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May 12, 2026AJPM Focus0 citationsOpen Access

Psychosocial, mental and suboptimal health measures are not affected by provision of abdominal aortic calcification imaging results: a 12-week RCT

SRSimone Radavelli‐BagatiniEdith Cowan UniversityLBLauren C. BlekkenhorstEdith Cowan UniversityCBCatherine P. BondonnoEdith Cowan University

Key Result

Providing abdominal aortic calcification imaging results with education to older adults did not significantly alter depression (mean net difference -0.50; 95% CI -1.42 to 0.42) or mental health.

Key Points

  • This study aims to assess whether providing abdominal aortic calcification imaging results affects psychosocial, mental, and suboptimal health measures in older adults.
  • Secondary analyses from a single-blind randomized controlled trial including 240 older Australian adults.
  • Participants received either AAC imaging results with education or education alone over 12 weeks.
  • Psychosocial and mental health measures were evaluated using validated questionnaires and analyzed with linear mixed models.
  • No significant differences in psychosocial health, mental health, and suboptimal health measures between groups (all p>0.05).
  • Mean differences in depression, anxiety, and stress scores were -0.50, -0.20, and -0.21, respectively.
  • Mental health component scores showed a difference of 1.69, while total suboptimal health status changed by -0.84.

Study Design

Type

RCT (n=240)

Blinding

Single-blind

Randomization

randomised

Structured PICO

Does the provision of abdominal aortic calcification (AAC) imaging results affect psychosocial, mental, and suboptimal health measures in community-dwelling older adults?

P
Population
240 community-dwelling older Australian men and women, mean age 67.8 years, 57.5% females. Approximately 57% had evidence of AAC at baseline.
I
Intervention
Provision of abdominal aortic calcification (AAC) imaging results and CVD risk-reducing educational resources (AAC+Ed)
C
Comparator
CVD risk-reducing education alone (Control+Ed)
O
Outcome
Changes in psychosocial distress, mental health score and suboptimal health status across 12 weekspatient reported

Providing abdominal aortic calcification imaging results to older adults to encourage CVD risk-reducing behaviors does not adversely affect their psychosocial or mental health.

Main Result

Effect estimate: mean net difference -0.50 (depression) (95% CI -1.42, 0.42)

p-value: p=>0.05

Abstract

Introduction:The provision of abdominal aortic calcification (AAC) imaging results can elicit cardiovascular disease (CVD)-risk reducing behaviours.However, its impact on psychosocial, mental and suboptimal health measures is less clear.Methods: Secondary analyses of a previously reported 12-week, single-blind, randomised controlled trial (RCT) including 240 community-dwelling older Australian men and women.Participants were provided with AAC imaging results and CVD risk-reducing educational resources (AAC+Ed, n=121) or education alone (Control+Ed, n=119).Psychosocial distress, mental health score and suboptimal health status were estimated using validated questionnaires.Linear mixed models were used to compare changes between groups across 12 weeks.Results: 240 participants (mean SD, age 67.8 5.0 years, 57.5% females) were randomised and 227 (95%) completed the study.Approximately 57% had evidence of AAC (1 on a 24point scale) at baseline.Providing AAC imaging results to older men and women did not affect psychosocial health, mental health and suboptimal health (all p>0.05) measures compared to Control+Ed.The mean net differences for change (95%CI) for depression, anxiety and stress were -0.50 (-1.42, 0.42), -0.20 (-0.81, 0.41) and -0.21 (-1.18, 0.76), respectively; the mean net difference for change (95%CI) for mental health component score was 1.69 (-1.29, 4.67) and for total suboptimal health status was -0.84 (-2.08, 0.39). Conclusions:In older men and women, the provision of AAC results with education on CVD risk factors did not alter measures of psychosocial, mental, and suboptimal health status over 12 weeks compared to education alone.The study was registered at www.anzctr.org.

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Cite This Study

Radavelli‐Bagatini et al. (2026) conducted an RCT in Community-dwelling older adults (n=240). Abdominal aortic calcification (AAC) imaging results and CVD risk-reducing educational resources vs. Education alone was evaluated on Psychosocial distress, mental health score and suboptimal health status (mean net difference -0.50 (depression), 95% CI -1.42, 0.42, p=>0.05). Providing abdominal aortic calcification imaging results with education to older adults did not significantly alter depression (mean net difference -0.50; 95% CI -1.42 to 0.42) or mental health.

synapsesocial.com/papers/6a02c2fdce8c8c81e9640494https://doi.org/10.1016/j.focus.2026.100507
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