Department of Psychological Medicine, University of Auckland, Auckland, New Zealand.
Auckland Bioengineering Institute, University of Auckland, Auckland, New Zealand.
Ann Behav Med. 2017 Dec;51(6):899-911. doi: 10.1007/s12160-017-9913-1.
Osteoporosis is a degenerative bone disorder that disproportionately affects older women worldwide. Raising awareness regarding osteoporosis within this demographic is significant for health promotion. Initial evidence suggests that visualisations of illness and treatment can improve illness perceptions, increase treatment motivations and even promote health behaviours. We are yet to understand whether different visualisation mediums vary in their impact on perceptions and motivations.
We investigated whether physical models or virtual animations had a greater impact on changing perceptions of osteoporosis and treatment motivation in an at-risk population of older women.
A total of 128 women aged 50 and over were randomly assigned to view a brief presentation about osteoporosis using either 3-D printed bone models or electronic tablet animations. Illness perceptions, medication beliefs and motivations were measured at baseline and post-presentation. Mixed ANOVAs were used to identify significant changes over time between groups.
There were no significant interaction effects, revealing that neither medium had a greater impact on beliefs over time. Significant main effects of time revealed that from baseline to post-presentation, both mediums increased consequence beliefs, personal and treatment control, understanding of osteoporosis, motivations to take treatment if needed and medication necessity beliefs. Timeline beliefs and medication concerns decreased over time for both groups.
Both 3-D models and animations of osteoporosis are equally effective in changing beliefs and treatment motivation in an at-risk population. Visualisation devices are brief, cost-effective, have high acceptability and have considerable clinical applicability to promote awareness and prevention.
骨质疏松症是一种退行性骨病,在全球范围内,女性尤其是老年女性更容易受到影响。提高这一人群对骨质疏松症的认识对于促进健康非常重要。初步证据表明,疾病和治疗的可视化可以改善疾病认知,增加治疗动机,甚至促进健康行为。我们还需要了解不同的可视化媒介在对认知和动机的影响上是否存在差异。
我们研究了在老年女性这一高危人群中,物理模型与虚拟动画对改变骨质疏松症认知和治疗动机的影响是否存在差异。
共有 128 名年龄在 50 岁及以上的女性被随机分配观看关于骨质疏松症的简短演示,使用 3D 打印骨骼模型或电子平板电脑动画。在基线和演示后测量疾病认知、药物信念和动机。混合方差分析用于确定组间随时间的显著变化。
没有显著的交互效应,这表明两种媒介都没有随着时间的推移对信念产生更大的影响。时间的显著主效应表明,从基线到演示后,两种媒介都增加了后果信念、个人和治疗控制、对骨质疏松症的理解、需要治疗时的治疗动机以及药物必要性信念。两组的时间线信念和药物顾虑都随着时间的推移而减少。
3D 模型和骨质疏松症动画在改变高危人群的信念和治疗动机方面同样有效。可视化设备简单、具有成本效益、接受度高,在提高认识和预防方面具有重要的临床应用价值。