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Annals of Behavioral Medicine
Erschienen in: Annals of Behavioral Medicine 1/2012

01.02.2012 | Original Article

Health Message Framing Effects on Attitudes, Intentions, and Behavior: A Meta-analytic Review

verfasst von: Kristel M. Gallagher, M.A., John A. Updegraff, Ph.D.

Erschienen in: Annals of Behavioral Medicine | Ausgabe 1/2012

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Abstract

Background

Message framing has been an important focus in health communication research, yet prior meta-analyses found limited support for using framing to increase persuasiveness of health messages.

Purpose

This meta-analysis distinguished the outcomes used to assess the persuasive impact of framed messages (attitudes, intentions, or behavior).

Methods

One hundred eighty-nine effect sizes were identified from 94 peer-reviewed, published studies which compared the persuasive impact of gain- and loss-framed messages.

Results

Gain-framed messages were more likely than loss-framed messages to encourage prevention behaviors (r = 0.083, p = 0.002), particularly for skin cancer prevention, smoking cessation, and physical activity. No effect of framing was found when persuasion was assessed by attitudes/intentions or among studies encouraging detection.

Conclusions

Gain-framed messages appear to be more effective than loss-framed messages in promoting prevention behaviors. Research should examine the contexts in which loss-framed messages are most effective, and the processes that mediate the effects of framing on behavior.
Fußnoten
1
The present review focuses on a particular type of framing effect defined by Levin and colleagues [90] as “goal framing.” As opposed to “attribute framing”, which involves manipulating the health behavior as either a good thing to engage in (positive frame) or bad thing to engage in (negative frame), “goal framing” works under the assumption that the health behavior is a good thing to do and instead uses the positive frame to describe the gains associated with performing the behavior and the negative frame to describe the losses associated with not performing the behavior.
 
2
Unless otherwise specified, we report “behavior” as a combined outcome of self-reported and objective behavioral measures. We note the appropriateness of this approach as the relationship between self-reported and objective measures of behavior for the most commonly cited domains in the present analysis are typically greater than the typical attitude/intention and behavior correlation of 0.50 [9]. Indeed, we see this in the domains of smoking [107, 108], mammography [109‐113] diet [114], oral health [115‐118], and physical activity [119‐121] (all r values of >0.50, sensitivities of >0.90).
 
3
The strongest evidence for moderation by timeframe was found among studies that assessed prevention behavior. Although not significant using the more conservative random effects analyses (Q(1) = 1.810, p = 0.178), this moderation was significant in a fixed effects analysis (Q(1) = 6.802, p = 0.009), with behaviors assessed immediately after message presentation showing stronger effects of framing (k = 6, r = 0.150, p = 0.001) than behaviors assessed at a follow-up (k = 26, r = 0.077, p = 0.007). Moderation by timeframe could not be tested for attitudes/intentions as not enough studies assess these outcomes at a delayed follow-up. Furthermore, no moderation by timeframe was found for studies assessing detection behavior.
 
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Metadaten
Titel
Health Message Framing Effects on Attitudes, Intentions, and Behavior: A Meta-analytic Review
verfasst von
Kristel M. Gallagher, M.A.
John A. Updegraff, Ph.D.
Publikationsdatum
01.02.2012
Verlag
Springer-Verlag
Erschienen in
Annals of Behavioral Medicine / Ausgabe 1/2012
Print ISSN: 0883-6612
Elektronische ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-011-9308-7

Weitere Artikel der Ausgabe 1/2012

Annals of Behavioral Medicine 1/2012 Zur Ausgabe

Original Article

A Culturally Adapted Telecommunication System to Improve Physical Activity, Diet Quality, and Medication Adherence Among Hypertensive African–Americans: A Randomized Controlled Trial

Original Article

A Multi-factorial Model for Examining Racial and Ethnic Disparities in Acute Asthma Visits by Children

Original Article

Progression of Coronary Artery Calcification in Black and White Women: Do the Stresses and Rewards of Multiple Roles Matter?

Letter to the Editor

‘The Habitual Use of the Self-report Habit Index’: A Reply

Original Article

Neighborhood Contexts and the Mediating Role of Neighborhood Social Cohesion on Health and Psychological Distress Among Hispanic and Non-Hispanic Residents

Introduction

Introduction to Special Section on Health Disparities

Neu in den Fachgebieten Neurologie und Psychiatrie

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Frühe Alzheimertherapie lohnt sich

25.04.2024 AAN-Jahrestagung 2024 Nachrichten

Ist die Tau-Last noch gering, scheint der Vorteil von Lecanemab besonders groß zu sein. Und beginnen Erkrankte verzögert mit der Behandlung, erreichen sie nicht mehr die kognitive Leistung wie bei einem früheren Start. Darauf deuten neue Analysen der Phase-3-Studie Clarity AD.

Viel Bewegung in der Parkinsonforschung

25.04.2024 Parkinson-Krankheit Nachrichten

Neue arznei- und zellbasierte Ansätze, Frühdiagnose mit Bewegungssensoren, Rückenmarkstimulation gegen Gehblockaden – in der Parkinsonforschung tut sich einiges. Auf dem Deutschen Parkinsonkongress ging es auch viel um technische Innovationen.

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

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