Communicating Multiple Disease Risks: A Translation of Risk Prediction Science
Status
Completed
Conditions
Healthy Volunteers
Treatments
Other: Text Message Survey
Behavioral: Audio Recording - Exercise
Other: Surveys
Other: Text message reminders
Behavioral: Audio Recording - Sleep
Behavioral: Risk Assessment App
Study type
Interventional
Funder types
Other
NIH
Identifiers
Details and patient eligibility
About
Epidemiology seeks to improve public health by identifying risk factors for cancer and other diseases and conveying that information to relevant audiences (e.g., physicians, the public). The audience is presumed to understand and use that information to make appropriate decisions about lifestyle behaviors and medical treatments. Yet, even though a single risk factor can affect the risk of multiple health outcomes, this information is seldom communicated to people in a way that optimizes their understanding of the importance of engaging in a single healthy behavior. Providing individuals with the ability to understand how a single behavior (obtaining sufficient physical activity) could affect their risk of developing multiple diseases could foster a more coherent and meaningful picture of the behavior's importance in reducing health risks, increase motivation and intentions to engage in the behavior, and over time improve public health.
The proposed study translates epidemiological data about five diseases that cause significant morbidity and mortality (i.e., colon cancer, breast cancer (women), heart disease, diabetes, and stroke) into a visual display that conveys individualized risk estimates in a comprehensible, meaningful, and useful way to diverse lay audiences.
Enrollment
554 patients
Sex
All
Ages
30 to 64 years old
Volunteers
Accepts Healthy Volunteers
Inclusion criteria
- 30-64 years of age
- Less than (3) relevant comorbidities (diabetes, heart disease, stroke, and cancer, where cancer counts as (2) comorbidities for women but (1) for men)
- Having a SMS capable mobile phone that is not shared with anyone else
Exclusion criteria
- Not meeting national guidelines for aerobic physical activity (i.e., at least 150 minutes per week of moderate intensity aerobic physical activity)
- Participants from HRPO# 201501028 will be ineligible for this study
- Uses text messaging less than once per month
Trial design
Primary purpose
Prevention
Allocation
Randomized
Interventional model
Factorial Assignment
Masking
Single Blind
554 participants in 6 patient groups
Risk Display Format:Risk Ladder:Imagery Behavior:Exercise
Experimental group
Description:
* With help from a research assistant, participants complete the Risk Assessment App. The App asks demographic \& health questions. It then provides personalized risk estimates for participants' current activity level \& how it would change with regular exercise.
* Participants take Baseline Survey 1.
* Participants listen to an audio recording that guides them through a mental imagery activity. They write down an exercise goal \& are asked to practice the mental imagery twice a day for 3 weeks.
* Participants take Baseline Survey 2.
* Participants receive text messages reminding them to practice the mental imagery twice daily for 5 minutes each time (3 texts a week for 3 weeks).
* Participants take surveys via text at the end of each week for 4 weeks.
* 90 days post-baseline, participants complete a survey sent through the mail.
* Participants may be contacted for another survey 1 year later.
Treatment:
Other: Surveys
Other: Text message reminders
Other: Text Message Survey
Behavioral: Risk Assessment App
Behavioral: Audio Recording - Exercise
Risk Display Format:Risk Ladder:Imagery Behavior:Sleep
Experimental group
Description:
* With help from a research assistant, participants complete the Risk Assessment App. The App asks demographic \& health questions. It then provides personalized risk estimates for participants' current activity level \& how it would change with regular exercise.
* Participants take Baseline Survey 1.
* Participants listen to an audio recording that guides them through a mental imagery activity. They write down a sleep goal \& are asked to practice the mental imagery twice a day for 3 weeks.
* Participants take Baseline Survey 2.
* Participants receive text messages reminding them to practice the mental imagery twice daily for 5 minutes each time (3 texts a week for 3 weeks).
* Participants take surveys via text at the end of each week for 4 weeks.
* 90 days post-baseline, participants complete a survey sent through the mail.
* Participants may be contacted for another survey 1 year later.
Treatment:
Other: Surveys
Other: Text message reminders
Behavioral: Audio Recording - Sleep
Other: Text Message Survey
Behavioral: Risk Assessment App
Risk Display Format:Table:Imagery Behavior:Exercise
Experimental group
Description:
* With help from a research assistant, participants complete the Risk Assessment App. The App asks demographic \& health questions. It then provides personalized risk estimates for participants' current activity level \& how it would change with regular exercise.
* Participants take Baseline Survey 1.
* Participants listen to an audio recording that guides them through a mental imagery activity. They write down an exercise goal \& are asked to practice the mental imagery twice a day for 3 weeks.
* Participants take Baseline Survey 2.
* Participants receive text messages reminding them to practice the mental imagery twice daily for 5 minutes each time (3 texts a week for 3 weeks).
* Participants take surveys via text at the end of each week for 4 weeks.
* 90 days post-baseline, participants complete a survey sent through the mail.
* Participants may be contacted for another survey 1 year later.
Treatment:
Other: Surveys
Other: Text message reminders
Other: Text Message Survey
Behavioral: Risk Assessment App
Behavioral: Audio Recording - Exercise
Risk Display Format:Table: Imagery Behavior:Sleep
Experimental group
Description:
* With help from a research assistant, participants complete the Risk Assessment App. The App asks demographic \& health questions. It then provides personalized risk estimates for participants' current activity level \& how it would change with regular exercise.
* Participants take Baseline Survey 1.
* Participants listen to an audio recording that guides them through a mental imagery activity. They write down a sleep goal \& are asked to practice the mental imagery twice a day for 3 weeks.
* Participants take Baseline Survey 2.
* Participants receive text messages reminding them to practice the mental imagery twice daily for 5 minutes each time (3 texts a week for 3 weeks).
* Participants take surveys via text at the end of each week for 4 weeks.
* 90 days post-baseline, participants complete a survey sent through the mail.
* Participants may be contacted for another survey 1 year later.
Treatment:
Other: Surveys
Other: Text message reminders
Behavioral: Audio Recording - Sleep
Other: Text Message Survey
Behavioral: Risk Assessment App
Risk Display Format:Text:Imagery Behavior:Exercise
Experimental group
Description:
* With help from a research assistant, participants complete the Risk Assessment App. The App asks demographic \& health questions. It then provides personalized risk estimates for participants' current activity level \& how it would change with regular exercise.
* Participants take Baseline Survey 1.
* Participants listen to an audio recording that guides them through a mental imagery activity. They write down an exercise goal \& are asked to practice the mental imagery twice a day for 3 weeks.
* Participants take Baseline Survey 2.
* Participants receive text messages reminding them to practice the mental imagery twice daily for 5 minutes each time (3 texts a week for 3 weeks).
* Participants take surveys via text at the end of each week for 4 weeks.
* 90 days post-baseline, participants complete a survey sent through the mail.
* Participants may be contacted for another survey 1 year later.
Treatment:
Other: Surveys
Other: Text message reminders
Other: Text Message Survey
Behavioral: Risk Assessment App
Behavioral: Audio Recording - Exercise
Risk Display Format:Text:Imagery Behavior:Sleep
Experimental group
Description:
* With help from a research assistant, participants complete the Risk Assessment App. The App asks demographic \& health questions. It then provides personalized risk estimates for participants' current activity level \& how it would change with regular exercise.
* Participants take Baseline Survey 1.
* Participants listen to an audio recording that guides them through a mental imagery activity. They write down a sleep goal \& are asked to practice the mental imagery twice a day for 3 weeks.
* Participants take Baseline Survey 2.
* Participants receive text messages reminding them to practice the mental imagery twice daily for 5 minutes each time (3 texts a week for 3 weeks).
* Participants take surveys via text at the end of each week for 4 weeks.
* 90 days post-baseline, participants complete a survey sent through the mail.
* Participants may be contacted for another survey 1 year later.
Treatment:
Other: Surveys
Other: Text message reminders
Behavioral: Audio Recording - Sleep
Other: Text Message Survey
Behavioral: Risk Assessment App
Trial contacts and locations
1
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