Evaluation of a cardiovascular disease risk assessment tool for the promotion of healthier lifestyles.
BACKGROUND
Although percentage risk formats are commonly used to convey cardiovascular disease (CVD) risk, people find it difficult to understand these representations.


OBJECTIVE
To compare the impact of providing a CVD risk message in either a traditional format (% risk) or using an analogy of risk (Heart-Age) on participants' risk perceptions and intention to make lifestyle changes.


METHODS
Four hundred and thirteen men and women were randomly allocated to one of two conditions; CVD risk as a percentage or as a Heart-Age score (a cardiovascular risk adjusted age).


RESULTS
There was a graded relationship between perceived and actual CVD risk only in those participants receiving a Heart-Age message (P<0.05). Heart-Age was more emotionally impactful in younger individuals at higher actual CVD risk (P<0.01). Self-reported emotional reactions further mediated the relationship between risk perception and intention to make lifestyle changes.


CONCLUSIONS
This study found that the Heart-Age message significantly differed from percentage CVD risk score in risk perceptions and was more emotionally impactful in those participants at higher actual CVD risk levels.
Soureti
Anastasia
A
Unilever Discover, Colworth House, Sharnbrook, Bedfordshire, UK. natasha.soureti@unilever.com
Hurling
Robert
R
Murray
Peter
P
van Mechelen
Willem
W
Cobain
Mark
M
D000328:Adult; D002318:Cardiovascular Diseases / Q000209:etiology / Q000517:prevention & control* / Q000523:psychology; D016009:Chi-Square Distribution; D032882:Comprehension; D004644:Emotions; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D010465:Perception; D011314:Preventive Health Services; D015397:Program Evaluation; D018570:Risk Assessment; D012307:Risk Factors; D040242:Risk Reduction Behavior; D006113:United Kingdom