Khademian F, Rezaee R, Pournik O
PhD Candidate, Student Research Committee, School of Management and Medical Informatics, Department of Health Information Management, Shiraz University of Medical Sciences, Shiraz, Iran.
Associate Professor, Clinical Education Research Center, Health Human Resources Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Community Dent Health. 2020 May 29;37(2):125-131. doi: 10.1922/CDH_4642Rezaee07.
Mobile health has provided an effective means to educate, empower, and provide access to health services for individuals and groups. This study aimed to compare the effects of gain-frame and loss-frame SMS on the knowledge and practice of mothers with children under the age of six years regarding pediatric oral health.
This randomized controlled trial was conducted in kindergartens and preschool centers of Shiraz, Iran in 2016. There were 71 mothers in the gain-frame group, 66 in the loss-frame group and 74 in the control group. The data were collected before and three-four weeks after the intervention. Data analysis used descriptive statistics, independent t-test, ANOVA, Pearson correlation test, ANCOVA, and post-hoc LSD test (Least Significant Difference).
There was a significant difference between the control (8.83±2.03) and gain-frame (11.8±2.17, p⟨0.001) and loss-frame (12.09±1.94, p⟨0.001) groups for post-test knowledge scores. A difference was also observed between the control group (56.27±11.53) and gain-frame (60.8±7.77, p⟨0.001) and loss-frame (60.25±8.96, p⟨0.001) groups for post-test practice scores. No difference was found between the gain-frame and loss-frame groups for the post-test scores (p=0.69).
Gain-frame and loss-frame SMS had similar impacts on the mothers' knowledge and practices about their children's oral health. However, both improved the mothers' knowledge and practice. Therefore, regardless of the style of text message framing, this method may be useful for educating mothers.
移动健康为个人和群体提供了教育、赋能及获取健康服务的有效途径。本研究旨在比较获益框架和损失框架的短信对有6岁以下子女的母亲关于儿童口腔健康知识及行为的影响。
2016年在伊朗设拉子的幼儿园和学前中心开展了这项随机对照试验。获益框架组有71位母亲，损失框架组有66位母亲，对照组有74位母亲。在干预前及干预后三至四周收集数据。数据分析采用描述性统计、独立样本t检验、方差分析、皮尔逊相关检验、协方差分析及事后最小显著差检验（LSD检验）。
后测知识得分方面，对照组（8.83±2.03）与获益框架组（11.8±2.17，p<0.001）及损失框架组（12.09±1.94，p<0.001）之间存在显著差异。后测行为得分方面，对照组（56.27±11.53）与获益框架组（60.8±7.77，p<0.001）及损失框架组（60.25±8.96，p<0.001）之间也存在差异。后测得分在获益框架组和损失框架组之间未发现差异（p=0.69）。
获益框架和损失框架的短信对母亲们关于其子女口腔健康的知识和行为有相似影响。然而，二者均提高了母亲们的知识和行为水平。因此，无论短信框架的形式如何，这种方法可能对教育母亲们有用。
