Appendix 3 Reasons for exclusion of studies (n=51) in step II. Paper Reason for exclusion Andermann, 2010 1 Review study Bowen, 2006 2 No empirical evaluation Bowen, 2010 3 Intervention aimed at increasing uptake Briss, 2004 4 Review study Dahl 2006 5 Review study Dolan, 2002 6 Intervention aimed at increasing uptake Edwards, 2003 7 Review study Edwards, 2003 8 Review study Edwards, 2006 9 Review study Fox, 2006 10 Review study Goel, 2011 11 Intervention aimed at increasing uptake Grindel, 2004 12 Intervention aimed at increasing uptake Hargreaves, 2005 13 No empirical evaluation Hassinger, 2010 14 Intervention aimed at improving knowledge for better clinical outcomes, no mention of informed choice. Hillyer, 2011 15 Intervention aimed at increasing uptake Jepson, 2001 16 Review paper Jepson, 2007 17 No empirical evaluation Jimenez, 2011 18 Intervention aimed at increasing uptake Lawrence 2000 19 No empirical evaluation Lewis, 2011 20 Not peer-reviewed Lin, 2010 21 Intervention aimed at increasing uptake Makoul 2009 22 Intervention aimed at increasing uptake Michie 2004 23 Intervention designed to increase rates of antenatal screening uptake in those intending to undergo antenatal screening. But the study does not investigate whether the actual choice was an informed one, based on sufficient knowledge, or not. Mullen, 2006 24 No empirical evaluation Muller, 2006 25 Intervention not aimed at informed choice or any of its elements Nagle 2006 26 Same intervention as described by Nagle 200827 (included) O’Connor, 1999 28 Review study Parker 2002 29 No empirical evaluation Parsa, 2011 30 Not peer-reviewed Potter 2008 31 No empirical evaluation Raffle 2001 32 No empirical evaluation Rainis, 2010 33 Intervention aimed at increasing uptake Ramirez 2000 34 No empirical evaluation Rimer, 2001 35 Intervention aimed at increasing uptake Rimer, 2002 36 Same intervention as described by Rimer 2001 Rimer, 2004 37 Review study Rutter, 2006 38 Intervention aimed at increasing uptake Sadler 2007 39 Intervention aimed at enabling actual choice/ behaviour in accordance with attitude, but the study does not investigate whether the actual choice was based on sufficient knowledge. Sadler, 2011 40 Intervention aimed at increasing uptake Salkeld, 2003 41 No intervention conducted Sarfati 199842 Intervention aimed at increasing uptake; Schroy, 2011 43 Intervention aimed at shared decision making to improve acceptance and adherence of the screening Sheeran, 2000 44 Intervention aimed at increasing uptake Stapleton, 2002 45 Does not concern one of the relevant screening programs* Soskolne, 2007 46 No empirical evaluation Thornton, 1995 47 Intervention not aimed at informed choice or any of its elements Valdez 2001 48 Intervention aimed at increasing uptake Wang, 2012 49 Intervention aimed at increasing uptake Whysall 2006 50 Does not concern a screening programs Yarbrough 200151 No empirical evaluation * we restricted our search to prenatal screening for congenital anomalies, neonatal screening for metabolic diseases, cervical cancer screening, breast cancer screening and colorectal cancer screening. 1. Andermann A, Blancquaert I. Genetic screening: A primer for primary care. Canadian Family Physician 2010;56(4):333-39. 2. Bowen DJ, Allen JD, Vu T, Johnson RE, Fryer-Edwards K, Hart A, Jr. Theoretical foundations for interventions designed to promote informed decision making for cancer screening. Ann Behav Med 2006;32(3):202-10. 3. Bowen DJ, Powers D. Effects of a Mail and Telephone Intervention on Breast Health Behaviors. Health Educ Behav 2010. 4. Briss P, Rimer B, Reilley B, Coates RC, Lee NC, Mullen P, et al. Promoting informed decisions about cancer screening in communities and healthcare systems. Am J Prev Med 2004;26(1):67-80. 5. Dahl K, Kesmodel U, Hvidman L, Olesen F. Informed consent: Providing information about prenatal examinations. Acta Obstetricia et Gynecologica Scandinavica 2006;85(12):1420-25. 6. Dolan JG, Frisina S. Randomized controlled trial of a patient decision aid for colorectal cancer screening. Medical decision making : an international journal of the Society for Medical Decision Making, 2002:125-39. 7. Edwards A, Unigwe S, Elwyn G, Hood K. Effects of communicating individual risks in screening programmes: Cochrane systematic review. British Medical Journal 2003;327(7417):703-07. 8. Edwards A, Unigwe S, Elwyn G, Hood K. Personalised risk communication for informed decision making about entering screening programs. Cochrane database of systematic reviews (Online) 2003(1):CD001865. 9. Edwards AG, Evans R, Dundon J, Haigh S, Hood K, Elwyn GJ. Personalised risk communication for informed decision making about taking screening tests. Cochrane database of systematic reviews (Online) 2006(4):CD001865. 10. Fox R. Informed choice in screening programmes: do leaflets help? A critical literature review. J Public Health (Oxf) 2006;28(4):309-17. 11. Goel MS, Gracia G, Baker DW. Development and pilot testing of a culturally sensitive multimedia program to improve breast cancer screening in Latina women. Patient Educ Couns 2011;84(1):128-31. 12. Grindel CG, Brown L, Caplan L, Blumenthal D. The effect of breast cancer screening messages on knowledge, attitudes, perceived risk, and mammography screening of African American women in the rural South. Oncol Nurs Forum 2004;31(4):801-08. 13. Hargreaves K, Stewart R, Oliver S. Newborn screening information supports public health more than informed choice. Health Education Journal 2005;64(2):110-19. 14. Hassinger JP, Holubar SD, Pendlimari R, Dozois EJ, Larson DW, Cima RR. Effectiveness of a multimedia-based educational intervention for improving colon cancer literacy in screening colonoscopy patients. Dis Colon Rectum 2010;53(9):1301-7. 15. Hillyer GC, Basch CE, Schmitt KM, Neugut AI. Feasibility and efficacy of pairing fecal immunochemical testing with mammography for increasing colorectal cancer screening among uninsured Latinas in northern Manhattan. Prev Med 2011;53(3):194-8. 16. Jepson RG, Forbes CA, Sowden AJ, Lewis RA. Increasing informed uptake and non-uptake of screening: evidence from a systematic review. Health Expect 2001;4(2):116-26. 17. Jepson RG, Hewison J, Thompson A, Weller D. Patient perspectives on information and choice in cancer screening: a qualitative study in the UK. Soc Sci Med 2007;65(5):890-99. 18. Jimenez EA, Xie Y, Goldsteen K, Chalas E. Promoting knowledge of cancer prevention and screening in an underserved Hispanic women population: a culturally sensitive education program. Health promotion practice 2011;12(5):689-95. 19. Lawrence VA, Streiner D, Hazuda HP, Naylor R, Levine M, Gafni A. A cross-cultural consumer-based decision aid for screening mammography. Preventive Medicine 2000;30(3):200-08. 20. Lewis C, DeLeon CP, Pignone MP, Golin C. Patient and physician discussions after decision support for colorectal cancer screening in the elderly. Journal of General Internal Medicine 2011;26:S118. 21. Lin ZC, Effken JA. Effects of a tailored web-based educational intervention on women's perceptions of and intentions to obtain mammography. J Clin Nurs 2010;19(9-10):1261-9. 22. Makoul G, Cameron KA, Baker DW, Francis L, Scholtens D, Wolf MS. A multimedia patient education program on colorectal cancer screening increases knowledge and willingness to consider screening among Hispanic/Latino patients. Patient Educ Couns 2009;76(2):220-26. 23. Michie S, Dormandy E, Marteau TM. Increasing screening uptake amongst those intending to be screened: the use of action plans. Patient Educ Couns 2004;55(2):218-22. 24. Mullen PD, Allen JD, Glanz K, Fernandez ME, Bowen DJ, Pruitt SL, et al. Measures used in studies of informed decision making about cancer screening: a systematic review. Ann Behav Med 2006;32(3):188-201. 25. Muller MA, Bleker OP, Bonsel GJ, Bilardo CM. Nuchal translucency screening and anxiety levels in pregnancy and puerperium. Ultrasound Obstet Gynecol 2006;27(4):357-61. 26. Nagle C, Lewis S, Meiser B, Metcalfe S, Carlin JB, Bell R, et al. Evaluation of a decision aid for prenatal testing of fetal abnormalities: A cluster randomised trial [ISRCTN22532458]. BMC Public Health, 2006:96. 27. Nagle C, Gunn J, Bell R, Lewis S, Meiser B, Metcalfe S, et al. Use of a decision aid for prenatal testing of fetal abnormalities to improve women's informed decision making: A cluster randomised controlled trial [ISRCTN22532458]. BJOG: An International Journal of Obstetrics and Gynaecology 2008;115(3):339-47. 28. O'Connor AM, Rostom A, Fiset V, Tetroe J, Entwistle V, Llewellyn-Thomas H, et al. Decision aids for patients facing health treatment or screening decisions: systematic review. Bmj 1999;319(7212):731-34. 29. Parker MH, Forbes KL, Findlay I. Eugenics or empowered choice? Community issues arising from prenatal testing. Australian and New Zealand Journal of Obstetrics and Gynaecology 2002;42(1):10-14. 30. Parsa P, Kandiah M. Efficacy of an educational intervention on breast cancer screening behaviour among malaysian women. International Journal of Gynecological Cancer 2011;21(12):S965. 31. Potter BK, O'Reilly N, Etchegary H, Howley H, Graham ID, Walker M, et al. Exploring informed choice in the context of prenatal testing: findings from a qualitative study. Health Expect 2008;11(4):355-65. 32. Raffle AE. Information about screening - is it to achieve high uptake or to ensure informed choice? Health Expect 2001;4(2):92-98. 33. Rainis T, Halloun L, Keren D, Shuv-ami I, Lavy A. Colorectal cancer among Arab-Israeli women-possible reasons for increased incidence and mortality. J Gastrointest Cancer 2010;41(2):130-4. 34. Ramirez AG, Suarez L, Laufman L, Barroso C, Chalela P. Hispanic women's breast and cervical cancer knowledge, attitudes, and screening behaviors. Am J Health Promot 2000;14(5):292-300. 35. Rimer BK, Halabi S, Skinner CS, Kaplan EB, Crawford Y, Samsa GP, et al. The short-term impact of tailored mammography decision-making interventions. Patient Education and Counseling 2001;43(3):269-85. 36. Rimer BK, Halabi S, Sugg Skinner C, Lipkus IM, Strigo TS, Kaplan EB, et al. Effects of a mammography decision-making intervention at 12 and 24 months. American Journal of Preventive Medicine 2002;22(4):247-57. 37. Rimer BK, Briss PA, Zeller PK, Chan EC, Woolf SH. Informed decision making: what is its role in cancer screening? Cancer 2004;101(5 Suppl):1214-28. 38. Rutter DR, Steadman L, Quine L. An implementation intentions intervention to increase uptake of mammography. Ann Behav Med 2006;32(2):127-34. 39. Sadler GR, Ko CM, Cohn JA, White M, Weldon RN, Wu P. Breast cancer knowledge, attitudes, and screening behaviors among African American women: the Black cosmetologists promoting health program. BMC Public Health 2007;7:57. 40. Sadler GR, Ko CM, Wu P, Alisangco J, Castaneda SF, Kelly C. A cluster randomized controlled trial to increase breast cancer screening among African American women: the black cosmetologists promoting health program. J Natl Med Assoc 2011;103(8):735-45. 41. Salkeld GP, Solomon MJ, Short L, Ward J. Measuring the importance of attributes that influence consumer attitudes to colorectal cancer screening. ANZ J Surg 2003;73(3):128-32. 42. The palpable breast lump: information and recommendations to assist decision-making when a breast lump is detected. The Steering Committee on Clinical Practice Guidelines for the Care and Treatment of Breast Cancer. Canadian Association of Radiation Oncologists. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne 1998;158 Suppl 3:S38. 43. Schroy PC, Emmons K, Peters E, Glick JT, Robinson PA, Lydotes MA, et al. The impact of a novel computer-based decision aid on shared decision making for colorectal cancer screening: a randomized trial. Medical decision making : an international journal of the Society for Medical Decision Making, 2011:93-107. 44. Sheeran P, Orbell S. Using implementation intentions to increase attendance for cervical cancer screening. Health Psychol 2000;19(3):283-89. 45. Stapleton H, Kirkham M, Thomas G. Qualitative study of evidence based leaflets in maternity care. Bmj 2002;324(7338):639. 46. Soskolne V, Marie S, Manor O. Beliefs, recommendations and intentions are important explanatory factors of mammography screening behavior among Muslim Arab women in Israel. Health Educ Res 2007;22(5):665-76. 47. Thornton JG, Hewison J, Lilford RJ, Vail A. A randomised trial of three methods of giving information about prenatal testing. Bmj 1995;311(7013):1127-30. 48. Valdez A, Banerjee K, Fernandez M, Ackerson L. Impact of a multimedia breast cancer education intervention on use of mammography by low-income Latinas. J Cancer Educ 2001;16(4):221-24. 49. Wang JH, Schwartz MD, Luta G, Maxwell AE, Mandelblatt JS. Intervention tailoring for Chinese American women: comparing the effects of two videos on knowledge, attitudes and intentions to obtain a mammogram. Health Educ Res 2012. 50. Whysall Z, Haslam C, Haslam R. A stage of change approach to reducing occupational ill health. Prev Med 2006;43(5):422-28. 51. Yarbrough SS, Braden CJ. Utility of health belief model as a guide for explaining or predicting breast cancer screening behaviours. J Adv Nurs 2001;33(5):677-88.