Effect of Message Framing on Improving Physical Activity in Women with Type 2 Diabetes


Z Baji 1 , * , F Zamani Alavijeh 2 , Gh Shakerinejad 3 , M Tehrani 3

1 Health Education Research Group, Health Education, Ahvaz, Iran

2 Department of Public Health, School of Health, Social Determinants of Health Research Centre, Ahvaz Jundishapur Medical Sciences University, Ahvaz, Iran

3 Health Education Research Department, Ahvaz, Iran

How to Cite: Baji Z, Zamani Alavijeh F, Shakerinejad G, Tehrani M. Effect of Message Framing on Improving Physical Activity in Women with Type 2 Diabetes, Shiraz E-Med J. 2018 ; 19(Suppl):e66293. doi: 10.5812/semj.66293.


Shiraz E-Medical Journal: 19 (Suppl); e66293
Published Online: February 23, 2017
Article Type: Abstract
Received: January 15, 2018
Accepted: January 01, 2017



Background: The effectiveness of the educational message for motivating to change behavior may be greater than the actual content
of a message, depending on how the message is designed. Objective: The purpose of this study was to compare the effectiveness of gain and loss framed messages on increased physical
activity in women with type 2 diabetes attending a diabetes clinic in Ahvaz city. Methods: This randomized clinical trial study was performed among 119 patients with type 2 diabetes who were referred to the
diabetes clinic in Ahvaz in 2014. Patients were selected by convenience sampling and then randomly divided into gain (59 cases)
and loss (60 cases) groups by use of random numbers table. Two groups received physical activity educational messages in a different
context via short message service for 2 months. The data in this study were collected by using a standard 3-part questionnaire
as well as interviews before and 1 month after intervention. Data were analyzed by using SPSS version 16 by descriptive statistics,
independent t-test, and Chi-square. Results: Based on the finding before the intervention, 2 groups were similar of individual variables, the mean score of physical
activity, and disease characteristics. After the intervention, the mean score of physical activity in both groups showed a significant
increase (P < 0.05). The results showed that patients who were faced with the loss framed messages compared to patients who were
confronted to gain framed messages have more motivation for physical activity (P < 0.05). Conclusion: The present study indicates that loss framed messages are effective in increasing physical activity behaviors in women
with type 2 diabetes.


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