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Risk and time preferences in individuals with lifestyle-related and non-lifestyle-related cardiovascular diseases: a pilot study.
Kairies-Schwarz, Nadja; Mussio, Irene; Bulla-Holthaus, Natalia; Wankmüller, Esther; Wolff, Georg; Gontscharuk, Veronika; Heinen, Yvonne; Perings, Stefan; Brockmeyer, Maximilian; Kelm, Malte; Icks, Andrea.
Afiliación
  • Kairies-Schwarz N; Institute for Health Services Research and Health Economics & Centre for Health and Society, Heinrich-Heine-University, Düsseldorf, Germany nadja.kairies-schwarz@hhu.de.
  • Mussio I; German Diabetes Center, Leibniz Center for Diabetes Research, Düsseldorf, Germany.
  • Bulla-Holthaus N; Department of Economics, University of Leeds, Leeds, UK.
  • Wankmüller E; Institute for Health Services Research and Health Economics & Centre for Health and Society, Heinrich-Heine-University, Düsseldorf, Germany.
  • Wolff G; Health Economics Research Center (CINCH), University of Duisburg-Essen, Essen, Germany.
  • Gontscharuk V; Clinic for Pediatrics 1, UK Essen, University Hospital Essen, Essen, Germany.
  • Heinen Y; Division of Cardiology, Pulmonology, and Vascular Medicine, Department of Internal Medicine, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.
  • Perings S; Klinik für Kardiologie, Klinikum Ibbenbüren, Stiftung Mathias Spital Rheine, Ibbenbüren, Germany.
  • Brockmeyer M; Institute for Health Services Research and Health Economics & Centre for Health and Society, Heinrich-Heine-University, Düsseldorf, Germany.
  • Kelm M; Division of Cardiology, Pulmonology, and Vascular Medicine, Department of Internal Medicine, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.
  • Icks A; Division of Cardiology, Pulmonology, and Vascular Medicine, Department of Internal Medicine, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.
BMJ Open ; 14(5): e080867, 2024 May 07.
Article en En | MEDLINE | ID: mdl-38719330
ABSTRACT

OBJECTIVES:

To (1) pilot a study of behavioural characterisation based on risk and time preferences in clinically well-characterised individuals, (2) assess the distribution of preferences in this population and (3) explore differences in preferences between individuals with 'lifestyle-related' (LS) and 'non-lifestyle-related' (NLS) cardiovascular diseases.

DESIGN:

Cross-sectional study with an economic online experiment to collect risk and time preferences, a detailed clinical characterisation and a sociodemographic and lifestyle survey. A definition of LS and NLS groups was developed.

SETTING:

Specialist outpatient clinics of the clinic for cardiology and pneumology of the University Hospital Düsseldorf and patients from a cardiology practice in Düsseldorf.

PARTICIPANTS:

A total of 74 individuals with cardiovascular diseases.

OUTCOMES:

Risk and time preferences.

RESULTS:

The implementation of the study process, including participant recruitment and data collection, ran smoothly. The medical checklist, the survey and the time preference instrument were well received. However, the conceptual understanding of the risk preference instrument resulted in inconsistent choices for many participants (47%). The remaining individuals were more risk averse (27%) than risk seeking (16%) and risk neutral (10%). Individuals in our sample were also more impatient (49%) than patient (42%). The participant classification showed that 65% belonged to the LS group, 19% to the NLS group and 16% could not be assigned (unclear allocation to lifestyle (ULS) group). Excluding the ULS group, we show that individuals in the LS group were more risk seeking, and unexpectedly, more patient than those in the NLS group.

CONCLUSIONS:

The process of the pilot study and its results can be used as a basis for the design of the main study. The differences in risk and time preferences between the LS and NLS groups provide us with a novel hypothesis for unhealthy behaviours individuals never give up a bad habit, they simply postpone the latter, which can be tested alongside other additional research questions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Cardiovasculares / Estilo de Vida Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: BMJ Open Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Cardiovasculares / Estilo de Vida Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: BMJ Open Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido