Zhang Wei, Ye Xiaoli, Shen Tong, Zhao Fangfang
School of Nursing and Rehabilitation, Nantong University, Nantong City, Jiangsu, China.
Public Health Nurs. 2025 Jan-Feb;42(1):e13423. doi: 10.1111/phn.13423. Epub 2024 Sep 23.
To identify the effects of message-framing interventions on improving health outcomes of individuals in diabetes health education communication.
Four electronic databases including Web of Science, PubMed, EMBASE, and the Cochrane Library were the search engines used. The period of literature search was from their inception until December 2023. Randomized controlled trials (RCTs) and quasi-experimental trials reporting the effects of message-framing interventions for diabetes were included.
The review included 10 studies. Many studies have investigated multiple health outcomes. Of the seven studies that evaluated behavioral health-related outcomes, all studies (7/7, 100%) found a positive effect, and four studies (4/7, 57.1%) found that there was no significant difference between gain and loss framing. Of the seven studies that assessed nonbehavioral health-related outcomes, six studies (6/7, 85.7%) reported a positive postintervention effect, whereas four studies (4/7, 57.1%) found that loss-framed messages were more effective. One study (1/7, 14.3%) reported that there was no effect of the message framing on mental health-related outcomes.
In diabetes health education communication, message framing of gain and loss framing has a positive effect on health outcomes for individuals. The advantage of the loss framing is more significant in improving nonbehavioral health-related outcomes.
When constructing a message to promote health outcomes for patients with diabetes, the message framing is worth applying, and the advantages of loss framing can be considered more.
PROSPERO registration ID: CRD42023445074. https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=445074.
确定信息框架干预对改善糖尿病健康教育传播中个体健康结局的影响。
使用包括科学网、PubMed、EMBASE和考克兰图书馆在内的四个电子数据库作为搜索引擎。文献检索期从各数据库创建至2023年12月。纳入报告信息框架干预对糖尿病影响的随机对照试验（RCT）和准实验性试验。
该综述纳入了10项研究。许多研究调查了多种健康结局。在评估与行为健康相关结局的7项研究中，所有研究（7/7，100%）均发现有积极效果，4项研究（4/7，57.1%）发现获益框架和损失框架之间无显著差异。在评估与非行为健康相关结局的7项研究中，6项研究（6/7，85.7%）报告干预后有积极效果，而4项研究（4/7，57.1%）发现损失框架信息更有效。1项研究（1/7，14.3%）报告信息框架对与心理健康相关的结局无影响。
在糖尿病健康教育传播中，获益框架和损失框架的信息框架对个体健康结局有积极影响。损失框架在改善与非行为健康相关结局方面的优势更为显著。
在构建促进糖尿病患者健康结局的信息时，信息框架值得应用，且可更多考虑损失框架的优势。
PROSPERO注册编号：CRD42023445074。https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=445074 。
