Abstract
Abstract 17106: Impact of Communication Format and Risk Horizon on Patient Perceptions of CVD Risk: Findings From the PALM Registry
Circulation (New York, N.Y.), Vol.134(Suppl_1 Suppl 1), pp.A17106-A17106
11/11/2016
Abstract
BackgroundEngaging patients in decision making regarding cardiovascular disease (CVD) prevention requires patients to understand their CVD risk, but optimal formats for communicating CVD risk are unclear.MethodsThe PALM (Patient and Provider Assessment of Lipid Management) Registry is a cross sectional registry of patients at risk for CVD or with prior CVD seen across 138 US cardiology, endocrinology, and primary care clinics (May-Sept 2015). Patients were asked to consider a hypothetical scenario where they were told they had a 10-year CVD risk of 15%, and to rate how high they perceived this risk to be. Patients were randomized to receive the risk estimate without a visual aid or with a bar graph or a pictogram (100 smile/frown faces). The scenario was then changed to present the same risk but as the corresponding SCORE (4% 10-year risk of death) and lifetime risk (50% lifetime risk) estimates. Responses were compared by risk horizon and graphical format.ResultsOf 3060 respondents with mean age 66 years, 10.5% were African American and 54.8% male. Patients (n=3,060) were more likely to report that they perceived risk as “high or very high” when presented with lifetime CVD risk (72.6%) than 10-year CVD risk (32.1%, p<0.001 vs. lifetime risk) or CV death risk (25.6% p<0.001 vs. lifetime risk). When risk was presented as a pictogram, risk perceptions were lower across all three risk time horizons than when presented as a bar graph or without graphics (Figure).ConclusionChanges in how CVD risk is presented alters the way patients interpret risk severity, which may affect willingness to engage in prevention strategies. Presenting risk with pictograms decreases the perceived severity of risk. Effective risk communication tools should consider both what risk scores are used and also how risk is displayed.
Details
- Title: Subtitle
- Abstract 17106: Impact of Communication Format and Risk Horizon on Patient Perceptions of CVD Risk: Findings From the PALM Registry
- Creators
- Ann Navar - 1Duke Clinical Rsch Institute, Duke Univ Med Cntr, Durham, NC 2Div of Endocrinology, Metabolism and Lipid Rsch, Washington Univ, St. Louis, MO 3Depts of Epidemiology & Medicine, Univ of Iowa Carver College of Medicine, Iowa City, IA 4Cardiovascular Diseases, Mayo Clinic, Rochester, MN 5Cntr for Cardiovascular Disease Prevention, VA Med Cntr & Baylor College of Medicine, Houston, TX 6Div of Cardiology, Emory Univ, Atlanta, GA 7Global Med Affairs, Sanofi Pharmaceuticals, Bridgewater, NJ 8Regeneron Pharmaceuticals, Regeneron Pharmaceuticals, Tarrytown, NYTracy WangPearl ZakroyskyShuang LiAnne GoldbergJennifer RobinsonVeronique RogerSalim ViraniPeter WilsonL LeeJoseph ElassalEric Peterson
- Resource Type
- Abstract
- Publication Details
- Circulation (New York, N.Y.), Vol.134(Suppl_1 Suppl 1), pp.A17106-A17106
- Publisher
- by the American College of Cardiology Foundation and the American Heart Association, Inc
- ISSN
- 0009-7322
- eISSN
- 1524-4539
- Language
- English
- Date published
- 11/11/2016
- Academic Unit
- Epidemiology; Fraternal Order of Eagles Diabetes Research Center
- Record Identifier
- 9984363562402771
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