消息框效应对人乳头瘤病毒疫苗接种的影响：系统评价。
Effects of Message Framing on Human Papillomavirus Vaccination: Systematic Review.
机构信息
Department of Nursing, Affiliated Hospital of Nantong University, Nursing and Rehabilitation School of Nantong University, Nantong, China.
School of Nursing and Rehabilitation, Nantong University, Nantong, China.
出版信息
J Med Internet Res. 2024 Nov 7;26:e52738. doi: 10.2196/52738.
BACKGROUND
With the advancement of cervical cancer elimination strategies, promoting human papillomavirus (HPV) vaccination is essential to achieving this goal. The issue of how to structure and develop message content to promote HPV vaccination is a debatable issue.
OBJECTIVE
The efficacy of gain-loss framing in vaccination contexts is disputed. Our study aimed to elucidate the consequences of message framing on attitudes, intentions, and behavioral tendencies toward HPV vaccination, with the objective of refining message framing strategies and their elements.
METHODS
This systematic review adhered strictly to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guideline reporting standards to comprehensively retrieve, extract, and integrate data. We searched databases, including PubMed, Embase, Scopus, and Web of Science, for literature published from database construction to August 15, 2023. Literature screening, data extraction, and quality evaluation were performed by 2 researchers. Intervention studies published in English, conducted with populations with children eligible for HPV vaccination, and involving message framing were included. Attitudes, intentions, and behaviors served as outcome evaluation criteria.
RESULTS
A total of 19 intervention studies were included. Gain-loss framing had no clear effect on vaccination attitudes nor intentions. Loss framing showed a weak advantage at improving HPV vaccination attitudes or intentions, but the evidence was not strong enough to draw definitive conclusions. The impact of gain-loss framing on HPV vaccination behaviors could not be determined due to the limited number of studies and the qualitative nature of the analysis.
CONCLUSIONS
Combining gain-loss framing with other message framing approaches may be an effective way to enhance the effect of message framing. More high-quality message framing content and exploring alternative moderator or mediator variables are required to support the conclusion.
TRIAL REGISTRATION
CRD42023451612; https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=451612.
背景
随着宫颈癌消除策略的推进，推广人乳头瘤病毒（HPV）疫苗接种对于实现这一目标至关重要。如何构建和发展信息内容以促进 HPV 疫苗接种是一个有争议的问题。
目的
在疫苗接种背景下，收益-损失框架的效果存在争议。我们的研究旨在阐明信息框架对 HPV 疫苗接种态度、意愿和行为倾向的影响，目的是完善信息框架策略及其要素。
方法
本系统评价严格遵循 PRISMA（系统评价和荟萃分析的首选报告项目）指南报告标准，全面检索、提取和整合数据。我们在数据库中搜索了文献，包括 PubMed、Embase、Scopus 和 Web of Science，从数据库建立到 2023 年 8 月 15 日进行文献检索。由 2 名研究人员进行文献筛选、数据提取和质量评估。纳入以有资格接种 HPV 疫苗的儿童为对象、以信息框架为干预手段且发表于英文期刊的干预研究。态度、意愿和行为作为结果评价标准。
结果
共纳入 19 项干预研究。收益-损失框架对疫苗接种态度和意愿没有明显影响。损失框架在改善 HPV 疫苗接种态度或意愿方面显示出微弱的优势，但证据还不够强，无法得出明确的结论。由于研究数量有限且分析性质为定性，无法确定收益-损失框架对 HPV 疫苗接种行为的影响。
结论
将收益-损失框架与其他信息框架方法相结合可能是增强信息框架效果的有效方法。需要更多高质量的信息框架内容，并探索替代的调节或中介变量来支持这一结论。
试验注册
CRD42023451612；https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=451612。
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