Fostering active choice to empower behavioral change to reduce cardiovascular risk: A web-based randomized controlled trial.
<h4>Objective</h4>To investigate the effect of an active choice (AC) intervention based on creating risk and choice awareness-versus a passive choice (PC) control group-on intentions and commitment to cardiovascular disease (CVD) risk-reducing behavior.<h4>Methods</h4>Adults...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2024-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0304897 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832582957960790016 |
|---|---|
| author | Lorraine L Landais Judith G M Jelsma Olga C Damman Evert A L M Verhagen Danielle R M Timmermans |
| author_facet | Lorraine L Landais Judith G M Jelsma Olga C Damman Evert A L M Verhagen Danielle R M Timmermans |
| author_sort | Lorraine L Landais |
| collection | DOAJ |
| description | <h4>Objective</h4>To investigate the effect of an active choice (AC) intervention based on creating risk and choice awareness-versus a passive choice (PC) control group-on intentions and commitment to cardiovascular disease (CVD) risk-reducing behavior.<h4>Methods</h4>Adults aged 50-70 (n = 743) without CVD history participated in this web-based randomized controlled trial. The AC intervention included presentation of a hypothetical CVD risk in a heart age format, information about CVD risk and choice options, and a values clarification exercise. The PC group received a hypothetical absolute numerical CVD risk and brief information and advice about lifestyle and medication. Key outcomes were reported degree of active choice, intention strength, and commitment to adopt risk-reducing behavior.<h4>Results</h4>More AC compared to PC participants opted for lifestyle change (OR = 2.86, 95%CI:1.51;5.44), or lifestyle change and medication use (OR = 2.78, 95%CI:1.42;5.46), than 'no change'. No differences were found for intention strength. AC participants made a more active choice than PC participants (β = 0.09, 95%CI:0.01;0.16), which was sequentially mediated by cognitive risk perception and negative affect. AC participants also reported higher commitment to CVD risk-reducing behavior (β = 0.32, 95%CI:0.04;0.60), mediated by reported degree of active choice.<h4>Conclusions</h4>Fostering active choices increased intentions and commitment towards CVD risk-reducing behavior. Increased cognitive risk perception and negative affect were shown to mediate the effect of the intervention on degree of active choice, which in turn mediated the effect on commitment. Future research should determine whether fostering active choice also improves risk-reducing behaviors in individuals at increased CVD risk in real-life settings.<h4>Trial registration</h4>ClinicalTrials.gov: NCT05142280. Prospectively registered. |
| format | Article |
| id | doaj-art-8656c78d46844f149ce0b48572db3c4e |
| institution | Kabale University |
| issn | 1932-6203 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-8656c78d46844f149ce0b48572db3c4e2025-01-29T05:30:47ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-01198e030489710.1371/journal.pone.0304897Fostering active choice to empower behavioral change to reduce cardiovascular risk: A web-based randomized controlled trial.Lorraine L LandaisJudith G M JelsmaOlga C DammanEvert A L M VerhagenDanielle R M Timmermans<h4>Objective</h4>To investigate the effect of an active choice (AC) intervention based on creating risk and choice awareness-versus a passive choice (PC) control group-on intentions and commitment to cardiovascular disease (CVD) risk-reducing behavior.<h4>Methods</h4>Adults aged 50-70 (n = 743) without CVD history participated in this web-based randomized controlled trial. The AC intervention included presentation of a hypothetical CVD risk in a heart age format, information about CVD risk and choice options, and a values clarification exercise. The PC group received a hypothetical absolute numerical CVD risk and brief information and advice about lifestyle and medication. Key outcomes were reported degree of active choice, intention strength, and commitment to adopt risk-reducing behavior.<h4>Results</h4>More AC compared to PC participants opted for lifestyle change (OR = 2.86, 95%CI:1.51;5.44), or lifestyle change and medication use (OR = 2.78, 95%CI:1.42;5.46), than 'no change'. No differences were found for intention strength. AC participants made a more active choice than PC participants (β = 0.09, 95%CI:0.01;0.16), which was sequentially mediated by cognitive risk perception and negative affect. AC participants also reported higher commitment to CVD risk-reducing behavior (β = 0.32, 95%CI:0.04;0.60), mediated by reported degree of active choice.<h4>Conclusions</h4>Fostering active choices increased intentions and commitment towards CVD risk-reducing behavior. Increased cognitive risk perception and negative affect were shown to mediate the effect of the intervention on degree of active choice, which in turn mediated the effect on commitment. Future research should determine whether fostering active choice also improves risk-reducing behaviors in individuals at increased CVD risk in real-life settings.<h4>Trial registration</h4>ClinicalTrials.gov: NCT05142280. Prospectively registered.https://doi.org/10.1371/journal.pone.0304897 |
| spellingShingle | Lorraine L Landais Judith G M Jelsma Olga C Damman Evert A L M Verhagen Danielle R M Timmermans Fostering active choice to empower behavioral change to reduce cardiovascular risk: A web-based randomized controlled trial. PLoS ONE |
| title | Fostering active choice to empower behavioral change to reduce cardiovascular risk: A web-based randomized controlled trial. |
| title_full | Fostering active choice to empower behavioral change to reduce cardiovascular risk: A web-based randomized controlled trial. |
| title_fullStr | Fostering active choice to empower behavioral change to reduce cardiovascular risk: A web-based randomized controlled trial. |
| title_full_unstemmed | Fostering active choice to empower behavioral change to reduce cardiovascular risk: A web-based randomized controlled trial. |
| title_short | Fostering active choice to empower behavioral change to reduce cardiovascular risk: A web-based randomized controlled trial. |
| title_sort | fostering active choice to empower behavioral change to reduce cardiovascular risk a web based randomized controlled trial |
| url | https://doi.org/10.1371/journal.pone.0304897 |
| work_keys_str_mv | AT lorrainellandais fosteringactivechoicetoempowerbehavioralchangetoreducecardiovascularriskawebbasedrandomizedcontrolledtrial AT judithgmjelsma fosteringactivechoicetoempowerbehavioralchangetoreducecardiovascularriskawebbasedrandomizedcontrolledtrial AT olgacdamman fosteringactivechoicetoempowerbehavioralchangetoreducecardiovascularriskawebbasedrandomizedcontrolledtrial AT evertalmverhagen fosteringactivechoicetoempowerbehavioralchangetoreducecardiovascularriskawebbasedrandomizedcontrolledtrial AT daniellermtimmermans fosteringactivechoicetoempowerbehavioralchangetoreducecardiovascularriskawebbasedrandomizedcontrolledtrial |