Evidence map›Paper›PMID 39739614›Full record

Trial reportAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2025

Effectiveness of behavior change techniques to address barriers to follow-up colonoscopy: results from an online survey and randomized factorial experiment.

Robert S Kerrison, Natalie Gil, Sandro Stoffel, Yasemin Hirst, Katriina L Whitaker, Colin Rees, Stephen Duffy, Christian von Wagner

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Robert S KerrisonSchool of Health Sciences, University of Surrey, Surrey, United Kingdom.ORCID 0000-0002-8900-749X
Natalie GilSchool of Health Sciences, University of Surrey, Surrey, United Kingdom.ORCID 0000-0003-3137-2870
Sandro StoffelInstitute of Pharmaceutical Medicine, University of Basel, Basel, Switzerland.ORCID 0000-0002-0124-0941
Yasemin HirstDepartment of Behavioural Science and Health, University College London, London, United Kingdom.ORCID 0000-0002-0167-9428
Katriina L WhitakerSchool of Health Sciences, University of Surrey, Surrey, United Kingdom.ORCID 0000-0002-0947-1840
Colin ReesFaculty of Medical Sciences, Population Health Science Institute, Newcastle University, Newcastle, United Kingdom.ORCID 0000-0003-3050-8473
Stephen DuffyWolfson Institute of Population Health, Queen Mary University London, London, United Kingdom.ORCID 0000-0003-4901-7922
Christian von WagnerDepartment of Behavioural Science and Health, University College London, London, United Kingdom.ORCID 0000-0002-7971-0691

Funding

Cancer Research UK Population Research Fellowship
6 · The paper itself

Abstract

backgroundNonattendance at colonoscopy is associated with reduced colorectal cancer (CRC) survival. PURPOSE: The aim of this research was to quantify barriers to colonoscopy and test the effectiveness of behavior change techniques (BCTs) to address them.

methodsTwo studies were conducted. In the first study, participants were asked to imagine their next CRC screening result was abnormal, and were presented with the standard abnormal result letter used in the English CRC Screening Programme. Participants then completed a short survey. Multivariate regression tested associations between perceived barriers and intentions. In the second study, participants were randomly presented with a modified version of the abnormal results letter, which incorporated one or more BCTs, designed to target barriers identified in study 1, using a 28 factorial design. Participants then completed the same survey used in study 1. Multivariate regression tested the effectiveness of the BCTs to modify target barriers and intentions.

resultsIn study 1, 5 items were associated with intentions, namely "Lack of understanding that CRC can be asymptomatic," "Perceived importance of screening," "Transport/travel," "Shared decision making and family influenced participation," and "Fear of pain and discomfort" (all P's < .05). In study 2, the inclusion of a social support message, targeting "shared decision-making and family influenced participation," facilitated independent decision making and increased intentions (both P's < .05). There was no evidence to support the remaining 7 BCTs to modify barriers or intentions (all P's < .05).

conclusionsInclusion of a social support message facilitated independent decision-making and improved intentions.

Indexed as

Behavior TherapyColonoscopyColorectal NeoplasmsHealth BehaviorHealth Knowledge, Attitudes, PracticePatient Acceptance of Health CareAdultAgedEarly Detection of CancerFemaleHumansIntentionMaleMiddle AgedSurveys and Questionnairesbarriers and facilitatorscolonoscopycolorectal cancer screeningonline experimentonline surveypsycho-oncology

Identifiers

PMID39739614
PMCPMC11761676

What OpenQuestion holds

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LicenceCC BY
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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.