TY - JOUR
T1 - Multiple health-risk behavior in a chronic disease population
T2 - What behaviors do people choose to change?
AU - Allegrante, John P.
AU - Peterson, Janey C.
AU - Boutin-Foster, Carla
AU - Ogedegbe, Gbenga
AU - Charlson, Mary E.
N1 - Funding Information:
This study was supported by NHLBI R01 HL62161091. None of the investigators report any conflicts of interest. We thank RealAge® for making available a research version of the health-risk assessment software at no charge to the investigators. We also thank William M. Briggs, Ph.D., for providing helpful statistical consulting advice and two anonymous reviewers whose careful reading and critical comments strengthened this paper considerably.
PY - 2008/3
Y1 - 2008/3
N2 - Objective.: To determine what health behaviors patients choose to change in response to medical advice when they are given the potential net-present value (reduction in biological age) of modifying a behavior. Methods.: Baseline data for multiple health-risk behaviors that were recommended for change among 660 coronary angioplasty patients at the New York-Presbyterian Hospital-Weill-Cornell Medical Center who were enrolled during 2000-02 in one of two arms of a behavioral intervention trial designed to compare different approaches to communicating health risk (net-present vs. future value) were analyzed using multivariate statistical methods. Results.: Although there was no difference between study arms, knowing the biological-age value of behaviors, stage of change, and the total number of behaviors recommended for change was associated with choosing several behaviors. Notably, stage of change was associated in both groups with strength training (intervention OR 2.82, 95% CI 1.85, 4.30; comparison OR 2.84, 95% CI 1.83, 4.43, p < .0001) and reducing weight (intervention OR 2.49, 95% CI 1.32, 4.67, p = .005; comparison OR 1.98, 95% CI 1.80, 3.31, p = .01). Conclusion.: Patients with coronary disease are more likely to choose strength training and reducing weight regardless of knowing the biological-age reduction of any given behavior.
AB - Objective.: To determine what health behaviors patients choose to change in response to medical advice when they are given the potential net-present value (reduction in biological age) of modifying a behavior. Methods.: Baseline data for multiple health-risk behaviors that were recommended for change among 660 coronary angioplasty patients at the New York-Presbyterian Hospital-Weill-Cornell Medical Center who were enrolled during 2000-02 in one of two arms of a behavioral intervention trial designed to compare different approaches to communicating health risk (net-present vs. future value) were analyzed using multivariate statistical methods. Results.: Although there was no difference between study arms, knowing the biological-age value of behaviors, stage of change, and the total number of behaviors recommended for change was associated with choosing several behaviors. Notably, stage of change was associated in both groups with strength training (intervention OR 2.82, 95% CI 1.85, 4.30; comparison OR 2.84, 95% CI 1.83, 4.43, p < .0001) and reducing weight (intervention OR 2.49, 95% CI 1.32, 4.67, p = .005; comparison OR 1.98, 95% CI 1.80, 3.31, p = .01). Conclusion.: Patients with coronary disease are more likely to choose strength training and reducing weight regardless of knowing the biological-age reduction of any given behavior.
KW - Angioplasty
KW - Behavioral medicine
KW - Behavioral research
KW - Biological age
KW - Cardiovascular risk reduction
KW - Chronic disease
KW - Health behavior
KW - Health-risk appraisal
KW - Intervention research
KW - Multiple behavior change
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U2 - 10.1016/j.ypmed.2007.09.007
DO - 10.1016/j.ypmed.2007.09.007
M3 - Article
C2 - 17996930
AN - SCOPUS:39749086951
SN - 0091-7435
VL - 46
SP - 247
EP - 251
JO - Preventive Medicine
JF - Preventive Medicine
IS - 3
ER -