title: Personalized risk communication for personalized risk assessment: Real world assessment of knowledge and motivation for six mortality risk measures from an online life expectancy calculator.
abstract: In the clinical setting, previous studies have shown personalized risk assessment and communication improves risk perception and motivation. We evaluated an online health calculator that estimated and presented six different measures of life expectancy/mortality based on a person's sociodemographic and health behavior profile. Immediately after receiving calculator results, participants were invited to complete an online survey that asked how informative and motivating they found each risk measure, whether they would share their results and whether the calculator provided information they need to make lifestyle changes. Over 80% of the 317 survey respondents found at least one of six healthy living measures highly informative and motivating, but there was moderate heterogeneity regarding which measures respondents found most informative and motivating. Overall, health age was most informative and life expectancy most motivating. Approximately 40% of respondents would share the results with their clinician (44%) or social networks (38%), although the information they would share was often different from what they found informative or motivational. Online personalized risk assessment allows for a more personalized communication compared to historic paper-based risk assessment to maximize knowledge and motivation, and people should be provided a range of risk communication measures that reflect different risk perspectives.
authors.affiliation: a Clinical Epidemiology Program, Ottawa Hospital Research Institute , Ottawa , ON , Canada.|b Departments of Family Medicine , University of Ottawa , Ottawa , ON , Canada.|c Bruyère Research Institute , Ottawa , ON , Canada.|d School of Public and Population Health, University of Ottawa , Ottawa , ON , Canada.|e Institute for Clinical Evaluative Sciences , Ottawa and Toronto , ON , Canada.
authors.forename: Douglas G
authors.initials: DG
authors.lastname: Manuel
authors.affiliation: a Clinical Epidemiology Program, Ottawa Hospital Research Institute , Ottawa , ON , Canada.
authors.forename: Kasim E
authors.initials: KE
authors.lastname: Abdulaziz
authors.affiliation: a Clinical Epidemiology Program, Ottawa Hospital Research Institute , Ottawa , ON , Canada.|e Institute for Clinical Evaluative Sciences , Ottawa and Toronto , ON , Canada.
authors.forename: Richard
authors.initials: R
authors.lastname: Perez
authors.affiliation: a Clinical Epidemiology Program, Ottawa Hospital Research Institute , Ottawa , ON , Canada.
authors.forename: Sarah
authors.initials: S
authors.lastname: Beach
authors.affiliation: a Clinical Epidemiology Program, Ottawa Hospital Research Institute , Ottawa , ON , Canada.|e Institute for Clinical Evaluative Sciences , Ottawa and Toronto , ON , Canada.
authors.forename: Carol
authors.initials: C
authors.lastname: Bennett
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000428:Alcohol Drinking / Q000453:epidemiology; D004032:Diet; D015444:Exercise; D005260:Female; D015438:Health Behavior; D000070497:Healthy Lifestyle; D006801:Humans; D020407:Internet; D008017:Life Expectancy; D008297:Male; D008875:Middle Aged; D009042:Motivation; D018570:Risk Assessment; D012737:Sex Factors; D012907:Smoking / Q000453:epidemiology; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Personalized risk assessment; patient decision support; risk communication