Abstract
Patients who have undergone angioplasty experience difficulty modifying at-risk behaviors for subsequent cardiac events. The purpose of this study was to test whether an innovative approach to framing of risk, based on 'net present value' economic theory, would be more effective in behavioral intervention than the standard 'future value approach' in reducing cardiovascular morbidity and mortality following angioplasty. At baseline, all patients completed a health assessment, recieved an individualized risk profile and selected risk factors for modification. The intervention randomized patients into two varying methods for illustrating positive effects of behavior change. For the experimental group, each selected risk factor was assigned a numeric biologic age (the net present value) that approximated the relative potential to improve current health status and quality of life when modifying that risk factor. In the control group, risk reduction was framed as the value of preventing future health problems. Ninety-four percent of patients completed 2-year follow-up. There was no difference between the rates of death, stroke, myocardial infarction, Class II-IV angina or severe ischemia (on non-invasive testing) between the net present value group and the future value group. Our results show that a net present risk communication intervention did not result in significant differences in health outcomes.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 826-839 |
| Number of pages | 14 |
| Journal | Health Education Research |
| Volume | 23 |
| Issue number | 5 |
| DOIs | |
| State | Published - Oct 2008 |
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ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
- Education
Cite this
Changing health behaviors to improve health outcomes after angioplasty : A randomized trial of net present value versus future value risk communication. / Charlson, M. E.; Peterson, J. C.; Boutin-Foster, C.; Briggs, W. M.; Ogedegbe, G. G.; McCulloch, C. E.; Hollenberg, J.; Wong, C.; Allegrante, J. P.
In: Health Education Research, Vol. 23, No. 5, 10.2008, p. 826-839.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Changing health behaviors to improve health outcomes after angioplasty
T2 - A randomized trial of net present value versus future value risk communication
AU - Charlson, M. E.
AU - Peterson, J. C.
AU - Boutin-Foster, C.
AU - Briggs, W. M.
AU - Ogedegbe, G. G.
AU - McCulloch, C. E.
AU - Hollenberg, J.
AU - Wong, C.
AU - Allegrante, J. P.
PY - 2008/10
Y1 - 2008/10
N2 - Patients who have undergone angioplasty experience difficulty modifying at-risk behaviors for subsequent cardiac events. The purpose of this study was to test whether an innovative approach to framing of risk, based on 'net present value' economic theory, would be more effective in behavioral intervention than the standard 'future value approach' in reducing cardiovascular morbidity and mortality following angioplasty. At baseline, all patients completed a health assessment, recieved an individualized risk profile and selected risk factors for modification. The intervention randomized patients into two varying methods for illustrating positive effects of behavior change. For the experimental group, each selected risk factor was assigned a numeric biologic age (the net present value) that approximated the relative potential to improve current health status and quality of life when modifying that risk factor. In the control group, risk reduction was framed as the value of preventing future health problems. Ninety-four percent of patients completed 2-year follow-up. There was no difference between the rates of death, stroke, myocardial infarction, Class II-IV angina or severe ischemia (on non-invasive testing) between the net present value group and the future value group. Our results show that a net present risk communication intervention did not result in significant differences in health outcomes.
AB - Patients who have undergone angioplasty experience difficulty modifying at-risk behaviors for subsequent cardiac events. The purpose of this study was to test whether an innovative approach to framing of risk, based on 'net present value' economic theory, would be more effective in behavioral intervention than the standard 'future value approach' in reducing cardiovascular morbidity and mortality following angioplasty. At baseline, all patients completed a health assessment, recieved an individualized risk profile and selected risk factors for modification. The intervention randomized patients into two varying methods for illustrating positive effects of behavior change. For the experimental group, each selected risk factor was assigned a numeric biologic age (the net present value) that approximated the relative potential to improve current health status and quality of life when modifying that risk factor. In the control group, risk reduction was framed as the value of preventing future health problems. Ninety-four percent of patients completed 2-year follow-up. There was no difference between the rates of death, stroke, myocardial infarction, Class II-IV angina or severe ischemia (on non-invasive testing) between the net present value group and the future value group. Our results show that a net present risk communication intervention did not result in significant differences in health outcomes.
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UR - http://www.scopus.com/inward/citedby.url?scp=52449131810&partnerID=8YFLogxK
U2 - 10.1093/her/cym068
DO - 10.1093/her/cym068
M3 - Article
C2 - 18025064
AN - SCOPUS:52449131810
VL - 23
SP - 826
EP - 839
JO - Health Education Research
JF - Health Education Research
SN - 0268-1153
IS - 5
ER -