Evidence map›Paper›PMID 41919308›Full record

SynthesisFrontiers in public health2026

The effects of gain-loss framed message on physical activity attitudes, intentions, and behaviors in physically inactive adults: a systematic review and meta-analysis.

Yueying Jiang, Yuan Zhao, Qunyan Xu, Panpan Tang, Xueqing Wang, Yunyu Guo, Yue Zhao, Jing Shao, Leiwen Tang

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

9 authors.

Yueying Jiang *Department of Nursing, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Yuan Zhao *Department of Nursing, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Qunyan XuAdjunct Research Academic, Clinical and Health Sciences, University of South Australia, Adelaide, SA, Australia.
Panpan TangDepartment of Nursing, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Xueqing WangDepartment of Nursing, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Yunyu GuoDepartment of Nursing, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Yue ZhaoDepartment of Nursing, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Jing ShaoSchool of Nursing, Zhejiang University School of Medicine, Zhejiang University, Hangzhou, China.
Leiwen TangDepartment of Nursing, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Physical inactivity poses serious health risks. Message framing is a strategy to encourage healthy behaviors, but its effectiveness in promoting physical activity (PA) is unclear, creating challenges for professionals in choosing optimal strategies. Objective: To compare the effects of gain-framed versus loss-framed messages on PA attitudes, intentions, and behaviors among inactive adults. Methods: Seven electronic databases were searched from inception to December 15, 2024. Randomized controlled trials examining gain- versus loss-framed messages targeting physically inactive adults were included. Independent reviewers selected the studies, extracted the data, and performed the risk of bias. Standardized mean differences (SMDs) and 95% confidence intervals (CIs) werepooled using random-effects models. Heterogeneity was assessed using Results: Ten RCTs involving 1,355 participants were included. Three articles tested the gain-loss framing effect through PA attitudes, and eight studies each tested message framing through PA intentions and behaviors. There were no statistically significant differences between gain-framed and loss-framed messages in promoting PA attitudes [SMD:-0.60, 95%CI: (-2.09, 0.90), Conclusions: Current evidence does not demonstrate a clear overall advantage of gain- over loss-framed messages in promoting PA among inactive adults. However, gain-framed messages may be more promising for general and young populations. Further high-quality trials with standardized methodologies and longer follow-up periods are needed to clarify their effectiveness. Systematic review registration: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023482474, identifier CRD42023482474.

Indexed as

Attitude to HealthExerciseHealth BehaviorHealth PromotionIntentionSedentary BehaviorAdultHumansgain-framed messageloss-framed messagemessage framingmeta-analysisphysical activityphysically inactive adultssystematic review

Identifiers

PMID41919308
PMCPMC13033674

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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.