Brown Cassandra, Davis Kathleen E, Habiba Nusrath, Massey-Stokes Marilyn, Warren Cynthia
Texas Woman's University, Nutrition and Food Sciences, Denton, TX, USA.
University of North Texas Health Science Center, Ft. Worth, TX, USA.
Mhealth. 2020 Jan 5;6:9. doi: 10.21037/mhealth.2019.11.03. eCollection 2020.
Text-messaging is beneficial in health promotion. Research on impact of message framing (gain- versus loss-framed) has had variable results, depending on type of behavior targeted. There is no research on framing of text-messaging to promote healthful infant feeding practices.
The purpose of this cross-sectional survey was to examine whether parents of infants aged three months or younger viewed gain- or loss-framed text messages as more helpful and which style was viewed as more likely to affect feeding practices. A secondary purpose was to determine what time of day and frequency of messaging was preferred. Parents were recruited from an urban pediatric medical clinic. PsychData was used to administer the survey. Parents rated message pairs targeting constructs of the Health Belief Model using a five-point Likert scale. Paired t- tests compared overall ratings for helpfulness and likelihood of messages affecting feeding practices between gain- and loss-framed messages. Descriptive and frequency analyses were applied to demographics and questions regarding preferred timing for receiving messages.
A total of 34 parents (3 fathers and 31 mothers, mean age 26±5.5 years) completed the survey, with 41% enrolled in WIC and 29% in SNAP. There was no overall difference in helpfulness or likelihood of messages affecting feeding practices between gain- and loss-framed messages. Message style did not affect likelihood of adopting a feeding practice. However, gain framed messages relating to benefits and self-efficacy for breastfeeding were viewed more positively (mean =2.32; P=0.034; mean =1.79; P=0.041, respectively). The greatest proportion of parents (38%) preferred receiving messages once per week, and 50% preferred morning messages.
Framing of text messages appeared to have little effect on parents' acceptance of messages related to infant feeding practices. Parents were receptive to receiving messages from their infant's healthcare provider once per week, in the morning.
短信对健康促进有益。关于信息框架（获益框架与损失框架）影响的研究结果不一，这取决于所针对的行为类型。目前尚无关于通过短信框架来促进健康的婴儿喂养方式的研究。
这项横断面调查的目的是检验三个月及以下婴儿的父母是否认为获益框架或损失框架的短信更有帮助，以及哪种框架更有可能影响喂养方式。第二个目的是确定一天中哪个时间段以及何种短信发送频率更受欢迎。从一家城市儿科诊所招募父母。使用PsychData进行调查。父母使用五点李克特量表对针对健康信念模型构建的信息对进行评分。配对t检验比较了获益框架和损失框架信息在帮助程度和影响喂养方式可能性方面的总体评分。对人口统计学数据以及关于接收信息的首选时间的问题进行描述性和频率分析。
共有34位父母（3位父亲和31位母亲，平均年龄26±5.5岁）完成了调查，其中41%参加了妇女、婴儿和儿童营养补充计划（WIC），29%参加了补充营养援助计划（SNAP）。获益框架和损失框架的信息在帮助程度或影响喂养方式的可能性方面没有总体差异。信息框架并未影响采用某种喂养方式的可能性。然而，与母乳喂养的益处和自我效能相关的获益框架信息得到了更积极的评价（平均分分别为2.32；P = 0.034；平均分1.79；P = 0.041）。最大比例的父母（38%）更喜欢每周接收一次信息，50%的父母更喜欢早上接收信息。
短信框架似乎对父母接受与婴儿喂养方式相关的信息影响不大。父母愿意每周早上接收一次来自婴儿医疗保健提供者的信息。
