Skip to main content
Kent Academic Repository

Effect of interventions including provision of personalised cancer risk information on accuracy of risk perception and psychological responses: A systematic review and meta-analysis

Bayne, Max, Fairey, Madi, Silarova, Barbora, Griffin, Simon J., Sharp, Stephen J., Klein, William M.P., Sutton, Stephen, Usher-Smith, Juliet A. (2019) 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, 103 (1). pp. 83-95. ISSN 0738-3991. (doi:10.1016/j.pec.2019.08.010) (KAR id:98102)

Abstract

Objective - To synthesize the literature on the effect of provision of personalised cancer risk information to individuals at population level risk on accuracy of risk perception and psychological responses.

Methods - A systematic review and random effects meta-analysis of articles published from 01/01/2000 to 01/07/2017.

Results - We included 23 studies. Immediately after provision of risk information 87% of individuals were able to recall the absolute risk estimate. Less than half believed that their risk, with up to 71% believing their risk to be higher than the estimate. Provision of risk information increased accuracy of perceived absolute risk immediately after risk information compared with no information (pooled RR 4.16 (95%CI 1.28-13.49), 3 studies). There was no significant effect on comparative risk accuracy (pooled RR 1.39 (0.72-2.69), 2 studies) and either no change or a reduction in cancer worry, anxiety and fear.

Conclusion - These findings highlight the complex cognitive processes involved in the conceptualisation of risk.

Practice Implications - Individuals who appear to understand and are able to recall risk information most likely do not believe it reflects their own risk.

Item Type: Article
DOI/Identification number: 10.1016/j.pec.2019.08.010
Uncontrolled keywords: Cancer risk; personalised risk provision; systematic review; intervention; risk perception; worry; anxiety.
Subjects: R Medicine > RA Public aspects of medicine
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Personal Social Services Research Unit
Funders: Cancer Research UK (https://ror.org/054225q67)
Depositing User: George Austin-Coskry
Date Deposited: 17 Nov 2022 11:33 UTC
Last Modified: 18 Nov 2022 11:35 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/98102 (The current URI for this page, for reference purposes)

University of Kent Author Information

  • Depositors only (login required):

Total unique views for this document in KAR since July 2020. For more details click on the image.