A comparison of pictures vs. text for the explanation of cancer statistics to the general public

ISRCTN ISRCTN33951209
DOI https://doi.org/10.1186/ISRCTN33951209
Secondary identifying numbers 17.27V3
Submission date
27/02/2018
Registration date
05/03/2018
Last edited
16/10/2018
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Public awareness of the link between cancer risk and getting older is low. In the United Kingdom, Canada, and Australia, less than 1 in every 7 people asked knew that cancer was most common in those over the age of 70 compared to those younger. This lack of awareness may be linked to poorer cancer survival in these countries due to delay in presentation to a doctor and delay in diagnosis. This study aims to address low awareness of cancer by developing and testing picture-based information resources called 'infographics' that are easier to understand by the public to help make information about cancer more accessible and allow people to make more informed decisions about cancer.

Who can participate?
Adult males aged 50 years or older

What does the study involve?
Participants are randomly allocated into one of three groups.
All participants attend a single supervised appointment that lasts approximately one hour. They complete a short paper-based questionnaire to test awareness of cancer risk. Those in the first group receive an A4 page containing information about cancer risk in different age groups in purely text format (words and numbers only).
Participants in the second group receive this information in purely picture format (an icon array infographic with no text explanation).
Those in the third group receive this information in a mix of text and picture format (a combination of the information found within the other two groups).
All participants have two minutes to view their information then are followed up immediately with the same question from the first questionnaire designed to test awareness of cancer risk in different age groups.

What are the possible benefits and risks of participating?
Benefits of taking part in this study include getting the chance to learn something new about cancer risk and helping in the design of a new evidence-based cancer information resource. Whilst there are no immediate risks to participants taking part in this research study, any participant who is affected by issues brought up by the subject matter is encouraged to speak to researchers at the end of each visit and a General Practitioner is a named contact on participant information leaflets given out prior to each visit.

Where is the study run from?
1. Men’s Shed Steeple Antrim (UK)
2. Men’s Shed fermanagh (UK)
3. Men’s Shed Downpatrick (UK)

When is the study starting and how long is it expected to run for?
April 2017 to November 2017

Who is funding the study?
Queen’s University Belfast (UK)

Who is the main contact?
Dr Alan McCrorie (Scientific)

Contact information

Dr Alan David McCrorie
Scientific

School of Medicine, Dentistry & Biomedical Sciences
Queen’s University Belfast
Whitla Medical Building
97 Lisburn Road
Belfast
BT9 7BL
United Kingdom

ORCiD logoORCID ID 0000-0002-7422-2154

Study information

Study designSingle blinded three-armed randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Community
Study typeOther
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleTrial of Infographics in Northern Ireland
Study acronymTINI
Study objectivesPictures (infographics) are superior to text based information for the communication of cancer statistics information
Ethics approval(s)Queen's University Belfast Medical School Ethics committee, 19/07/2017, ref: 17.27V3
Health condition(s) or problem(s) studiedHealthcare knowledge (specifically, knowledge of association between cancer and old age)
InterventionParticipants are randomly allocated to a control group, or one of two intervention groups using block randomisation software.
All participants attend a single supervised appointment that lasts approximately one hour. They receive an A4 size printed black and white paper containing information about cancer risk in different age groups, given to them after answering a short paper-based questionnaire with a validated question embedded within designed to test awareness of cancer risk in different age groups.
Those in the control intervention receive this information in purely text format (words and numbers only).
Intervention group A receive this information in purely picture format (an icon array infographic with no text explanation).
Intervention group B receive this information in a hybrid text and picture format (a combination of the information found within control and intervention A groups).
All participants have two minutes to view their randomly assigned information. Participants are followed up immediately after viewing information with the same question from the questionnaire phase designed to test awareness of cancer risk in different age groups.
Intervention typeBehavioural
Primary outcome measureKnowledge of association between cancer risk and old age is measured using a question ('over the next year, which of these groups of people, if any, do you think is most likely to be diagnosed with cancer? 30 year olds? 50 year olds? 70 year olds? people of any age are equally likely to be diagnosed with cancer?') from the internationally validated awareness and beliefs about cancer (ABC) questionnaire at baseline and immediately after viewing the information.
Secondary outcome measuresMetrics such as education, numerical literacy, age, and personal experience of cancer are measured using a 16 item questionnaire containing non-calculator numeracy questions from the internationally validated statistical numeracy for health questionnaire and questions from the internationally validated awareness and beliefs about cancer (ABC) questionnaire at baseline.
Overall study start date01/04/2017
Completion date30/11/2017

Eligibility

Participant type(s)Other
Age groupAdult
SexMale
Target number of participants30-60 participants
Key inclusion criteria1. Males
2. Aged 50 years or above
3. Live in Northern Ireland
4. Consent to participate
5. Speak/read English
Key exclusion criteria1. Females
2. Males under the age of 50
3. People who do not speak or read English
Date of first enrolment19/07/2017
Date of final enrolment31/07/2017

Locations

Countries of recruitment

  • Northern Ireland
  • United Kingdom

Study participating centres

Men's Shed Steeple Antrim
4a Steeple Road
Antrim
BT41 1AF
United Kingdom
Men's Shed Fermanagh
Drumcoo
Enniskillen
BT74 4FY
United Kingdom
Men's Shed Downpatrick
3 Ballydugan Industrial Estate
Downpatrick
BT74 4FY
United Kingdom
Strabane and Lifford Men's Shed
29 Patrick Street
Strabane
BT82 8DQ
United Kingdom

Sponsor information

Queen's University Belfast
University/education

School of Medicine, Dentistry & Biomedical Sciences
Queen’s University Belfast
Whitla Medical Building
97 Lisburn Road
Belfast
BT9 7BL
Northern Ireland
United Kingdom

Website www.qub.ac.uk
ROR logo "ROR" https://ror.org/00hswnk62

Funders

Funder type

University/education

Queen's University Belfast
Private sector organisation / Universities (academic only)
Alternative name(s)
QUB
Location
United Kingdom

Results and Publications

Intention to publish date01/04/2018
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPublication in a peer-reviewed medical journal.
IPD sharing planThe datasets generated during and/or analysed during the current study and other documentation associated with this trial are/will be available upon request from Dr Alan McCrorie.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/06/2018 Yes No

Editorial Notes

16/10/2018: Publication reference added.