The Validity of Health Risk Appraisals for Coronary Heart Disease: Results from a Randomized Field Trial.
Background: While health risk appraisals (HRAs) are becoming increasingly popular as tools for health assessment and health education, comparatively little is known about the accuracy of these risk estimates. Methods: A field trial among 732 randomly selected adults ages 25 to 65 years was conducted...
| Publicado en: | American Journal of Public Health Vol. 81; no. 4; pp. 466 - 471 |
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| Autores principales: | , , |
| Formato: | Journal Article |
| Publicado: |
American Public Health Association
Apr91
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=9104222070&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 9104222070 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Apr91 vid: 81 iid: 4 pid: 44 pub: American Public Health Association place: Washington, District of Columbia artinfo: ui: 9104222070 9104222070 10.2105/AJPH.81.4.466 9104222070 ppf: 466 ppct: 5 formats: tig: atl: The Validity of Health Risk Appraisals for Coronary Heart Disease: Results from a Randomized Field Trial. aug: au: Smith, Kevin W. McKinlay, Sonja M. McKinlay, John B. affil: Cambridge Research Center, American Institutes for Research, Watertown, MA sug: ab: Background: While health risk appraisals (HRAs) are becoming increasingly popular as tools for health assessment and health education, comparatively little is known about the accuracy of these risk estimates. Methods: A field trial among 732 randomly selected adults ages 25 to 65 years was conducted to assess the validity of the risk scores produced by four widely used HRAs. Results: Self-reported HRA risk scores for cigarette smoking and relative weight wore generally accurate, but correlations between physiological measurements and scores for blood pressure, cholesterol, and physical activity were always lower than .51. Correlations between epidemiologic estimates of the probability of CHD death and HRA total risk scores ranged from .13 to .75; partial correlations adjusting for age, race, and gender ranged from .12 to .47. Conclusions: The HRAs chosen for the field trial exhibited modest correlations with the CHD mortality risk predicted by the epidemiologic model. Mathematical errors made by respondents completing self-scored instruments and lack of knowledge regarding physiologic status decrease the accuracy of HRA risk estimates. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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