Evidence map›Paper›PMID 31025444›Full record

ReviewHealth expectations : an international journal of public participation in health care and health policy2019

How narratives influence colorectal cancer screening decision making and uptake: A realist review.

Anke Judith Woudstra, Jeanine Suurmond

Abstract readReview
In one paragraph

Review in Health expectations : an international journal of public participation in health care and health policy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

  1. Looming Vulnerability and Smoking Cessation Attempts.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
    Trial
  2. Article
  3. Article
  4. Leveraging Patient Education to Amplify Colorectal Cancer Screening in the United States: Strategies and Implications.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Testing the effects on information use by older versus younger women of modality and narration style in a hospital report card.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
  11. Article
  12. Article
  13. Information Needs of People With Limited Health Literacy Regarding a New "Opt-Out" Organ Donation System: A Qualitative Study in the Netherlands.Transplant international : official journal of the European Society for Organ Transplantation · 2022
    Article
  14. Article
  15. How narratives influence colorectal cancer screening decision making and uptake: A realist review.Health expectations : an international journal of public participation in health care and health policy · 2019
    Review
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

2 authors.

Anke Judith WoudstraDepartment of Public Health, Amsterdam Public Health Research Institute, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0001-6685-6168
Jeanine SuurmondDepartment of Public Health, Amsterdam Public Health Research Institute, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

Funding

European Integration Fund (EIF) 2013EIF036
6 · The paper itself

Abstract

backgroundAlthough narratives have been found to affect decisions about preventive behaviours, including participation in cancer screening, the underlying mechanisms of narratives remain unclear.

objectiveThe purpose of this study was to summarize and synthesize existing literature on narrative interventions in the context of colorectal cancer screening. Our main research question was as follows: How, when and for whom do narratives work context of decision making about colorectal cancer screening participation?

methodsWe undertook a realist review to collect evidence on narratives in the context of colorectal cancer screening. A search of the literature was performed in Embase, MEDLINE/PubMed, Cinahl and PsycINFO. We included empirical evaluations (qualitative or quantitative) of narrative interventions. In total, 15 studies met the inclusion criteria. A content-based taxonomy of patient narrative types in decision aids formed the basis for our initial programme theory. MAIN

resultWe identified four mechanisms: (a) process narratives that address perceived barriers towards screening lead to improved affective forecasting, (b) experience narratives that demonstrate the screening procedure lead to increased self-efficacy, (c) experience narratives that depict experiences from similar others lead to more engagement and (d) outcome narratives that focus on outcomes of colorectal cancer (CRC) screening decision decrease or increase fear of colorectal cancer. The evidence was limited on which narrative type may facilitate or bias informed decision making in colorectal cancer screening. DISCUSSION AND

conclusionThe findings indicate the importance of more detailed descriptions of narrative interventions in order to understand how mechanisms may facilitate or bias informed decision making in colorectal cancer screening.

Indexed as

Decision MakingEarly Detection of CancerNarrationColorectal NeoplasmsHumansMass ScreeningPatient Acceptance of Health Carecolorectal cancer screeningdecision makingNarrativesscreening uptakestorytelling

Identifiers

PMID31025444
PMCPMC6543268

What OpenQuestion holds

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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.