PMID- 37484142
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230725
IS  - 2251-6093 (Electronic)
IS  - 2251-6085 (Print)
IS  - 2251-6085 (Linking)
VI  - 52
IP  - 6
DP  - 2023 Jun
TI  - Effects of Messaging Framing on the Self-Management Activities and 
      Self-Efficacies of Patients with Type 2 Diabetes Mellitus.
PG  - 1248-1258
LID - 10.18502/ijph.v52i6.12991 [doi]
AB  - BACKGROUND: Message framing is a low-cost and effective intervention method to 
      improve diabetics' health behaviors. The study aimed to investigate the impacts 
      of positive and negative message framing interventions on the self-management 
      activities and self-efficacy of patients with type 2 diabetes mellitus (T2DM). 
      METHOD: Overall, 102 T2DM patients from Jinhua People's Hospital of China were 
      recruited and divided into three groups: positive and negative message framing 
      intervention groups and a control group. A 12-week experiment was implemented on 
      the first two groups. Then, the differences of the patients' self-management 
      activities and self-efficacies were analyzed between the experimental and control 
      groups. Finally, the mediating effect of self-efficacy between two types of 
      message framing interventions and patients' self-management activities was 
      investigated. RESULTS: Both positive and negative message framing interventions 
      could significantly improve the T2DM patients' self-management activities in 
      diet, blood glucose testing, foot care, and medication taking (P<0.05), meanwhile 
      significantly improving their self-efficacies along the nutrition, physical 
      exercise and weight, medical treatment, blood sugar, and feet check (P<0.05). 
      Results of the difference analysis for both within-group and inter-group showed 
      that, compared with the positive messaging framing intervention, the negative one 
      had more significant effects on enhancing the patients' self-management 
      activities and self-efficacy. Self-efficacy had only a mediating effect between 
      negative messaging framing intervention and self-management activities (beta = 0.94, 
      95% CI: 0.0934 - 0.456). CONCLUSION: Negative messaging framing intervention 
      could better enrich T2DM patients' diabetes knowledge through offering 
      threatening information, thereby enhancing their self-efficacies, and ultimately 
      improve their self-management activities.
CI  - Copyright (c) 2023 Bao. Published by Tehran University of Medical Sciences.
FAU - Bao, Huilan
AU  - Bao H
AD  - The Endocrinology Department, the People's Hospital, Jinhua, 321000, China.
LA  - eng
PT  - Journal Article
PL  - Iran
TA  - Iran J Public Health
JT  - Iranian journal of public health
JID - 7505531
PMC - PMC10362815
OTO - NOTNLM
OT  - Message framing intervention
OT  - Positive and negative information
OT  - Self-efficacy
OT  - Self-management activity
OT  - Type 2 diabetes mellitus
EDAT- 2023/07/24 06:42
MHDA- 2023/07/24 06:43
PMCR- 2023/06/01
CRDT- 2023/07/24 04:39
PHST- 2022/10/19 00:00 [received]
PHST- 2022/12/21 00:00 [accepted]
PHST- 2023/07/24 06:43 [medline]
PHST- 2023/07/24 06:42 [pubmed]
PHST- 2023/07/24 04:39 [entrez]
PHST- 2023/06/01 00:00 [pmc-release]
AID - IJPH-52-1248 [pii]
AID - 10.18502/ijph.v52i6.12991 [doi]
PST - ppublish
SO  - Iran J Public Health. 2023 Jun;52(6):1248-1258. doi: 10.18502/ijph.v52i6.12991.