Personalized Cardiovascular Risk Information to Initiate and Maintain Health Behavior Changes
| Status: | Archived |
|---|---|
| Conditions: | Peripheral Vascular Disease, Neurology, Diabetes |
| Therapuetic Areas: | Cardiology / Vascular Diseases, Endocrinology, Neurology |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 7/1/2011 |
| Start Date: | August 2010 |
| End Date: | April 2011 |
The investigators propose an evaluation that will assess three important components of risk
communication:
1. provide patients with personalized risk communication using the risk calculator
developed by FIMDM and health information taken from the Living with Coronary Artery
Disease program
2. provide personalized tailored patient feedback to help initiate and maintain specific
cardiovascular CVD-related behaviors(e.g., medication adherence, exercise, diet,
smoking cessation) to reduce their risks.
3. evaluate how this feedback can be incorporated into clinical care by examining 3 month
patient outcome and provider responses to the risk information.
Patients at high risk for CVD events frequently underestimate their risk. Programs to
improve CVD outcomes have largely focused on single risk factors and do not contextualize
the information with a patient's global risk. An easy, accessible strategy to address
global CVD risk based on personalized risk communication feedback with assistance with
initiating and maintaining health behaviors has several advantages, but has not formally
been tested. A patient's perceived risk of stroke or heart attack is an important factor in
understanding motivation for risk reducing behaviors. Lower perceived risk has been
associated with poorer adherence to recommended health behaviors. Additionally, a person's
beliefs about his or her risk for a disease increased the likelihood of a more informed and
activated patient, and figures prominently in models of health behavior (e.g., Health Belief
Model). People tend to underestimate their own risk; Therefore providing accurate risk
communication has the potential to activate patients to initiate and maintain behavior
changes.
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