BACKGROUND: Current guidelines recommend global risk assessment to guide vascular risk factor management; however, most provider- @entity1 communication focuses on individual risk factors in isolation. We sought to evaluate the impact of personalized @entity301 and @entity64 risk communication on @entity1 ' knowledge, beliefs, and health behavior. METHODS: We conducted a randomized controlled trial testing personalized risk communication based on @entity64 and @entity301 risk scores compared with a standard risk factor education. A total of 89 @entity1 were recruited from primary care clinics and followed up for 3 months. Outcomes included the following: risk perception and worry, risk factor knowledge, risk reduction preferences and decision conflict, medication adherence, health behaviors, and blood pressure. RESULTS: @entity1 had a very low understanding of numeric information, high perceived risk for @entity64 or @entity583 , and high proportion of medication nonadherence. @entity1 ' ability to identify vascular risk factors increased with personalized risk communication (mean 1.8 additional risk factors, 95% CI 1.3-2.2) and standard risk factor education (mean 1.6 additional risk factors, 95% CI 1.1-2.1) immediately after the intervention but was not sustained at 3 months. @entity1 in the personalized group had less decision conflict than the standard risk factor education group over intended risk reduction strategies (5.9 vs 10.1, P = .003). There was no appreciable impact of either communication strategy on medication adherence, exercise, smoking cessation, or blood pressure. CONCLUSIONS: Personalized risk communication was preferred by @entity1 and had a small impact on risk reduction preferences and decision conflict but had no impact on @entity1 beliefs or behavior compared with standard risk factor education.

The effectiveness of personalized @entity301 and XXXX risk communication.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient', 'Participants'] @entity583 :: ('MESH:D009203', 'Disease') :: ['myocardial infarction'] @entity64 :: ('MESH:D020521', 'Disease') :: ['stroke', 'Framingham stroke'] @entity301 :: ('MESH:D003327', 'Disease') :: ['coronary heart disease']
@entity64 :: (MESH:D020521,Disease) :: ['stroke']
