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 con...

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Autores principales:	Olga Perski, Claire Stevens, Robert West, Lion Shahab
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/926be47a52a04ef3a59d3edd71796372
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spelling	oai:doaj.org-article:926be47a52a04ef3a59d3edd717963722021-12-02T20:13:04ZPilot randomised controlled trial of the Risk Acceptance Ladder (RAL) as a tool for targeting health communications.1932-620310.1371/journal.pone.0259949https://doaj.org/article/926be47a52a04ef3a59d3edd717963722021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0259949https://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, p e0259949 (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/926be47a52a04ef3a59d3edd71796372
work_keys_str_mv	AT olgaperski pilotrandomisedcontrolledtrialoftheriskacceptanceladderralasatoolfortargetinghealthcommunications AT clairestevens pilotrandomisedcontrolledtrialoftheriskacceptanceladderralasatoolfortargetinghealthcommunications AT robertwest pilotrandomisedcontrolledtrialoftheriskacceptanceladderralasatoolfortargetinghealthcommunications AT lionshahab pilotrandomisedcontrolledtrialoftheriskacceptanceladderralasatoolfortargetinghealthcommunications
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Pilot randomised controlled trial of the Risk Acceptance Ladder (RAL) as a tool for targeting health communications.

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