Evidence mapPaperPMID 42493198Full record

Trial reportOpen heart2026

Effect of pictorial-based information about atherosclerosis on adherence to lifestyle recommendations: results from the VIPVIZA randomised controlled trial.

Andree Christian Wennstig, Sara Själander, Andreas Hult, Per Liv, Margareta Norberg, Maria Wennberg, Per Wester, Patrik Wennberg

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Open heart, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01849575 (Direct VIsualiZAtion of Asymptomatic Atherosclerotic Disease for Optimum Cardiovascular Prevention. A Population Based Pragmatic Randomised Controlled Trial Within Västerbotten Intervention Programme), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01849575 naactive not recruitingnot on this map

Direct VIsualiZAtion of Asymptomatic Atherosclerotic Disease for Optimum Cardiovascular Prevention. A Population Based Pragmatic Randomised Controlled Trial Within Västerbotten Intervention Programme (VIP) and Ordinary Care.

TypeinterventionalSponsorUmeå UniversityRan2013 to 2027Enrolled3,532ConditionsCardiovascular DiseasesArmsIntervention
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Andree Christian WennstigDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden andree.wennstig@umu.se.ORCID http://orcid.org/0009-0000-8114-9349
Sara SjälanderDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.ORCID http://orcid.org/0000-0002-1239-6239
Andreas HultDepartment of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.ORCID http://orcid.org/0000-0002-4341-1745
Per LivDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.ORCID http://orcid.org/0000-0002-5494-8134
Margareta NorbergDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.ORCID http://orcid.org/0000-0003-2475-7131
Maria WennbergDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.ORCID http://orcid.org/0000-0002-1673-8494
Per WesterDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.ORCID http://orcid.org/0000-0003-0394-5096
Patrik WennbergDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.ORCID http://orcid.org/0000-0002-1617-6102

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimLow adherence to a healthy lifestyle constitutes a major barrier to effective prevention of cardiovascular disease. We aimed to investigate the effect of pictorial-based information about subclinical atherosclerosis on adherence to health-promoting lifestyle recommendations.

methodsVisualization of Asymptomatic Atherosclerotic Disease for Optimum Cardiovascular Prevention (VIPVIZA) is a pragmatic, open-label randomised controlled trial within the Västerbotten Intervention Programme (VIP) in Sweden. In the VIP, residents of Västerbotten county are invited to a health survey and a health-promoting dialogue at the ages of 40, 50 and 60.A total of 3532 VIP participants were included in VIPVIZA during 2013-2016. They underwent a carotid ultrasound examination in addition to the usual VIP process and were randomised 1:1 to intervention group (receiving graphical colour-coded and age-related information about carotid intima-media thickness and plaques, written information about atherosclerosis and a motivational dialogue) or control group (no information or dialogue).We developed a lifestyle index based on self-reported physical activity, smoking habits, diet and alcohol consumption, ranging from 4 to 12, with higher levels indicating healthier lifestyles. We used ordinal regression to compare the lifestyle index in the intervention and control groups at the 3-year follow-up, with adjustments for baseline levels of lifestyle index, age, sex and education.

resultsThe OR for having a healthier lifestyle index after 3 years was 1.20 (95% CI 1.01 to 1.42, p=0.03), comparing the intervention group to the control group. We found no interactions for age, sex or education.

conclusionOur findings provide some evidence for the contributory role of pictorial-based information about subclinical atherosclerosis in promoting sustained healthy lifestyle habits. TRIAL REGISTRATION NUMBER: NCT01849575.

Indexed as

AtherosclerosisHealth PromotionHealthy LifestylePatient CompliancePatient Education as TopicRisk Reduction BehaviorAdultCarotid Intima-Media ThicknessFemaleFollow-Up StudiesHumansInfographics as TopicLife StyleMaleMiddle AgedRisk FactorsAtherosclerosisCarotid ArteriesHealth ServicesRisk FactorsUltrasonography

Identifiers

PMID42493198
PMCPMC13404837

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.