The Impact of Picture Narrative Format on Print Lung Screening Communication Outcomes

Cancer Screening Clinical Trial

Official title:

The Impact of Picture Narrative Format on Knowledge and Acceptability for Lung Screening Print Decision Support Materials

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05016570
• Other study ID #: 200200021
• Status: Completed
• Phase: N/A
• Start date: August 27, 2021
• Est. completion date: October 8, 2021

Study information

• Verified date: October 2021
• Source: University of Glasgow
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to test whether a picture narrative format is more successful, than text with pictures or text alone, in communicating lung screening information (primarily defined by positive attitudes towards the design and increase in knowledge) to people likely to be invited to lung screening where available.

Description:

Population screening is key to detecting lung cancer early at a more treatable stage. Uptake of screening should be equitable (i.e., screening benefits all eligible members of the population and does not contribute further to health disparities) and informed (i.e., participants have been involved in the decision to take part and their decision aligns with their values and circumstances). Print decision support materials are the primary mechanism for encouraging engagement with cancer screening and supporting decision making. It is essential that we identify print communication techniques that are effective in informing invitees about lung screening.

The intervention, picture narrative information about lung screening, was previously developed through codesign and prototype testing with people likely to be eligible for lung screening (50 to 75 years old, past or current heavy smokers). Participants will be randomised to one of three groups: Picture narrative format, Text with pictures (control 1) or, Text-only (control 2). This study will assess whether presenting lung screening information in a picture narrative format can improve lung cancer screening knowledge, eligibility self-assessment and attitudes. It will also assess whether perceptions of the information designs can explain any impact of the intervention on these outcomes and whether there are differences across socioeconomic groups.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 326
• Est. completion date: October 8, 2021
• Est. primary completion date: October 8, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 49 Years to 75 Years

Eligibility

Inclusion Criteria:

• Living in Glasgow

• Willing and able to respond unaided to invitation to participate in the trial and give informed consent.

• Aged between 49 and 75 years

Exclusion Criteria:

Related Conditions & MeSH terms

• Cancer Screening

Intervention

Behavioral:
• Picture narrative information format
Lung screening information formatted as picture narratives
• Text with pictures information format
Lung screening information formatted as text and non-narrative pictures
• Text-only information format
Lung screening information formatted as text with no pictures

Locations

Country	Name	City	State
United Kingdom	Mental Health and Wellbeing, University of Glasgow	Glasgow

Sponsors (1)

Lead Sponsor	Collaborator
University of Glasgow

Country where clinical trial is conducted

United Kingdom, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Treatment compliance	Self-reported length of time spent reading the lung screening information.	Immediately post-intervention
Primary	Participant Lung Cancer Screening Knowledge scores	Participants will be asked 6 multiple choice questions related to the lung screening information presented to the participants during the intervention, covering; Procedure, Eligibility - who, Eligibility - why, Benefits, Adverse effects, Potential results.	Immediately post-intervention
Primary	Lung Cancer Screening Eligibility self-assessment	Concordance between self-reported personal eligibility for lung cancer screening and actual eligibility based on self-reported age and smoking behaviour.	Immediately post-intervention
Primary	Participant Lung Cancer Screening Attitudes	Self-administered four-item lung cancer screening attitudes measure covering cancer fear, fatalism, benefits, and worry, previously used by Smits et al 2018.	Immediately post-intervention
Secondary	Participant Design appraisal ratings	Self-administered nine-item measure rating perceptions of appeal, enjoyment, interest, ease of use, trustworthiness, appropriateness, helpfulness, informativity.; Alongside a single item asking participants whether enough information was provided.	Immediately post-intervention