A randomised controlled trial of the effect of providing online risk information and lifestyle advice for the most common preventable cancers

BackgroundPrevention offers an effective public health strategy for cancer control. One approach that could be incorporated within general practice is the provision of personalised risk information. Few trial data are available concerning the impact of cancer risk information on behaviour.AimTo assess the short-term effects on computed cancer risk and self-reported health-related behaviours of providing personalised cancer risk information.MethodA total of 1018 participants, recruited through the online platform Prolific, were randomised to either a control group receiving cancer-specific lifestyle advice alone or one of three intervention groups receiving the same lifestyle advice alongside their estimated 10-year risk of developing one of the five most common preventable cancers. Cancer risk was calculated from self-reported behavioural risk factors and presented in one of three formats: bar-chart, pictograph, or qualitative scale. The primary outcome was change from baseline in computed risk relative to an individual with a recommended lifestyle (RRI) at 3 months. Secondary outcomes included: self-reported health-related behaviours, accuracy of risk perception, risk conviction, anxiety, worry, intention to change behaviour, self-efficacy, and response-efficacy.ResultsAt immediate follow-up, accuracy of risk perception (P<0.001), risk conviction (P <0.001), and response-efficacy (P = 0.04) increased in all intervention groups. After 3 months there were no between-group differences in change in RRI (P = 0.68) or any of the secondary outcomes.ConclusionThis study has shown that a risk communication intervention can increase short-term risk accuracy and response efficacy and for the first time that risk conviction can be manipulated through risk communication. However, these effects were not sustained over time or associated with behaviour change.

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Short-term patient reported health-related quality of life (HRQL) outcomes after robot-assisted radical cystectomy (RARC)

BJU International ◽

10.1111/bju.12162 ◽

2013 ◽

Vol 113 (2) ◽

pp. 260-265 ◽

Cited By ~ 13

Author(s):

Michael A. Poch ◽

Andrew P. Stegemann ◽

Shabnam Rehman ◽

Mohamed A. Sharif ◽

Abid Hussain ◽

...

Keyword(s):

Quality Of Life ◽

Radical Cystectomy ◽

Health Related Quality ◽

Robot Assisted ◽

Short Term ◽

Patient Reported ◽

Related Quality ◽

Health Related ◽

Reported Health

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Incorporating cancer risk information into general practice: a qualitative study using focus groups with health professionals

British Journal of General Practice ◽

10.3399/bjgp17x689401 ◽

2017 ◽

Vol 67 (656) ◽

pp. e218-e226 ◽

Cited By ~ 8

Author(s):

Juliet A Usher-Smith ◽

Barbora Silarova ◽

Alison Ward ◽

Jane Youell ◽

Kenneth R Muir ◽

...

Keyword(s):

General Practice ◽

Qualitative Study ◽

Cancer Risk ◽

Focus Groups ◽

Behaviour Change ◽

Health Professionals ◽

Lifestyle Factors ◽

Risk Information ◽

Lifestyle Advice ◽

Risk Of Cancer

BackgroundIt is estimated that approximately 40% of all cases of cancer are attributable to lifestyle factors. Providing people with personalised information about their future risk of cancer may help promote behaviour change.AimTo explore the views of health professionals on incorporating personalised cancer risk information, based on lifestyle factors, into general practice.Design and settingQualitative study using data from six focus groups with a total of 24 general practice health professionals from the NHS Nene Clinical Commissioning Group in England.MethodThe focus groups were guided by a schedule covering current provision of lifestyle advice relating to cancer and views on incorporating personalised cancer risk information. Data were audiotaped, transcribed verbatim, and then analysed using thematic analysis.ResultsProviding lifestyle advice was viewed as a core activity within general practice but the influence of lifestyle on cancer risk was rarely discussed. The word ‘cancer’ was seen as a potentially powerful motivator for lifestyle change but the fact that it could generate health anxiety was also recognised. Most focus group participants felt that a numerical risk estimate was more likely to influence behaviour than generic advice. All felt that general practice should provide this information, but there was a clear need for additional resources for it to be offered widely.ConclusionStudy participants were in support of providing personalised cancer risk information in general practice. The findings highlight a number of potential benefits and challenges that will inform the future development of interventions in general practice to promote behaviour change for cancer prevention.

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A Study on Risk Perception, Risk Information Acceptance, Safety Attitude, and Safety Actions of Consumers According to the Types of Exposure to Risk Communication - Based on the Application of the Consumers’ Risk Information Acceptance Models -

Consumer Policy and Education Review ◽

10.15790/cope.2019.15.2.049 ◽

2019 ◽

Vol 15 (2) ◽

pp. 49-70 ◽

Cited By ~ 2

Author(s):

Eugene Song ◽

Keyword(s):

Risk Perception ◽

Risk Communication ◽

Risk Information ◽

Safety Attitude ◽

Information Acceptance

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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 ◽

10.1016/j.pec.2019.08.010 ◽

2020 ◽

Vol 103 (1) ◽

pp. 83-95

Author(s):

Max Bayne ◽

Madi Fairey ◽

Barbora Silarova ◽

Simon J. Griffin ◽

Stephen J. Sharp ◽

...

Keyword(s):

Systematic Review ◽

Risk Perception ◽

Cancer Risk ◽

Meta Analysis ◽

Risk Information ◽

Psychological Responses

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A comparative analysis on risk communication between international and Chinese literature from the perspective of knowledge domain visualization

Environmental Health and Preventive Medicine ◽

10.1186/s12199-021-00981-x ◽

2021 ◽

Vol 26 (1) ◽

Author(s):

Huiling Dong ◽

Qunhong Wu ◽

Yue Pang ◽

Bingyi Wu

Keyword(s):

Risk Perception ◽

Network Analysis ◽

Risk Communication ◽

Risk Information ◽

World Health ◽

Communication Research ◽

Knowledge Domain ◽

Cooperation Network ◽

Chinese Scholars ◽

Research Hotspots

Abstract Background The outbreak of coronavirus disease (COVID-19) severely damaged and endangered people’s lives at the end of 2019. Risk communication plays an important role in the response to it successfully, which has been appreciated by the World Health Organization. Therefore, a comprehensive analysis of risk communication research is necessary, which can understand current research hotspots and reveal new trends. Methods In this study, we collected 1134 international articles from the Web of Science database and 3983 Chinese articles from the China National Knowledge Infrastructure database. Bibliometric and mapping knowledge domain analysis methods were used for temporal distribution analysis, cooperation network analysis, co-word network analysis, and burst detection analysis. Results The first article in this field was published by western scholars earlier, while the first Chinese article in 2002. Research institutions mainly come from universities. The USA plays a key role in this field. Chinese scholars had a closer cooperation network, but there was less cooperation among domestic institutions. Risk perception, trust, risk management, and risk information had always been the research hotspots in this academic. Trust, sentiment research, and public risk events were essential directions for the future. There are 25 burst words for international articles, while 11 burst words for Chinese articles from 2000 to 2020. Conclusions In summary, both domestic and international researchers are concerned about risk communication, risk perception, trust, and risk information. International research on risk communication is systematic and comprehensive relatively. However, Chinese scholars take severe acute respiratory syndrome as the research background and reviewing foreign knowledge as the research starting point. With the purpose of practical and applied research based on a public emergency, the risk communication research lacks continuity in Chinese academy in the past years.

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A Comparative Analysis on Risk Communication between International and Chinese Literature from the Perspective of Knowledge Domains Visualization

10.21203/rs.3.rs-378880/v1 ◽

2021 ◽

Author(s):

Huiling Dong ◽

Qunhong Wu ◽

Yue Pang ◽

Bingyi Wu

Keyword(s):

Risk Perception ◽

Risk Communication ◽

Information Dissemination ◽

Chinese Literature ◽

The United States ◽

Risk Information ◽

Communication Research ◽

Starting Point ◽

Cooperation Network ◽

Chinese Scholars

Abstract Background At the end of 2019, the outbreak of coronavirus disease (COVID-19) severely damaged and endangered people’s lives. Risk communication plays an important role in the response to COVID-19 successfully. Therefore, a comprehensive analysis of risk communication research is necessary, which can understand current research hotspots and reveal new trends.Methods In this study, international articles come from Web of science database (3983), Chinese articles come from the China National Knowledge Infrastructure database (1134), Bibliometric and mapping knowledge domain analysis were used for cooperation network, co-word co-occurrence network and burst detection analysis.Results The first article in this field was published by western scholars earlier, while the first Chinese article in 2002. Research institutions mainly come from universities. The United States play a key role in this field. Chinese scholars had a closer cooperation network, but there was less cooperation among domestic institutions. Risk perception, public trust, risk management, and risk information dissemination had always been the research hot-spots in this academic direction. Trust, sentiment research, and public risk events were essential directions for future. There are 25 burst words for international articles, while 11 burst words for Chinese articles from 2000–2020.Conclusions In summary, both domestic and international researchers are concerned about risk communication, risk perception, trust, and risk information. International scholars begin to take cares with ecological and technological risks research, radiating many areas of social risk. Compared with international research on risk communication more systematic and comprehensive, Chinese scholars takes SARS as the research background and reviewing foreign knowledge as the research starting point. With purpose of practical and applied research based on a public emergency, the risk-communication research lacks continuity in Chinese academy in the past years.

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