Journal List > Korean Diabetes J > v.33(4) > 1002311

TOOLS
Lee and Gu: Comparison of the Effects between Positive Message and Negative Message in Diabetes Mellitus Education
Original Article
Korean Diabetes Journal

Korean Diabetes Journal 2009; 33(4): 344-352.

Published online: 31 August 2009

DOI: https://doi.org/10.4093/kdj.2009.33.4.344

Comparison of the Effects between Positive Message and Negative Message in Diabetes Mellitus Education

Bong Jo Lee1, Mee Ock Gu2

1Department of Nursing, Gyeongsang National University Hospital, Jinju, Korea.

2College of Nursing, Gyeongsang National University, Gyeongsang Institute of Health Science, Jinju, Korea.

Corresponding author (mogu@gnu.ac.kr)

Received 3 April 2009       Accepted 13 July 2009

Copyright © 2009 Korean Diabetes Association

Abstract

Background

Given the nature and chronicity of diabetes mellitus (DM), the role of self care and adequate patient education, in addition to the support of medical professional, is essential in its management. The aim of the present study was to compare the effects of positive messages and negative messages in DM education and to identify the superior method of motivation for self care behaviors.

Methods

A total of 99 DM patients (50 positive message group: 49 negative message group) at Gyeongsang National University Hospital participated in the study. The collected data were analyzed by Chi square and t-test.

Results

There were no significant differences in the attitude of messages and in the attitude of self care behaviors between the positive and negative message group, though the negative message group had a significantly higher intention of self care behaviors than did the positive message group.

Conclusion

These results suggest that the negative messages are more effective than positive messages for increasing the intention of self care behaviors in patients with DM.

Keywords: Diabetes mellitus, Patient education as topic, Self care

Figures and Tables

Table 1
General characteristics of subjects & homogeneity test between positive message group and negative message group
kdj-33-344-i001

DM, diabetes mellitus; FBG, fasting blood glucose; M, mean; NMG, negative message group; PMG, positive message group; PP2, postprandial 2-hour blood glucose; SD, standard deviation.

Table 2
Attitudes of messages between positive and negative message group
kdj-33-344-i002

NMG, negative message group; PMG, positive message group.

Table 3
Attitude of self care behaviors & intention of self care behaviors between positive and negative message group
kdj-33-344-i003

*P < 0.05. NMG, negative message group; PMG, positive message group.

References

1. Korea Diabetes Association. Diabetology. 2005. 3rd ed. Seoul: Korea Medical Pub;1.
2. Statistics for causes of death in year 2007. Korea National Statistical Office. from www.nso.go.kr.
3. Kim CG, Jung JH. Effects of telephone consulting program on self-efficacy and self-care in NIDDM Patients. J Korean Acad Adult Nurs. 2002. 14:306–314.
4. Park HS, Lee SY. Compliance and need assessment for diet therapy among diabetics and their caregivers. Korean J Community Nutr. 2003. 8:91–101.
5. Lee HJ, Kim MS. The Relationship of diet, physical activities, self-efficacy, and self-care with cardiovascular risk factors among clients with type II diabetes. J Korean Acad Adult Nurs. 2007. 19:283–294.
6. Park LY. Public health education. 2003. 3rd ed. Seoul: Sumunsa;367.
7. Kahneman D, Tversky A. Prospect theory: An analysis of decision under risk. Econometrika. 1979. 47:263–291.
8. An GJ, Choi MA, Kim BH. The Persuasive effects according to type of exercise promotion advertisements for obesity prevention in elementary school students. J Korean Acad Nurs. 2005. 35:817–828.
9. Cho HO. Analysis of the effectiveness of anti-smoking message types: The mediating role of message framing and message appeals. J Korean Advertising Res. 2000. 11:135–156.
10. Cho HO, Kim BH. Investigating the relative persuasiveness of different type of obesity-prevention advertisement. J Korean Advertising Res. 2000. 11:165–185.
11. Cho HO, Lee GS, Yoon SH. Investigating message framing effects of cervical cancer screening ads : The moderating of prior health beliefs and message framing expectancy. J Korean Advertising Res. 1999. 10:123–149.
12. Kim KS. The effect of advertising framing based on prospect theory. J Korean Advertising Res. 1998. 9:193–212.
13. Finney LJ, Iannotti RJ. Message framing and mammography screening: A theory-driven intervention. Behav Med. 2002. 28:5–14.
14. Meyerowitz BE, Chaiken S. The effect of message framing on breast self-examination attitudes, intentions, and behavior. J Pers Soc Psychol. 1987. 52:500–510.
15. Latimer AE, Rench TA, Rivers SE, Katulak NA, Materese SA, Cadmus L, Hicks A, Hodorowski JK, Salovey P. Promoting participation in physical activity using framed messages: An application of prospect theory. Br J Health Psycho. 2008. 13:659–681.
16. Apanovitch AM, McCarthy D, Salovey P. Using message framing to motivate HIV testing among low-income ethnic minority women. Health Psychol. 2003. 22:60–67.
17. Rothman AJ, Salovey P, Antone C, Keough K, Martin CD. The Influence of message framing on intentions to perform health behaviors. J Exp Soc Psycho. 1993. 29:408–433.
18. Cohen J. Statistical power analysis for the behavior sciences. 1988. 2nd ed. New Jersey: Lawrence Erlbaum Associates Pub;54.
19. Gu MO. A Structural model for self care behavior and metabolic control in diabetic patient. 1992. Seoul: Seoul National University;Unpublished doctoral dissertation.
20. Mitchell AA, Olson JC. Are product attribute beliefs the only mediator of advertising effects on brand attitude? J Marketing Res. 1981. 18:318–322.
21. Nam ES. The Effect of an educational program based on the theory of planned behavior on breast feeding behavior. 1994. Seoul: Yonsei University;Unpublished doctoral dissertation.
22. Moorman M, van den Putte B. The influence of message framing, intention to quit smoking, and nicotine dependence on the persuasiveness of smoking cessation messages. Addict Behav. 2008. 33:1267–1275.
23. Ajzen I, Fishbein M. Understanding attitudes and predicting social behavior. 1980. Englewood Cliffs: Prentice-Hall.
24. Song MR, Kim SL. Testing of the theory of planned behavior in the prediction of smoking cessation intention and smoking cessation behavior among adolescent smokers. J Korean Community Nurs. 2002. 13:456–470.
TOOLS
Similar articles