Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 6/2017

01-12-2017 | Original Article

The Impact of 3-D Models versus Animations on Perceptions of Osteoporosis and Treatment Motivation: A Randomised Trial

Authors: Annie S. K. Jones, MHP, Justin Fernandez, PhD, Andrew Grey, MD, Keith J. Petrie, PhD

Published in: Annals of Behavioral Medicine | Issue 6/2017

Login to get access

Abstract

Background

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.

Purpose

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.

Methods

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.

Results

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.

Conclusions

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.
Appendix
Available only for authorised users
Literature
1.
White D. Discuss patients’ perceptions of treatment to tackle non-adherence. Clin Pharm 2013;5:85.
2.
Barnett NL. Medication adherence: where are we now? A UK perspective. Eur J Hosp Pharm: Sci Pract 2014;21(3):181–184.CrossRef
3.
Leventhal H, Meyer D, Nerenz D. The common sense representation of illness danger. In: Rachman S, editor. Contributions to medical psychology New York: Pergamon Press; 1980. p. 7–30.
4.
Sabaté E, editor. Adherence to long-term therapies: evidence for action. Geneva: World Health Organization; 2003.
5.
Burke D, Zhou X, Rotty V, Konchada V, Shen Y, Konety B, et al. Web-accessible interactive software of 3D anatomy representing pathophysiological conditions to enhance the patient-consent process for procedures. In: Westwood JD, Westwood SW, Felländer-Tsai L, Haluck RS, Hoffman HM, Robb RA, et al, editors. Medicine Meets Virtual Reality 18: NextMed Amsterdam, Netherlands: IOS Press BV; 2011. p. 96–98.
6.
Houts PS, Doak CC, Doak LG, Loscalzo MJ. The role of pictures in improving health communication: a review of research on attention, comprehension, recall, and adherence. Patient Educ Couns 2006;61(2):173–190.CrossRefPubMed
7.
Braddock III CH, Edwards KA, Hasenberg NM, Laidley TL, Levinson W. Informed decision making in outpatient practice: time to get back to basics. JAMA 1999;282(24):2313–2320.CrossRefPubMed
8.
Weinman J, Yusuf G, Berks R, Rayner S, Petrie KJ. How accurate is patients’ anatomical knowledge: a cross-sectional, questionnaire study of six patient groups and a general public sample. BMC Fam Pract 2009;10(43):1–6.
9.
Paivio A, Walsh M, Bons T. Concreteness effects on memory: when and why? J Exp Psychol Learn 1994;20(5):1196–1204.CrossRef
10.
Gardner MP, Houston MJ. The effects of verbal and visual components of retail communications. J Retail 1986;62(1):64–78.
11.
Mintzer MZ, Snodgrass JG. The picture superiority effect: support for the distinctiveness model. Am J Psychol 1999;112(1):113–146.CrossRefPubMed
12.
Cameron LD, Chan CKY. Designing health communications: harnessing the power of affect, imagery, and self-regulation. Soc Personal Psychol Compass 2008;2(1):262–282.CrossRef
13.
Devcich DA, Ellis CJ, Waltham N, Broadbent E, Petrie KJ. Seeing what’s happening on the inside: patients’ views of the value of diagnostic cardiac computed tomography angiography. Brit J Health Psych 2014;19(4):810–822.CrossRef
14.
Harrow A, Wells M, Humphris G, Taylor C, Williams B. “Seeing is believing, and believing is seeing”: an exploration of the meaning and impact of women’s mental images of their breast cancer and their potential origins. Patient Educ Couns 2008;73(2):339–346.CrossRefPubMed
15.
Mabeck CE, Olesen F. Metaphorically transmitted diseases. How do patients embody medical explanations? Fam Pract 1997;14(4):271–278.CrossRefPubMed
16.
Broadbent E, Petrie KJ, Ellis CJ, Ying J, Gamble G. A picture of health—myocardial infarction patients’ drawings of their hearts and subsequent disability: a longitudinal study. J Psychosom Res 2004;57(6):583–587.CrossRefPubMed
17.
Williams B, Anderson AS, Barton K, McGhee J. Can theory be embedded in visual interventions to promote self-management? A proposed model and worked example. Int J Nurs Stud 2012;49(12):1598–1609.CrossRefPubMed
18.
Cleeren G, Quirynen M, Ozcelik O, Teughels W. Role of 3D animation in periodontal patient education: a randomized controlled trial. J Clin Periodontol 2014;41(1):38–45.CrossRefPubMed
19.
Lee TJ, Cameron LD, Wünsche B, Stevens C. A randomized trial of computer-based communications using imagery and text information to alter representations of heart disease risk and motivate protective behaviour. Brit J Health Psych 2011;16(1):72–91.CrossRef
20.
Hermann M. 3-Dimensional computer animation—a new medium for supporting patient education before surgery. Acceptance and assessment of patients based on a prospective randomized study—picture versus text. Chirurg 2002;73(5):500–507.CrossRefPubMed
21.
Karamanidou C, Weinman J, Horne R. Improving haemodialysis patients’ understanding of phosphate-binding medication: a pilot study of a psycho-educational intervention designed to change patients’ perceptions of the problem and treatment. Brit J Health Psych 2008;13(2):205–214.CrossRef
22.
Perera AI, Thomas MG, Moore JO, Faasse K, Petrie KJ. Effect of a smartphone application incorporating personalized health-related imagery on adherence to antiretroviral therapy: a randomized clinical trial. AIDS Patient Care ST 2014;28(11):579–586.CrossRef
23.
Jones ASK, Ellis CJ, Nash M, Stanfield B, Broadbent E. Using animation to improve recovery from acute coronary syndrome: a randomized trial. Ann Behav Med 2016;50(1):108–118.CrossRefPubMed
24.
Stephens MH, Grey A, Fernandez J, Kalluru R, Faasse K, Horne A, et al. 3-D bone models to improve treatment initiation among patients with osteoporosis: a randomised controlled pilot trial. Psychol Health 2016;31(4):487–497.CrossRefPubMed
25.
Wilson EA, Makoul G, Bojarski EA, Bailey SC, Waite KR, Rapp DN, et al. Comparative analysis of print and multimedia health materials: a review of the literature. Patient Educ Couns 2012;89(1):7–14.CrossRefPubMed
26.
Cosman F, De Beur S, LeBoff M, Lewiecki E, Tanner B, Randall S, et al. Clinician’s guide to prevention and treatment of osteoporosis. Osteoporos Int 2014;25(10):2359–2381.CrossRefPubMedPubMedCentral
27.
Besser SJ, Anderson JE, Weinman J. How do osteoporosis patients perceive their illness and treatment? Implications for clinical practice. Arch Osteoporos 2012;7(1–2):115–124.CrossRefPubMed
28.
29.
Truluck JE, Courtenay BC. Learning style preferences among older adults. Educ Gerontol 1999;25(3):221–236.CrossRef
30.
Faul F, Erdfelder E, Lang A, Buchner A. G* Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 2007;39(2):175–191.CrossRefPubMed
31.
Sreenivasan D, Watson M, Callon K, Dray M, Das R, Grey A, et al. Integrating micro CT indices, CT imaging and computational modelling to assess the mechanical performance of fluoride treated bone. Med Eng Phys 2013;35(12):1793–1800.CrossRefPubMed
32.
Hunter P, Smith N, Fernandez J, Tawhai M. Integration from proteins to organs: the IUPS Physiome Project. Mech Ageing Dev 2005;126(1):187–192.CrossRefPubMed
33.
Broadbent E, Petrie KJ, Main J, Weinman J. The Brief Illness Perception Questionnaire. J Psychosom Res 2006;60(6):631–637.CrossRefPubMed
34.
Broadbent E, Wilkes C, Koschwanez H, Weinman J, Norton S, Petrie KJ. A systematic review and meta-analysis of the Brief Illness Perception Questionnaire. Psychol Health 2015;30(11):1361–1385.CrossRefPubMed
35.
Horne R, Chapman SC, Parham R, Freemantle N, Forbes A, Cooper V. Understanding patients’ adherence-related beliefs about medicines prescribed for long-term conditions: a meta-analytic review of the Necessity-Concerns Framework. PLoS One 2013;8(12):e80633.CrossRefPubMedPubMedCentral
36.
Bovet P, Perret F, Cornuz J, Quilindo J, Paccaud F. Improved smoking cessation in smokers given ultrasound photographs of their own atherosclerotic plaques. Prev Med 2002;34(2):215–220.CrossRefPubMed
37.
Mols RE, Jensen JM, Sand NP, Fuglesang C, Bagdat D, Vedsted P, et al. Visualization of coronary artery calcification: influence on risk modification. Am J Med 2015;128(9):1023.e23–1023.e31.CrossRef
38.
Petrie KJ, Weinman J, Sharpe N, Buckley J. Role of patients’ view of their illness in predicting return to work and functioning after myocardial infarction: longitudinal study. BMJ 1996;312(7040):1191–1194.CrossRefPubMedPubMedCentral
39.
Leventhal H, Benyamini Y, Brownlee S, Diefenbach M, Leventhal EA, Patrick-Miller L, et al. Illness representations: theoretical foundations. In: Petrie KJ, Weinman J, editors. Perceptions of Health and Illness: Current Research and Applications. Amsterdam: Harwood Academic; 1997. p. 19–46.
Metadata
Title
The Impact of 3-D Models versus Animations on Perceptions of Osteoporosis and Treatment Motivation: A Randomised Trial
Authors
Annie S. K. Jones, MHP
Justin Fernandez, PhD
Andrew Grey, MD
Keith J. Petrie, PhD
Publication date
01-12-2017
Publisher
Springer US
Published in
Annals of Behavioral Medicine / Issue 6/2017
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-017-9913-1

Other articles of this Issue 6/2017

Annals of Behavioral Medicine 6/2017 Go to the issue

Original Article

Psychological Determinants of Medication Adherence in Stroke Survivors: a Systematic Review of Observational Studies

Original Article

Does Stress Result in You Exercising Less? Or Does Exercising Result in You Being Less Stressed? Or Is It Both? Testing the Bi-directional Stress-Exercise Association at the Group and Person (N of 1) Level

Original Article

Examining the Support Peer Supporters Provide Using Structural Equation Modeling: Nondirective and Directive Support in Diabetes Management

Original Article

Posttraumatic Stress Disorder Symptoms and Problematic Overeating Behaviors in Young Men and Women

Original Article

The Cortisol Awakening Response Mediates the Relationship Between Acculturative Stress and Self-Reported Health in Mexican Americans

Original Article

Getting to the Heart of Masculinity Stressors: Masculinity Threats Induce Pronounced Vagal Withdrawal During a Speaking Task