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Appears in Collections:Psychology Journal Articles
Peer Review Status: Refereed
Title: The impact of supplementary narrative-based information on colorectal cancer screening beliefs and intention
Author(s): McGregor, Lesley M
von Wagner, Christian
Vart, Gemma
Yuen, Wing Chee
Raine, Rosalind
Wardle, Jane
Robb, Kathryn A
Issue Date: 21-Mar-2015
Citation: McGregor LM, von Wagner C, Vart G, Yuen WC, Raine R, Wardle J & Robb KA (2015) The impact of supplementary narrative-based information on colorectal cancer screening beliefs and intention. BMC Cancer, 15, Art. No.: 162.
Abstract: Background The potential benefits of colorectal cancer screening are limited by low uptake. This study tested whether providing narrative accounts of the colorectal cancer (CRC) screening experience positively affected beliefs about CRC screening and intention to be screened. Methods 4125 adults aged 45-59.5 years, from three general practices in England, were randomised to be sent the standard information on CRC screening or the standard information plus a narrative-based leaflet describing CRC screening experiences. Both groups were asked to complete and return a questionnaire on beliefs about CRC screening after reading the study materials. Between-group differences on responses were assessed with t-tests. A mediation analysis then addressed the mediating role of CRC screening beliefs on the group and intention relationship. Results Relative to the standard information group (n = 590), the standard information plus narrative leaflet group (n = 631) showed higher perceived vulnerability to CRC, higher perceived test response efficacy, a stronger belief that the screening test would provide peace of mind and less disgust with the test procedure. There were no between group differences on perceived self-efficacy or the understanding that the screening test should be done in the absence of symptoms. Respondents who received the additional narrative leaflet reported significantly higher CRC screening intentions than respondents who received the standard information only. Controlling for the CRC screening beliefs reduced the effect of group on intention to non-significance. Conclusions An additional narrative leaflet had a positive impact on beliefs about CRC screening which led to stronger screening intentions.
DOI Link: 10.1186/s12885-015-1167-3
Rights: © 2015 McGregor et al.; licensee BioMed Central. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.
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