Evidence map›Paper›PMID 41945317›Full record

ArticleHealth literacy research and practice2026

A Thematic Analysis Exploring Bowel Cancer Screening Promotional Visuals in the United Kingdom and India.

Ioanna Yfantidou, Marek Palace, Christian von Wagner, Sandro Stoffel, Carlos Santos Barea, Lee Smith, Brandon May, Meghna Srivastava, Jazzine Samuel

Abstract read
In one paragraph

Article in Health literacy research and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Ioanna YfantidouLiverpool Business School.
Marek PalaceSchool of Psychology.
Christian von WagnerLiverpool John Moores University, Liverpool, Behavioural Science in Health, University College London, London, United Kingdom.
Sandro StoffelInstitute of Pharmaceutical Medicine (ECPM), and Health Economics Facility, Department of Public Health, University of Basel, Basel, Switzerland, and Department of Behavioural Science and Health, University of London, London, UK.
Carlos Santos BareaSchool of Arts and Design, Liverpool John Moores University, Liverpool.
Lee SmithCentre for Health, Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK and Department of Public Health, Faculty of Medicine, Biruni University, Istanbul, Turkey.
Brandon MaySchool of Psychology, Florida Institute of Technology, Florida, United States.
Meghna SrivastavaThe Centre for Human Brain Health, University of Birmingham, Birmingham, United Kingdom.
Jazzine SamuelBehavioural Science & Early Diagnosis of Cancer, University College London, London, United Kingdom.

Funding

Cancer Research UK EDDPMAMAY23/100035
6 · The paper itself

Abstract

objectiveThe purpose of this qualitative study is to explore and identify elements used in bowel cancer screening visuals that promote health literacy and participation in screening tests in the United Kingdom and India.

methodsA total of 17 participants from the United Kingdom and India took part in a thematic analysis study. Individuals were eligible for this study, if they were within the National Health Service bowel cancer screening target between ages 50 and 74 years. A total of 58 bowel cancer screening promotional images were presented to the participants, and they had to indicate whether they believed the image effectively encouraged participation in bowel cancer screening. Then, participants were invited for a remote interview to explore their verbal constructions of the bowel cancer screening images. The interview questions were designed to explore participants' preferences and aversions toward the visual elements used in promoting health literacy around bowel cancer screening. KEY

resultsThe findings highlight key visual features that resonate with the target audience and those that may hinder the effectiveness of screening messages. Encouraging elements include images of happy families, the portrayal of screening consequences, clear details about the screening process, and the inclusion of health care professionals. The study also underscores the importance of using both gain-framed and loss-framed messages. In contrast, discouraging elements, such as ambiguous images, such as pictures of toilets, and visuals evoking negative emotions, such as pictures showing internal organs, were identified as barriers to engagement. These visuals may confuse audiences or evoke feelings of disgust, which can deter individuals from participating in screening. The findings suggest that screening promotion materials should incorporate clear, informative visuals that directly relate to the screening process, such as test kits and health care professionals.

conclusionsThe study provides practical recommendations for designing effective, culturally relevant promotional materials that balance informational content with emotional appeal, improving the likelihood of increasing bowel cancer screening uptake.

Indexed as

Colorectal NeoplasmsEarly Detection of CancerHealth LiteracyHealth PromotionMass ScreeningAgedFemaleHumansIndiaMaleMiddle AgedQualitative ResearchUnited Kingdom

Identifiers

PMID41945317
PMCPMC13053049

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LicenceCC BY
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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.