Pilot randomised controlled trial of the Risk Acceptance Ladder (RAL) as a tool for targeting health communications

<h4>Background</h4> Improving adherence to self-protective behaviours is a public health priority. We aimed to assess the potential effectiveness and ease of use of an online version of the Risk Acceptance Ladder (RAL) in promoting help-seeking for cigarette smoking, excessive alcohol co...

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Autores principales: Olga Perski, Claire Stevens, Robert West, Lion Shahab
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Lenguaje:EN
Publicado: Public Library of Science (PLoS) 2021
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Acceso en línea:https://doaj.org/article/4d4420bf59bb4a5bbacc9906811737b8
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spelling oai:doaj.org-article:4d4420bf59bb4a5bbacc9906811737b82021-11-25T05:54:25ZPilot randomised controlled trial of the Risk Acceptance Ladder (RAL) as a tool for targeting health communications1932-6203https://doaj.org/article/4d4420bf59bb4a5bbacc9906811737b82021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8592458/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4> Improving adherence to self-protective behaviours is a public health priority. We aimed to assess the potential effectiveness and ease of use of an online version of the Risk Acceptance Ladder (RAL) in promoting help-seeking for cigarette smoking, excessive alcohol consumption, insufficient physical activity, or low fruit and vegetable consumption. <h4>Methods</h4> 843 UK adults were recruited, of whom 602 engaged in at least one risky behaviour. Those with no immediate plans to change (n = 171) completed a behaviour specific RAL. Participants were randomised to one of two conditions; a short message congruent (on-target, n = 73) or incongruent (off-target, n = 98) with their RAL response. Performance of the RAL was assessed by participants’ ability to select an applicable RAL item and reported ease of use of the RAL. Effectiveness was assessed by whether or not participants clicked a link to receive information about changing their target behaviour. <h4>Results</h4> Two thirds (68.9%, 95% CI = 61.8%-75.3%) of participants were able to select an applicable RAL item that corresponded to what they believed would need to change in order to alter their target behaviour, with 64.9% (95% CI = 57.5%-71.7%) reporting that it was easy to select one option. Compared with the off-target group, participants allocated to the on-target group had greater odds of clicking on the link to receive information (31.5% vs 19.4%; OR = 2.07, 95% CI = 1.01–4.26). <h4>Conclusion</h4> The Risk Acceptance Ladder may have utility as a tool for tailoring messages to prompt initial steps to engaging in self-protective behaviours.Olga PerskiClaire StevensRobert WestLion ShahabPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Olga Perski
Claire Stevens
Robert West
Lion Shahab
Pilot randomised controlled trial of the Risk Acceptance Ladder (RAL) as a tool for targeting health communications
description <h4>Background</h4> Improving adherence to self-protective behaviours is a public health priority. We aimed to assess the potential effectiveness and ease of use of an online version of the Risk Acceptance Ladder (RAL) in promoting help-seeking for cigarette smoking, excessive alcohol consumption, insufficient physical activity, or low fruit and vegetable consumption. <h4>Methods</h4> 843 UK adults were recruited, of whom 602 engaged in at least one risky behaviour. Those with no immediate plans to change (n = 171) completed a behaviour specific RAL. Participants were randomised to one of two conditions; a short message congruent (on-target, n = 73) or incongruent (off-target, n = 98) with their RAL response. Performance of the RAL was assessed by participants’ ability to select an applicable RAL item and reported ease of use of the RAL. Effectiveness was assessed by whether or not participants clicked a link to receive information about changing their target behaviour. <h4>Results</h4> Two thirds (68.9%, 95% CI = 61.8%-75.3%) of participants were able to select an applicable RAL item that corresponded to what they believed would need to change in order to alter their target behaviour, with 64.9% (95% CI = 57.5%-71.7%) reporting that it was easy to select one option. Compared with the off-target group, participants allocated to the on-target group had greater odds of clicking on the link to receive information (31.5% vs 19.4%; OR = 2.07, 95% CI = 1.01–4.26). <h4>Conclusion</h4> The Risk Acceptance Ladder may have utility as a tool for tailoring messages to prompt initial steps to engaging in self-protective behaviours.
format article
author Olga Perski
Claire Stevens
Robert West
Lion Shahab
author_facet Olga Perski
Claire Stevens
Robert West
Lion Shahab
author_sort Olga Perski
title Pilot randomised controlled trial of the Risk Acceptance Ladder (RAL) as a tool for targeting health communications
title_short Pilot randomised controlled trial of the Risk Acceptance Ladder (RAL) as a tool for targeting health communications
title_full Pilot randomised controlled trial of the Risk Acceptance Ladder (RAL) as a tool for targeting health communications
title_fullStr Pilot randomised controlled trial of the Risk Acceptance Ladder (RAL) as a tool for targeting health communications
title_full_unstemmed Pilot randomised controlled trial of the Risk Acceptance Ladder (RAL) as a tool for targeting health communications
title_sort pilot randomised controlled trial of the risk acceptance ladder (ral) as a tool for targeting health communications
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/4d4420bf59bb4a5bbacc9906811737b8
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AT clairestevens pilotrandomisedcontrolledtrialoftheriskacceptanceladderralasatoolfortargetinghealthcommunications
AT robertwest pilotrandomisedcontrolledtrialoftheriskacceptanceladderralasatoolfortargetinghealthcommunications
AT lionshahab pilotrandomisedcontrolledtrialoftheriskacceptanceladderralasatoolfortargetinghealthcommunications
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