Evidence map›Paper›PMID 27086320›Full record

ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2017

The role of time and risk preferences in adherence to physician advice on health behavior change.

Marjon van der Pol, Deirdre Hennessy, Braden Manns

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Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  14. Risky business, healthy lives: how risk perception, risk preferences and information influence consumer's risky health choices.The European journal of health economics : HEPAC : health economics in prevention and care · 2021
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

3 authors.

Marjon van der PolHealth Economics Research Unit, University of Aberdeen, Foresterhill, Aberdeen, AB25 2ZD, Scotland, UK. m.vanderpol@abdn.ac.uk.
Deirdre HennessyHealth Analysis Division, Statistics Canada, Ottawa, Canada.
Braden MannsUniversity of Calgary, Calgary, Canada.

Funding

Chief Scientist Office HERU1
6 · The paper itself

Abstract

Changing physical activity and dietary behavior in chronic disease patients is associated with significant health benefits but is difficult to achieve. An often-used strategy is for the physician or other health professional to encourage behavior changes by providing advice on the health consequences of such behaviors. However, adherence to advice on health behavior change varies across individuals. This paper uses data from a population-based cross-sectional survey of 1849 individuals with chronic disease to explore whether differences in individuals' time and risk preferences can help explain differences in adherence. Health behaviors are viewed as investments in health capital within the Grossman model. Physician advice plays a role in the model in that it improves the understanding of the future health consequences of investments. It can be hypothesized that the effect of advice on health behavior will depend on an individuals' time and risk preference. Within the survey, which measured a variety of health-related behaviors and outcomes, including receipt and compliance with advice on dietary and physical activity changes, time preferences were measured using financial planning horizon, and risk preferences were measured through a commonly used question which asked respondents to indicate their willingness to take risks on a ten-point scale. Results suggest that time preferences play a role in adherence to physical activity advice. While time preferences also play a role in adherence to dietary advice, this effect is only apparent for males. Risk preferences do not seem to be associated with adherence. The results suggest that increasing the salience of more immediate benefits of health behavior change may improve adherence.

Indexed as

Health BehaviorAdultAgedAge FactorsChronic DiseaseCross-Sectional StudiesDietExerciseFemaleHumansMaleMiddle AgedPatient ComplianceRisk AssessmentSex FactorsSocioeconomic FactorsAdherenceRisk preferenceTime preference

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.