TY - JOUR
T1 - Brief lifestyle advice in cardiac care
T2 - an experimental study on message source and framing
AU - IJzerman, Renée V. H.
AU - van der Vaart, Rosalie
AU - Breeman, Linda D.
AU - van den Broek, Inge
AU - Keesman, Mike
AU - Kraaijenhagen, Roderik A.
AU - Reijnders, Thomas
AU - Weerts, Margo
AU - Evers, Andrea W. M.
AU - Scholte op Reimer, Wilma J. M.
AU - the BENEFIT consortium
AU - Janssen, Veronica R.
N1 - Publisher Copyright: © 2023, The Author(s).
PY - 2024/1
Y1 - 2024/1
N2 - Objective: Communicating risk information and offering lifestyle advice are important goals in cardiac rehabilitation. However, the most effective way and the most effective source to communicate this information are not yet known. Therefore, we examined the effect of source (cardiologist, physiotherapist) and framing (gain, loss) of brief lifestyle advice on patients’ intention-to-change-lifestyle. Methods: In an online experimental study, 636 cardiac patients (40% female, 67 (10) yrs.) were randomly assigned to one of four textual vignettes. Effect of source and framing on intention-to-change-lifestyle (assessed using a 5-point Likert scale) was analysed using analysis of covariance (ANCOVA). Results: Patients expressed positive intention-to-change-lifestyle after receiving advice from the cardiologist (M = 4.1) and physiotherapist (M = 3.9). However, patients showed significantly higher intention-to-change-lifestyle after receiving advice from the cardiologist (0.58 [0.54–0.61]) when compared with the physiotherapist (0.52 [0.48–0.56]), (F[1,609] = 7.06, P = 0.01). Gain-framed and loss-framed advice appeared equally effective. However, communicating risks (loss) was remembered by only 9% of patients, whereas 89% remembered benefits (gain). Conclusions: Our study shows the value of cardiologists and physiotherapists communicating brief lifestyle advice, as cardiac patients expressed positive intention for lifestyle change after receiving advice, irrespective of framing. Lifestyle advice should include benefits due to better recall.
AB - Objective: Communicating risk information and offering lifestyle advice are important goals in cardiac rehabilitation. However, the most effective way and the most effective source to communicate this information are not yet known. Therefore, we examined the effect of source (cardiologist, physiotherapist) and framing (gain, loss) of brief lifestyle advice on patients’ intention-to-change-lifestyle. Methods: In an online experimental study, 636 cardiac patients (40% female, 67 (10) yrs.) were randomly assigned to one of four textual vignettes. Effect of source and framing on intention-to-change-lifestyle (assessed using a 5-point Likert scale) was analysed using analysis of covariance (ANCOVA). Results: Patients expressed positive intention-to-change-lifestyle after receiving advice from the cardiologist (M = 4.1) and physiotherapist (M = 3.9). However, patients showed significantly higher intention-to-change-lifestyle after receiving advice from the cardiologist (0.58 [0.54–0.61]) when compared with the physiotherapist (0.52 [0.48–0.56]), (F[1,609] = 7.06, P = 0.01). Gain-framed and loss-framed advice appeared equally effective. However, communicating risks (loss) was remembered by only 9% of patients, whereas 89% remembered benefits (gain). Conclusions: Our study shows the value of cardiologists and physiotherapists communicating brief lifestyle advice, as cardiac patients expressed positive intention for lifestyle change after receiving advice, irrespective of framing. Lifestyle advice should include benefits due to better recall.
KW - Cardiac Rehabilitation
KW - Intention
KW - Lifestyle
KW - Secondary Prevention
KW - Very Brief Advice
UR - http://www.scopus.com/inward/record.url?scp=85176111735&partnerID=8YFLogxK
U2 - https://doi.org/10.1007/s12471-023-01827-7
DO - https://doi.org/10.1007/s12471-023-01827-7
M3 - Article
C2 - 37945935
SN - 1568-5888
VL - 32
SP - 38
EP - 44
JO - Netherlands heart journal
JF - Netherlands heart journal
IS - 1
ER -