Effects of message framing on self-management behaviour among patients with type 2 diabetes: a randomised controlled trial protocol

Introduction 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...

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Main Authors: Xin Zhang, Feng Li, Hui Guo, Yue Pang, Yandi Liu, Ruitong Gao, Xiaoqian Lian, Tianyue Yu, Lanyu Zhu
Format: Article
Language:English
Published: BMJ Publishing Group 2022-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/6/e056450.full
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author Xin Zhang
Feng Li
Hui Guo
Yue Pang
Yandi Liu
Ruitong Gao
Xiaoqian Lian
Tianyue Yu
Lanyu Zhu
author_facet Xin Zhang
Feng Li
Hui Guo
Yue Pang
Yandi Liu
Ruitong Gao
Xiaoqian Lian
Tianyue Yu
Lanyu Zhu
author_sort Xin Zhang
collection DOAJ
description Introduction 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.Methods and analysis 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.Ethics and dissemination 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.Trial registration number ChiCTR 2100045772; Pre-results.
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spelling doaj-art-e092e4bb790743ecb7a7753cd902db322025-01-27T18:55:09ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-056450Effects of message framing on self-management behaviour among patients with type 2 diabetes: a randomised controlled trial protocolXin Zhang0Feng Li1Hui Guo2Yue Pang3Yandi Liu4Ruitong Gao5Xiaoqian Lian6Tianyue Yu7Lanyu Zhu84Xiangya Hospital, Changsha, ChinaBiotherapy Center & Cancer Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People`s Republic of ChinaDepartment-Bioinspired Engineering and Biomechanics Center, Xi’an Jiaotong University, Xi’an, ChinaSchool of Nursing, Jilin University, Changchun, Jilin, ChinaDepartment of Endocrinology and Metabolism, First Bethune Hospital of Jilin University, Changchun, ChinaSchool of Nursing, Jilin University, Changchun, Jilin, ChinaSchool of Nursing, Jilin University, Changchun, Jilin, ChinaSchool of Nursing, Jilin University, Changchun, Jilin, ChinaSchool of Nursing, Jilin University, Changchun, Jilin, ChinaIntroduction 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.Methods and analysis 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.Ethics and dissemination 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.Trial registration number ChiCTR 2100045772; Pre-results.https://bmjopen.bmj.com/content/12/6/e056450.full
spellingShingle Xin Zhang
Feng Li
Hui Guo
Yue Pang
Yandi Liu
Ruitong Gao
Xiaoqian Lian
Tianyue Yu
Lanyu Zhu
Effects of message framing on self-management behaviour among patients with type 2 diabetes: a randomised controlled trial protocol
BMJ Open
title Effects of message framing on self-management behaviour among patients with type 2 diabetes: a randomised controlled trial protocol
title_full Effects of message framing on self-management behaviour among patients with type 2 diabetes: a randomised controlled trial protocol
title_fullStr Effects of message framing on self-management behaviour among patients with type 2 diabetes: a randomised controlled trial protocol
title_full_unstemmed Effects of message framing on self-management behaviour among patients with type 2 diabetes: a randomised controlled trial protocol
title_short Effects of message framing on self-management behaviour among patients with type 2 diabetes: a randomised controlled trial protocol
title_sort effects of message framing on self management behaviour among patients with type 2 diabetes a randomised controlled trial protocol
url https://bmjopen.bmj.com/content/12/6/e056450.full
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