Improving health behaviors and outcomes after angioplasty

Using economic theory to inform intervention

Mary E. Charlson, John P. Allegrante, Paula S. McKinley, Janey C. Peterson, Carla Boutin-Foster, Gbenga Ogedegbe, Candace R. Young

Research output: Contribution to journalArticle

Abstract

Patients who have been relieved of cardiac symptoms following angioplasty may not be sufficiently motivated to initiate behavior changes that can reduce risk of subsequent cardiac events. Finding an effective means to help patients modify their behavior thus presents a unique challenge. This paper describes an innovative behavioral intervention whose theoretical underpinning is net-present value economic theory. This intervention is being evaluated in a randomized controlled trial in which all patients complete a computerized baseline health assessment of 14 cardiovascular risk factors. Each patient is presented with an individualized risk-factor profile and asked to choose risk factors for modification. In the experimental group, each risk factor is presented with a corresponding numerical biologic age value that represents the relative potential to benefit from modifying each risk factor. Risk reduction for these patients is framed as the opportunity to reduce present biologic age (the net-present value), and improve current health status and quality of life. In the control group, risk reduction is framed in the standard risk-factor approach as the value of preventing future health problems. We hope to demonstrate that economic theory is a plausible perspective from which to design interventions aimed at communicating risk and facilitating change in health behaviors.

Original languageEnglish (US)
Pages (from-to)606-618
Number of pages13
JournalHealth Education Research
Volume17
Issue number5
StatePublished - Oct 2002

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Health Behavior
economic theory
health behavior
Angioplasty
Economics
Risk Reduction Behavior
Health
present
Health Status
Randomized Controlled Trials
value theory
Quality of Life
Control Groups
health
health status
quality of life
Group
event

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Education

Cite this

Charlson, M. E., Allegrante, J. P., McKinley, P. S., Peterson, J. C., Boutin-Foster, C., Ogedegbe, G., & Young, C. R. (2002). Improving health behaviors and outcomes after angioplasty: Using economic theory to inform intervention. Health Education Research, 17(5), 606-618.

Improving health behaviors and outcomes after angioplasty : Using economic theory to inform intervention. / Charlson, Mary E.; Allegrante, John P.; McKinley, Paula S.; Peterson, Janey C.; Boutin-Foster, Carla; Ogedegbe, Gbenga; Young, Candace R.

In: Health Education Research, Vol. 17, No. 5, 10.2002, p. 606-618.

Research output: Contribution to journalArticle

Charlson, ME, Allegrante, JP, McKinley, PS, Peterson, JC, Boutin-Foster, C, Ogedegbe, G & Young, CR 2002, 'Improving health behaviors and outcomes after angioplasty: Using economic theory to inform intervention', Health Education Research, vol. 17, no. 5, pp. 606-618.
Charlson ME, Allegrante JP, McKinley PS, Peterson JC, Boutin-Foster C, Ogedegbe G et al. Improving health behaviors and outcomes after angioplasty: Using economic theory to inform intervention. Health Education Research. 2002 Oct;17(5):606-618.
Charlson, Mary E. ; Allegrante, John P. ; McKinley, Paula S. ; Peterson, Janey C. ; Boutin-Foster, Carla ; Ogedegbe, Gbenga ; Young, Candace R. / Improving health behaviors and outcomes after angioplasty : Using economic theory to inform intervention. In: Health Education Research. 2002 ; Vol. 17, No. 5. pp. 606-618.
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