{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T12:50:59Z","timestamp":1761396659065,"version":"3.37.3"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T00:00:00Z","timestamp":1699488000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T00:00:00Z","timestamp":1699488000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Neth Heart J"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Objective<\/jats:title>\n                <jats:p>Communicating risk information and offering lifestyle advice are important goals in cardiac rehabilitation. However, the most effective way and the most effective source to communicate this information are not yet known. Therefore, we examined the effect of source (cardiologist, physiotherapist) and framing (gain, loss) of brief lifestyle advice on patients\u2019 intention-to-change-lifestyle.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>In an online experimental study, 636 cardiac patients (40% female, 67\u00a0(10)\u00a0yrs.) were randomly assigned to one of four textual vignettes. Effect of source and framing on intention-to-change-lifestyle (assessed using a\u00a05-point Likert scale) was analysed using analysis of covariance (ANCOVA).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Patients expressed positive intention-to-change-lifestyle after receiving advice from the cardiologist (<jats:italic>M<\/jats:italic>\u202f=\u20094.1) and physiotherapist (<jats:italic>M<\/jats:italic>\u202f=\u20093.9). However, patients showed significantly higher intention-to-change-lifestyle after receiving advice from the cardiologist (0.58 [0.54\u20130.61]) when compared with the physiotherapist (0.52 [0.48\u20130.56]), (<jats:italic>F<\/jats:italic>[1,609]\u202f=\u20097.06, <jats:italic>P<\/jats:italic>\u202f=\u20090.01). Gain-framed and loss-framed advice appeared equally effective. However, communicating risks (loss) was remembered by only 9% of patients, whereas 89% remembered benefits (gain).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Our study shows the value of cardiologists and physiotherapists communicating brief lifestyle advice, as cardiac patients expressed positive intention for lifestyle change after receiving advice, irrespective of framing. Lifestyle advice should include benefits due to better recall.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s12471-023-01827-7","type":"journal-article","created":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T18:01:37Z","timestamp":1699552897000},"page":"38-44","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Brief lifestyle advice in cardiac care: an experimental study on message source and framing"],"prefix":"10.1007","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2079-6814","authenticated-orcid":false,"given":"Ren\u00e9e V. 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All procedures performed were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.<i> Patient consent:<\/i> Informed consent was obtained from all participants before taking part in the online experimental study. <i>Public and patient involvement:<\/i> Cardiac patients and an employee of Harteraad, the Dutch patient association for CVD, were asked to provide feedback during the development of the survey\u2019s content and design. All those involved also conducted one or more pilot tests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical standards"}}]}}