从无症状动脉样硬化风险沟通到认知和情绪反应和生活方式改变
Elin M Andersson1, Kristina Lindvall2, Patrik Wennberg3
1Department of Psychology, Umeå University, S-901 87, Umeå, Sweden. elin.m.andersson@umu.se.
通过个性化,视觉辅助和激励性对话来沟通心血管疾病 (CVD) 风险,可以显著改善理解和生活方式的改变. 参与认知和情绪反应是无症状个体持续健康行为改变的关键.
科学领域:
- 心脏病学 心脏病学
- 行为科学 行为科学
- 预防医学 预防医学
背景情况:
- 心血管疾病 (CVD) 预防的坚持是不理想的,需要跨学科的方法来解决风险沟通和生活方式修改中的心理因素.
- 亚临床动脉样硬化成像可以帮助风险沟通,但其对行为变化机制的影响需要进一步调查.
- 缺乏关于患者对干预措施的反应和随后的生活方式改变的纵向数据.
研究的目的:
- 评估对新型心血管疾病风险沟通干预的认知和情绪反应.
- 确定这些反应与随后的生活方式改变之间的关联.
- 评估关于亚临床动脉样硬化的图片信息在改善心血管疾病风险降低方面的有效性.
主要方法:
- 一个基于人群的随机对照试验 (VIPVIZA) 涉及个性化,彩色编码的,与年龄相关的风险沟通与激励性对话.
- 评估参与者对干预的认知和情绪反应 (n=1749).
- 在基线和3年随访 (n=714-857) 时使用协差分析评估生活方式 (体育活动,饮食,吸烟,酒精) 的改变.
主要成果:
- 该干预措施提高了对个人心血管疾病风险和可修改性的理解.
- 认知反应和情绪激发与生活方式的改变有积极的相关性;单独的负面情绪没有.
- 高认知反应和高情绪刺激的组合产生了最显著的生活方式改进.
结论:
- 图形化,个性化的风险沟通策略,包括激励性对话,显示出在无症状个体中预防心血管疾病的潜力.
- 有效的心血管疾病风险沟通应该唤起参与,认知和情感互动对于持续的生活方式变化至关重要.
- 动脉样硬化查,当有效沟通时,可以加强疾病预防和健康促进工作.
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