Evidence map›Paper›PMID 34992117›Full record

SynthesisBMJ open2022

The effects of health behaviours and beliefs based on message framing among patients with chronic diseases: a systematic review.

Ruitong Gao, Hui Guo, Fei Li, Yandi Liu, Meidi Shen, Linqi Xu, Tianzhuo Yu, Feng Li

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Trial
  2. Effectiveness of message framing on pulmonary rehabilitation behavior for lung cancer surgery patients: Randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  4. Article
  5. Review
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  7. Development of a text message intervention designed to promote safe contact lens wear.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ruitong GaoSchool of Nursing, Jilin University, Changchun, Jilin, China.
Hui GuoDepartment of Endocrinology and Metabolism, Eastern Division of the First Bethune Hospital of Jilin University, Changchun, China.
Fei LiDepartment of Endocrinology and Metabolism, First Bethune Hospital of Jilin University, Changchun, China.
Yandi LiuDepartment of Endocrinology and Metabolism, First Bethune Hospital of Jilin University, Changchun, China.
Meidi ShenSchool of Nursing, Jilin University, Changchun, Jilin, China.
Linqi XuSchool of Nursing, Jilin University, Changchun, Jilin, China.
Tianzhuo YuSchool of Nursing, Jilin University, Changchun, Jilin, China.
Feng LiSchool of Nursing, Jilin University, Changchun, Jilin, China fli@jlu.edu.cn.ORCID 0000-0001-7423-8730

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe effectiveness of integrating message framing into educational interventions to promote the health behaviour of patients with chronic diseases is still being debated in nursing research. The objective of this study was to assess the impact of educational interventions based on gain and loss frames on the health behaviours and beliefs of patients with chronic diseases and to identify the frame that achieves better outcomes.

designThe systematic review was based on PRISMA guidelines for comprehensively searching, appraising and synthesising research evidence. DATA SOURCES: We searched the PubMed, Web of Science, PsycINFO and CINAHL databases for reports published from database inception until 26 March 2021. ELIGIBILITY CRITERIA: Intervention studies, published in English, with adult patients with chronic disease conditions, and with intervention contents involved in the implementation of message framing, were considered. The outcomes were health behaviours or beliefs, such as knowledge, self-efficacy, intention or attitudes. DATA EXTRACTION AND SYNTHESIS: Data extraction and entry were performed using a predesigned data extraction form and assessed independently by two reviewers using the Cochrane Collaboration Risk of Bias I.

resultsA total of 11 intervention studies were included. We found that educational intervention based on both gain and loss frames could enhance the positive effects of communication, and promote healthy behaviours and beliefs in patients with chronic disease. Many of the studies we included here showed the advantage of loss framing messages. Due to the limited number of articles included and without quantitative analysis, this result should be interpreted cautiously.

conclusionsIntegrating message framing into health education might be a promising strategy to motivate patients with chronic disease to improve their health behaviours and beliefs. More extensive and well-designed trials are needed to support the conclusions and discuss the effective framing, moderators and mediators of framing. PROSPERO REGISTRATION NUMBER: CRD42021250931.

Indexed as

Health BehaviorIntentionAdultChronic DiseaseHealth EducationHumansSelf Efficacydiabetes & endocrinologyeducation & training (see medical education & training)medical education & training

Identifiers

PMID34992117
PMCPMC8739424

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.