糖尿病的误解、严重性、动机、自我效能和耻辱感：八项澳大利亚糖尿病传播活动视频的横断面比较。

Diabetes misconceptions, seriousness, motivation, self-efficacy and stigma: A cross-sectional comparison of eight Australian diabetes communication campaign videos.

机构信息

School of Psychology, Deakin University, Geelong, Victoria, Australia.

The Australian Centre for Behavioural Research in Diabetes, Diabetes Victoria, Melbourne, Victoria, Australia.

出版信息

Diabet Med. 2024 Nov;41(11):e15399. doi: 10.1111/dme.15399. Epub 2024 Jul 13.

DOI:10.1111/dme.15399

PMID:39001647

Abstract

AIM

This study examines potential intended (attitudes, motivation and self-efficacy) and unintended (stigmatisation of diabetes) consequences of past Australian National Diabetes Week campaign videos. Further, outcomes are compared by the extent to which participants perceived their allocated video as stigmatising diabetes.

METHODS

In this cross-sectional, ten-arm study, participants (adults with or without diabetes; 1:2 ratio) were randomly allocated to view one of eight archival diabetes campaign videos (intervention), or either an active or passive control group. Post-exposure, study-specific scales measured diabetes Misconceptions and Seriousness, General and Diabetes Risk-Reduction Motivation and Self-efficacy, and perceptions of video Stigmatisation of diabetes. Scores were compared by condition (intervention vs. control) and by campaign Stigma (highest vs. lowest tertile score), separately by cohort (with or without diabetes).

RESULTS

The sample included n = 1023 without diabetes; and n = 510 with diabetes (79% type 2 diabetes). No significant differences in outcomes were observed between conditions (intervention vs. control), with one exception: a modest effect on General Self-efficacy among those without diabetes only. Those perceiving high campaign Stigma (15%), relative to low Stigma (60%), reported significantly greater diabetes Misconceptions, lower perceived Seriousness and (among those without diabetes only) lower General Motivation but higher Diabetes Risk Reduction Motivation.

CONCLUSION

Though limited to a single-exposure, we found little meaningful positive influence of past diabetes campaign videos on diabetes attitudes, behavioural intentions or self-efficacy. Further, campaign videos were perceived as stigmatising by a minority-a potential harmful impact. This novel study has implications for the design, implementation and evaluation of future diabetes campaigns.

摘要

目的

本研究考察了过去澳大利亚国家糖尿病周宣传视频的潜在预期（态度、动机和自我效能）和非预期（糖尿病污名化）后果。此外，通过参与者感知其分配的视频对糖尿病造成污名化的程度来比较结果。

方法

在这项横断面、十臂研究中，参与者（有或没有糖尿病的成年人；1:2 比例）被随机分配观看 8 个存档的糖尿病宣传视频中的一个（干预组），或主动或被动对照组。暴露后，研究特定的量表测量了糖尿病误解和严重性、一般和糖尿病风险降低动机和自我效能，以及对视频糖尿病污名化的看法。按条件（干预组与对照组）和宣传活动的污名（得分最高与最低三分位数）分别比较了两个队列（有无糖尿病）的得分。

结果

样本包括 1023 名无糖尿病的成年人；510 名有糖尿病的成年人（79%为 2 型糖尿病）。在结果方面，干预组与对照组之间没有观察到显著差异，只有一个例外：对无糖尿病者的一般自我效能产生了适度影响。与低污名（60%）相比，那些感知到高宣传污名（15%）的人报告了更高的糖尿病误解、更低的感知严重性，并且（仅在无糖尿病者中）更低的一般动机，但更高的糖尿病风险降低动机。