Texas A&M University, United States.
Patient Educ Couns. 2018 Jul;101(7):1276-1282. doi: 10.1016/j.pec.2018.02.007. Epub 2018 Feb 19.
Despite knowing the value of message customization, empirical results have failed to provide clear indicators of what make a depression help-seeking message effective. The present research examines stages of depression in response to a prominent communication strategy, gain versus loss framing, to inform possibilities for effective message customization.
Two experimental studies were conducted with a student (N = 126) and U.S. adult (N = 738) sample that tested the effects of gain versus loss framing at different stages of depression.
A persuasive gain-frame advantage was found for those with mild and severe depression, whereas a boomerang effect was found for both gain and loss framing among those with moderately severe depression. With regards to intention to seek help, neither gain nor loss framing was found to influence intentions. Stages of depression was a strong predictor, with strongest intentions to seek help observed among those with either minor or severe symptoms of depression.
Effective health messaging must be matched with unique characteristics and needs of individuals at each 'stage' of depression in order to produce favorable outcomes.
'Stages' of depression should be known and carefully assessed before the creation and launch of communication interventions.
尽管人们知道信息定制的价值，但实证结果未能提供明确的指标来表明什么使抑郁症求助信息有效。本研究通过考察对一种突出的沟通策略（得失框架）的抑郁反应阶段，为有效的信息定制提供了可能性。
本研究在学生（N=126）和美国成年人（N=738）样本中进行了两项实验研究，测试了在不同抑郁阶段得失框架的效果。
对于轻度和重度抑郁患者，有说服力的收益框架优势明显，而对于中度抑郁患者，收益和损失框架都出现了适得其反的效果。关于寻求帮助的意图，无论是收益框架还是损失框架都没有影响到意图。抑郁阶段是一个强有力的预测因素，在轻度或重度抑郁症状患者中，寻求帮助的意图最强。
有效的健康信息必须与个体在抑郁的“阶段”的独特特征和需求相匹配，才能产生有利的结果。
在创建和推出沟通干预措施之前，应该了解和仔细评估“阶段”的抑郁。
