SynthesisAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2017
Can Communicating Personalised Disease Risk Promote Healthy Behaviour Change? A Systematic Review of Systematic Reviews.
Synthesis in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 91 papers, 8 of them syntheses that pooled 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.
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.
Who cites it
91 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Are There Any Effective Behavior Change Strategies for Communicating Genetic Risk in Obesity Prevention and Body Weight Reduction Interventions?Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026Pooled it
- Prevalence and correlates of perinatal depression.Social psychiatry and psychiatric epidemiology · 2023Pooled it
- How effective are digital interventions in increasing flu vaccination among pregnant women? A systematic review and meta-analysis.Journal of public health (Oxford, England) · 2022Pooled it
- Cardiovascular risk communication strategies in primary prevention. A systematic review with narrative synthesis.Journal of advanced nursing · 2022Pooled it
- Visualising health risks with medical imaging for changing recipients' health behaviours and risk factors: Systematic review with meta-analysis.PLoS medicine · 2022Pooled it
- Delivering Opportunistic Behavior Change Interventions: a Systematic Review of Systematic Reviews.Prevention science : the official journal of the Society for Prevention Research · 2020Pooled it
- Effect of interventions including provision of personalised cancer risk information on accuracy of risk perception and psychological responses: A systematic review and meta-analysis.Patient education and counseling · 2020Pooled it
- Do interventions containing risk messages increase risk appraisal and the subsequent vaccination intentions and uptake? - A systematic review and meta-analysis.British journal of health psychology · 2018Pooled it
- Trial
- Psychological impact of risk-stratified screening as part of the NHS Breast Screening Programme: multi-site non-randomised comparison of BC-Predict versus usual screening (NCT04359420).British journal of cancer · 2023Trial
- Cognitive and emotional reactions to pictorial-based risk communication on subclinical atherosclerosis: a qualitative study within the VIPVIZA trial.Scandinavian journal of primary health care · 2023Trial
- Randomised trial of population-based BRCA testing in Ashkenazi Jews: long-term secondary lifestyle behavioural outcomes.BJOG : an international journal of obstetrics and gynaecology · 2022Trial
- What is the effectiveness of a personalised video story after an online diabetes risk assessment? A Randomised Controlled Trial.PloS one · 2022Trial
- Trial
- A randomised controlled trial of the effect of providing online risk information and lifestyle advice for the most common preventable cancers: study protocol.BMC public health · 2018Trial
- Trial
- Shaping the future of early-onset colorectal cancer prevention.Nature reviews. Cancer · 2026Review
- Postpartum Body Weight and Cardiometabolic Biomarker Trajectories in Women With Gestational Diabetes: A Population-Based Matched Cohort Study.Diabetes, obesity & metabolism · 2026Article
- Prediction of individualised 6-month mortality risk in opioid use disorder.The British journal of psychiatry : the journal of mental science · 2026Article
- Black Parent's Perceptions of Discussing Cardiovascular Disease Risk with Primary Care Clinicians: a Qualitative Study.Journal of racial and ethnic health disparities · 2026Article
31 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundThe assessment and communication of disease risk that is personalised to the individual is widespread in healthcare contexts. Despite several systematic reviews of RCTs, it is unclear under what circumstances that personalised risk estimates promotes change in four key health-related behaviours: smoking, physical activity, diet and alcohol consumption. PURPOSE: The present research aims to systematically identify, evaluate and synthesise the findings of existing systematic reviews.
methodsThis systematic review of systematic reviews followed published guidance. A search of four databases and two-stage screening procedure with good reliability identified nine eligible systematic reviews.
resultsThe nine reviews each included between three and 15 primary studies, containing 36 unique studies. Methods of personalising risk feedback included imaging/visual feedback, genetic testing, and numerical estimation from risk algorithms. The reviews were generally high quality. For a broad range of methods of estimating and communicating risk, the reviews found no evidence that risk information had strong or consistent effects on health-related behaviours. The most promising effects came from interventions using visual or imaging techniques and with smoking cessation and dietary behaviour as outcomes, but with inconsistent results. Few interventions explicitly used theory, few targeted self-efficacy or response efficacy, and a limited range of Behaviour Change Techniques were used.
conclusionsPresenting risk information on its own, even when highly personalised, does not produce strong effects on health-related behaviours or changes which are sustained. Future research in this area should build on the existing knowledge base about increasing the effects of risk communication on behaviour.
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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.