School of Nursing, Jilin University, Changchun, Jilin, China.
School of Health and Exercise Sciences, The University of British Columbia Okanagan, Kelowna, British Columbia, Canada.
BMJ Open. 2022 Jun 28;12(6):e056450. doi: 10.1136/bmjopen-2021-056450.
Accumulating evidence has indicated successful diabetes health education can potentially help to improve blood sugar levels in people with diabetes. However, with a rapid rise in the number of people with diabetes cases and the increasing burden on healthcare, it is often difficult for healthcare providers to find suitable time to provide health education to meet their needs. Thus, more novel and effective ways are needed to conduct education. The message frame provides a new perspective for implementation of a more effective health education in the form of changing information presentation, and the same objective content is described in either positive or negative language or outcomes. Gain framing emphasises the positive consequences of adhering to useful recommendations, while loss framing highlights the negative consequences of the non-adherence. The purpose of our research is to potentially explore the effectiveness of diabetes education based on message framing on the self-management behaviour.
A single-blind, three-arm randomised controlled trial involving 84 participants will be conducted. The participants will be assigned into three groups randomly in a 1:1:1 ratio and will receive 12-week intervention. Patients in group 1 will be provided gain framing education videos about the self-management skills for type 2 diabetes, patients in group 2 will be given education videos based on loss framing and patients in group 3 will receive education with no specific message framing. The primary outcome is self-management behaviour. The secondary outcomes will be self-efficacy, patient activation, diabetes-related knowledge and attitude, quality of life and blood glucose level. All outcomes will be measured at baseline and 12 weeks.
This study was approved by the Ethics Committee of School of Nursing, Jilin University (No. 2020101501). The research results will be published in peer-reviewed publications and presented in international conferences.
ChiCTR 2100045772; Pre-results.
越来越多的证据表明，成功的糖尿病健康教育可能有助于改善糖尿病患者的血糖水平。然而，随着糖尿病患者人数的迅速增加和医疗保健负担的不断增加，医疗保健提供者往往很难找到合适的时间为患者提供健康教育以满足他们的需求。因此，需要寻找更新颖、更有效的方法来开展教育。信息呈现方式的改变为实施更有效的健康教育提供了新的视角，即通过正性或负性语言或结果来描述相同的客观内容。获得框架强调了坚持有用建议的积极后果，而损失框架则突出了不遵守的负面后果。我们的研究目的是潜在地探索基于信息框架的糖尿病教育对自我管理行为的有效性。
这是一项单盲、三臂随机对照试验，涉及 84 名参与者。将参与者随机分为三组，比例为 1:1:1，并接受 12 周的干预。第 1 组患者将接受关于 2 型糖尿病自我管理技能的获得框架教育视频，第 2 组患者将接受基于损失框架的教育视频，第 3 组患者将接受无特定信息框架的教育。主要结局是自我管理行为。次要结局将包括自我效能、患者激活、糖尿病相关知识和态度、生活质量和血糖水平。所有结局都将在基线和 12 周时进行测量。
本研究已获得吉林大学护理学院伦理委员会的批准（编号：2020101501）。研究结果将发表在同行评议的出版物中，并在国际会议上展示。
ChiCTR 2100045772；预注册。
