促进积极选择,以加强行为改变,降低心血管风险:一个基于网络的随机对照试验
Lorraine L Landais1, Judith G M Jelsma1, Olga C Damman1
1Department of Public and Occupational Health, Amsterdam UMC, Amsterdam Public Health Research institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
PloS one
|August 1, 2024
概括
在50-70岁的个体中促进积极的选择增加了他们对心血管疾病 (CVD) 降低风险行为的承诺. 这种干预增加了风险感知和负面影响,导致更多的承诺.
科学领域:
- 预防心血管疾病预防心血管疾病
- 行为科学是一种行为科学.
- 健康心理学健康心理学
背景情况:
- 心血管疾病 (CVD) 仍然是导致死亡的主要原因.
- 促进降低风险行为的干预措施对公共卫生至关重要.
- 了解影响健康决策的心理机制至关重要.
研究的目的:
- 评估主动选择 (AC) 干预对心血管疾病风险降低行为的意图和承诺的影响.
- 将交流干预与被动选择 (PC) 控制组进行比较.
- 探索认知风险感知,负面影响和积极选择程度的调解作用.
主要方法:
- 一个基于网络的随机对照试验,涉及743名50-70岁的成年人,没有心血管疾病史.
- 交流组收到了关于心血管疾病风险 (心脏年龄格式),选择选项和价值澄清的信息.
- 专家组获得了绝对数值的心血管疾病风险信息和一般建议.
主要成果:
- 与PC组相比,AC组参与者更有可能选择改变生活方式或结合生活方式和药物使用.
- 两组之间没有观察到意图强度的显著差异.
- AC干预导致报告的更高程度的积极选择,由认知风险感知和负面影响介导.
- AC参与者报告了对心血管疾病风险降低行为的更高承诺,通过积极选择的程度进行调解.
结论:
- 促进积极的选择有效地增加了对心血管疾病风险降低行为的承诺.
- 认知风险感知和负面影响调解干预对主动选择的影响.
- 积极的选择,反过来,调解了对承诺改变行为的影响.
- 需要进一步的研究来证实这些发现在现实生活环境中对心血管疾病风险增加的个体.
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