eprintid: 10137861
rev_number: 20
eprint_status: archive
userid: 608
dir: disk0/10/13/78/61
datestamp: 2021-11-09 15:03:47
lastmod: 2022-04-08 08:11:40
status_changed: 2021-11-09 15:03:47
type: article
metadata_visibility: show
creators_name: Perski, O
creators_name: Stevens, C
creators_name: West, R
creators_name: Shahab, L
title: Pilot randomised controlled trial of the Risk Acceptance Ladder (RAL) as a tool for targeting health communications
ispublished: pub
divisions: UCL
divisions: B02
divisions: D12
divisions: J96
note: © 2021 Perski et al. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/).
abstract: BACKGROUND: 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. METHODS: 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. RESULTS: 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). CONCLUSION: The Risk Acceptance Ladder may have utility as a tool for tailoring messages to prompt initial steps to engaging in self-protective behaviours.
date: 2021
date_type: published
publisher: Public Library of Science (PLoS)
official_url: https://doi.org/10.1371/journal.pone.0259949
oa_status: green
full_text_type: pub
language: eng
primo: open
primo_central: open_green
verified: verified_manual
elements_id: 1897774
doi: 10.1371/journal.pone.0259949
lyricists_name: Perski, Olga
lyricists_name: Shahab, Lion
lyricists_name: West, Robert
lyricists_id: OPERS00
lyricists_id: LSHAH80
lyricists_id: RJWES36
actors_name: Perski, Olga
actors_id: OPERS00
actors_role: owner
full_text_status: public
publication: PLoS One
volume: 16
number: 11
article_number: e0259949
citation:        Perski, O;    Stevens, C;    West, R;    Shahab, L;      (2021)    Pilot randomised controlled trial of the Risk Acceptance Ladder (RAL) as a tool for targeting health communications.                   PLoS One , 16  (11)    , Article e0259949.  10.1371/journal.pone.0259949 <https://doi.org/10.1371/journal.pone.0259949>.       Green open access   
 
document_url: https://discovery-pp.ucl.ac.uk/id/eprint/10137861/3/Perski_Pilot%20randomised%20controlled%20trial%20of%20the%20Risk%20Acceptance%20Ladder%20%28RAL%29%20as%20a%20tool%20for%20targeting%20health%20communications_VoR.pdf