2020
    Article
  9. Article
  10. Article
  11. 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 at 3 institutions in 1 country.

Rachel HirscheyDuke University.
Isaac LipkusDuke University.
Lee JonesMemorial Sloan Kettering Cancer Center.
Christopher MantyhDuke University.
Richard SloaneDuke University.
Wendy Demark-WahnefriedUniversity of Alabama in Birmingham.
Duke University · USMemorial Sloan Kettering Cancer Center · USUniversity of Alabama at Birmingham · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Using Message Framing to Promote Physical Activity in Colorectal Cancer SurvivorsR21CA125458 · NCI · DUKE UNIVERSITY · PI JONES, LEE W · 2008 to 2009
$421k
NCI NIH HHS P30 CA008748NCI NIH HHS R21 CA125458
6 · The paper itself

Abstract

PURPOSE/

objectivesTo test effects of gain-framed versus loss-framed mailed brochures on increasing physical activity (PA) among colorectal cancer (CRC) survivors.
.

designRandomized trial with repeated measures at baseline, 1 month, and 12 months postintervention.
.

settingMail recruitment from tumor registries.
. SAMPLE: 148 inactive CRC survivors who had completed primary therapy. 
.

methodsPA and constructs from the Theory of Planned Behavior (TPB) were assessed at baseline, 1 month, and 12 months. Participants were randomized to receive pamphlets describing PA benefits (gain framed) or disadvantages of not being physically active (loss framed). Baseline characteristics were compared using descriptive statistics. Repeated measures linear models were used to test PA changes.
. MAIN RESEARCH VARIABLES: Minutes of PA and TPB constructs.
.

findingsSignificant PA increases were observed in both study arms. Results did not differ by message frame. At one month, about 25% of previously inactive participants increased activity to national recommendations. Those who increased PA compared to those who did not had higher baseline scores on subjective norms, perceived behavioral control, and PA intentions. 
.

conclusionsIndependent of message framing, mailed brochures are highly effective in producing within-subject short- and long-term increases in PA.
. IMPLICATIONS FOR NURSING: CRC survivors may increase short- and long-term levels of PA by receiving inexpensive print brochures.

Indexed as

Attitude to HealthPamphletsAdultAgedAged, 80 and overColorectal NeoplasmsExerciseFemaleFollow-Up StudiesHealth PromotionHumansMaleMiddle AgedSurvivorsmessage framingphysical activityTheory of Planned Behavior

Identifiers

PMID27768135
PMCPMC5500901
OpenAlexW2520515383

What OpenQuestion holds

Textmetadata
LicenceTDM
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.