College of Nursing, Ajou University, 206, World cup-ro, Yeongtong-gu, Suwon-si, Gyeonggi-do, South Korea.
College of Nursing, Yonsei University, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, South Korea; Mo-IM KIM Nursing Research Institute College of Nursing, Yonsei University, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, South Korea.
Patient Educ Couns. 2024 Nov;128:108364. doi: 10.1016/j.pec.2024.108364. Epub 2024 Jul 15.
This study aims to evaluate the effectiveness of a self-management program using gain/loss-framed messages in patients with gastric cancer.
In this randomized controlled trial, 69 patients with gastric cancer who underwent gastrectomy at a university hospital were assigned to the gain- or loss-framed message group. The self-management program consisted of: 1) face-to-face education, 2) gain/loss-framed text messages, and 3) self-monitoring of health behaviors. Health outcomes (i.e., nutritional status, physical activity, exercise intensity, and distress), and health behaviors (i.e., dietary habits, physical activity performance, and distress management) were measured, and a generalized estimating equation was used for the analysis.
Nutritional status and dietary habits in the loss framed message group were statistically higher after the intervention compared to the counterpart (β = -1.72, p = .049; β = 0.36, p = .033, respectively). There was no time-group interaction effect on physical activity, exercise intensity, physical activity performance, distress or distress management.
A self-management program employing loss-framed messages was effective in promoting nutrition-related self-management among patients with gastric cancer.
Message-framing is an effective communication technique that can be easily used in clinical settings, and a loss-message-framing strategy may enhance nutrition-related self-management in patients with gastric cancer.
本研究旨在评估使用增益/损失框架信息对胃癌患者进行自我管理的效果。
在这项随机对照试验中，将在一所大学医院接受胃切除术的 69 名胃癌患者分配到增益或损失框架信息组。自我管理计划包括：1）面对面教育，2）增益/损失框架文本信息，以及 3）健康行为自我监测。测量健康结果（即营养状况、身体活动、运动强度和困扰）和健康行为（即饮食习惯、身体活动表现和困扰管理），并使用广义估计方程进行分析。
与对照组相比，损失框架信息组的营养状况和饮食习惯在干预后统计学上更高（β=-1.72，p=.049；β=0.36，p=.033）。身体活动、运动强度、身体活动表现、困扰或困扰管理方面没有时间-组交互作用效应。
使用损失框架信息的自我管理计划对促进胃癌患者的营养相关自我管理有效。
信息框架是一种有效的沟通技巧，可以在临床环境中轻松使用，损失信息框架策略可能会增强胃癌患者的营养相关自我管理。
