Multiple health-risk behavior in a chronic disease population: What behaviors do people choose to change?

被引:16
作者
Allegrante, John P. [1 ,2 ]
Peterson, Janey C. [3 ,4 ]
Boutin-Foster, Carla [3 ,4 ]
Ogedegbe, Gbenga [5 ]
Charlson, Mary E. [3 ,4 ]
机构
[1] Columbia Univ, Teachers Coll, Dept Hlth & Behav Studies, New York, NY 10027 USA
[2] Columbia Univ, Mailman Sch Publ Hlth, Dept Sociomed Sci, New York, NY 10032 USA
[3] Cornell Univ, Weill Med Coll, Div Gen Internal Med, New York, NY 10065 USA
[4] Cornell Univ, Weill Med Coll, Ctr Complementary & Integrat Med, New York, NY 10065 USA
[5] Columbia Univ Coll Phys & Surg, Div Gen Med, Ctr Behav & Cardiovasc Hlth, New York, NY 10032 USA
关键词
angioplasty; behavioral medicine; behavioral research; biological age; cardiovascular risk reduction; chronic disease; health behavior; health-risk appraisal; intervention research; multiple behavior change;
D O I
10.1016/j.ypmed.2007.09.007
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
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. (c) 2007 Elsevier Inc. All rights reserved.
引用
收藏
页码:247 / 251
页数:5
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