ArticleBMJ open2018
Comparing responses to differently framed and formatted persuasive messages to encourage help-seeking for depression in Japanese adults: a cross-sectional study with 2-month follow-up.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- The Impact of Video-Based Microinterventions on Attitudes Toward Mental Health and Help Seeking in Youth: Web-Based Randomized Controlled Trial.Journal of medical Internet research · 2024Trial
- Digital smartphone intervention to recognise and manage early warning signs in schizophrenia to prevent relapse: the EMPOWER feasibility cluster RCT.Health technology assessment (Winchester, England) · 2022Trial
- Validation of the Simplified Chinese Clear Communication Index Using Diabetes Education Materials: Instrument Adaptation and Validation Study.Journal of medical Internet research · 2026Article
- Effectiveness of using humor appeal in health promotion materials: evidence from an experimental study in Japan.Archives of public health = Archives belges de sante publique · 2023Article
- Digital Interventions to Enhance Readiness for Psychological Therapy: Scoping Review.Journal of medical Internet research · 2022Article
- Source localized infraslow neurofeedback training in people with chronic painful knee osteoarthritis: A randomized, double-blind, sham-controlled feasibility clinical trial.Frontiers in neuroscience · 2022Article
- Factors Associated With Influential Health-Promoting Messages on Social Media: Content Analysis of Sina Weibo.JMIR medical informatics · 2020Article
- Responses to persuasive messages encouraging professional help seeking for depression: comparison between individuals with and without psychological distress.Environmental health and preventive medicine · 2019Article
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine audience's responses to differently framed and formatted persuasive messages in the context of developing depression help-seeking messages.
designCross-sectional followed by 2-month follow-up study. SETTING AND
participantsA web-based survey was conducted in July 2017 among Japanese adults aged 35-45 years. There were 1957 eligible respondents without psychiatric history. Of these, 1805 people (92.2%) completed the 2-month follow-up questionnaire.
main outcome measuresSix depression help-seeking messages were prepared with three frames (neutral, loss and gain framed)×2 formats (formatted and unformatted). Participants were asked to rate one of the messages in terms of comprehensibility, persuasiveness, emotional responses, design quality and intended future use. Help-seeking intention for depression was measured using vignette methodology before and after exposure to the messages. Subsequent 2-month help-seeking action for their own mental health (medical service use) was monitored by the follow-up survey.
resultsThe loss-framed messages more strongly induced negative emotions (surprise, fear, sadness and anxiety), while the gain-framed messages more strongly induced a positive emotion (happiness). The message formatting applied the Centres for Disease Control and Prevention Clear Communication Index, enhanced the emotional responses and increased the likelihood that the message will be read. The loss-framed formatted message alone had a significantly greater OR of having help-seeking intention for depression compared with the neutral-framed unformatted message as a reference group. All messages had little impact on maintaining help-seeking intention or increasing help-seeking action.
conclusionMessage framing and formatting may influence emotional responses to the depression help-seeking message, willingness to read the message and intention to seek help for depression. It would be recommendable to apply loss framing and formatting to depression help-seeking messages, to say the least, but further studies are needed to find a way to sustain the effect of messaging for a long time.
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