Evidence map›Paper›PMID 41083885›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Effectiveness of message framing on pulmonary rehabilitation behavior for lung cancer surgery patients: Randomized controlled trial.

Yanyan Liu, Lin Yu, Huiping Cao, Zhuo Yang, Ziyu Wang, Shuai Qiao, Xinxin Shen, Yaodong Ye, Jiao Xie

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Yanyan Liu *School of Nursing, Jilin University, No. 965 Xinjiang Street, Changchun, Jilin, 130021, China.
Lin Yu *School of Nursing, Jilin University, No. 965 Xinjiang Street, Changchun, Jilin, 130021, China.
Huiping CaoDepartment of Thoracic Surgery, The First Hospital of Jilin University, No. 71 Xinmin Street, Jilin, 130021, China.
Zhuo YangDepartment of Thoracic Surgery, The First Hospital of Jilin University, No. 71 Xinmin Street, Jilin, 130021, China.
Ziyu WangSchool of Nursing, Jilin University, No. 965 Xinjiang Street, Changchun, Jilin, 130021, China.
Shuai QiaoSchool of Nursing, Jilin University, No. 965 Xinjiang Street, Changchun, Jilin, 130021, China.
Xinxin ShenSchool of Nursing, Jilin University, No. 965 Xinjiang Street, Changchun, Jilin, 130021, China.
Yaodong YeSchool of Nursing, Jilin University, No. 965 Xinjiang Street, Changchun, Jilin, 130021, China.
Jiao XieSchool of Nursing, Jilin University, No. 965 Xinjiang Street, Changchun, Jilin, 130021, China. 1761458270@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePulmonary rehabilitation (PR) improves conditions for lung cancer (LC) surgery patients, but PR behavior is suboptimal. This study investigated the effect of message framing on PR behavior in this population, as this area is underexplored.

methodsA three-arm randomized controlled trial enrolled 102 patients randomly assigned to a gain-framed message (GFM) group (information emphasizing positive outcomes of PR adherence), a loss-framed message (LFM) group (information highlighting negative consequences of non-adherence to PR), or a no-framed message (NFM) group (PR with no framed messages). Data were collected at admission, the day before surgery, the day of discharge, and one month after discharge. Primary outcomes were postoperative exercise adherence and exercise self-efficacy. Secondary outcomes included exercise capacity, dyspnea, anxiety, and depression.

resultsThe baseline characteristics of the three groups were comparable (P > 0.05). Repeated measures analysis of variance revealed a significant time effect (P < 0.001) and a significant group effect (P < 0.001) for exercise adherence. For exercise self-efficacy, exercise capacity, dyspnea, and anxiety, significant time effects, group effects, and interaction effects were observed (all P < 0.05). However, the interaction effect for depression was not statistically significant (P = 0.109). Both the GFM and LFM groups demonstrated significantly better outcomes across all measures compared to the NFM group (P < 0.05). Furthermore, the GFM group showed significantly greater improvement than the LFM group in all outcomes (P < 0.05).

conclusionMessage frames appear to be a promising communication strategy, with GFM in particular showing potential. When combined with PR, they may have the potential to improve PR behaviors and outcomes among patients undergoing LC surgery. Trial registration number (ChiCTR2300070445) and date of registration (2023-04-12).

Indexed as

Exercise TherapyLung NeoplasmsPatient ComplianceAgedAnxietyExerciseExercise ToleranceFemaleHumansMaleMiddle AgedSelf EfficacyLung cancerMessage framingMobile healthPatient educationPulmonary rehabilitationSurgery

Identifiers

PMID41083885

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Registered trials

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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.