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dc.contributor.authorMasson, Golnessa
dc.contributor.authorMills, Katie
dc.contributor.authorGriffin, Simon
dc.contributor.authorSharp, Stephen
dc.contributor.authorKlein, William MP
dc.contributor.authorSutton, Stephen
dc.contributor.authorUsher-Smith, Juliet
dc.date.accessioned2020-05-26T23:31:26Z
dc.date.available2020-05-26T23:31:26Z
dc.date.issued2020-09
dc.identifier.issn0091-7435
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/305791
dc.description.abstractFew trial data are available concerning the impact of personalised cancer risk information on behaviour. This study assessed the short-term effects of providing personalised cancer risk information on cancer risk beliefs and self-reported behaviour. We randomised 1018 participants, recruited through the online platform Prolific, to either a control group receiving cancer-specific lifestyle advice or one of three intervention groups receiving their computed 10-year risk of developing one of the five most common preventable cancers either as a bar chart, a pictograph or a qualitative scale alongside the same lifestyle advice. The primary outcome was change from baseline in computed risk relative to an individual with a recommended lifestyle (RRI)1 at three months. Secondary outcomes included: health-related behaviours, risk perception, anxiety, worry, intention to change behaviour, and a newly defined concept, risk conviction. After three months there were no between-group differences in change in RRI (p = 0.71). At immediate follow-up, accuracy of absolute risk perception (p < 0.001), absolute and comparative risk conviction (p < 0.001) and intention to increase fruit and vegetables (p = 0.026) and decrease processed meat (p = 0.033) were higher in all intervention groups relative to the control group. The increases in accuracy and conviction were only seen in individuals with high numeracy and low baseline conviction, respectively. These findings suggest that personalised cancer risk information alongside lifestyle advice can increase short-term risk accuracy and conviction without increasing worry or anxiety but has little impact on health-related behaviour. Trial registration: ISRCTN17450583. Registered 30 January 2018.
dc.description.sponsorshipThis study was funded by a Cancer Research UK Prevention Fellowship (C55650/A21464). GM is supported by an NIHR Academic Clinical Fellowship. SJS is supported by the Medical Research Council (unit programme no MC_ UU_12015/1). The University of Cambridge has received salary support in respect of SJG from the NHS in the East of England through the Clinical Academic Reserve.
dc.format.mediumPrint-Electronic
dc.languageeng
dc.publisherElsevier BV
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectHumans
dc.subjectNeoplasms
dc.subjectHealth Behavior
dc.subjectLife Style
dc.titleA randomised controlled trial of the effect of providing online risk information and lifestyle advice for the most common preventable cancers.
dc.typeArticle
prism.publicationDate2020
prism.publicationNamePrev Med
prism.startingPage106154
prism.volume138
dc.identifier.doi10.17863/CAM.52870
dcterms.dateAccepted2020-05-22
rioxxterms.versionofrecord10.1016/j.ypmed.2020.106154
rioxxterms.versionAM
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2020-09
dc.contributor.orcidGriffin, Simon [0000-0002-2157-4797]
dc.contributor.orcidSharp, Stephen [0000-0003-2375-1440]
dc.contributor.orcidSutton, Stephen [0000-0003-1610-0404]
dc.contributor.orcidUsher-Smith, Juliet [0000-0002-8501-2531]
dc.identifier.eissn1096-0260
dc.publisher.urlhttps://www.sciencedirect.com/science/article/pii/S009174352030178X?via%3Dihub
rioxxterms.typeJournal Article/Review
pubs.funder-project-idCancer Research UK (21464)
pubs.funder-project-idMedical Research Council (MC_UU_12015/1)
cam.issuedOnline2020-09-20
datacite.issupplementedby.urlhttps://doi.org/10.17863/CAM.62953
cam.orpheus.successMon Jun 08 08:23:25 BST 2020 - Embargo updated
cam.orpheus.counter1
rioxxterms.freetoread.startdate2021-05-28


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Attribution-NonCommercial-NoDerivatives 4.0 International
Except where otherwise noted, this item's licence is described as Attribution-NonCommercial-NoDerivatives 4.0 International