Concrete Messages Increase Healthy Eating Preferences

Balcetis, Emily; Manivannan, Madhumitha; Cox, E. Blair

doi:10.3390/ejihpe10020049

Cited by 4 publications

(2 citation statements)

References 40 publications

(51 reference statements)

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“…Prior research has demonstrated the influence of message framing on health behavior changes. [ 14 , 15 ]…”

Section: Introductionmentioning

confidence: 99%

“…Prior research has demonstrated the influence of message framing on health behavior changes. [14,15] We investigated whether recruitment to a diabetes DMP from an ED is feasible and effective (both in terms of enrollment rates and of producing improvements in glycemic control and future ED visit rates). We hypothesized patients recruited from the ED would have better enrollment rates, future A1c control, and ED utilization, compared with those recruited from outpatient settings and cold calling, as the venue from which a patient was recruited may have influenced ("framed") the decision to enroll.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Influence of Framing: Recruitment to a Diabetes Disease Management Program From an Emergency Department Improves Enrollment and Outcomes

Moss¹,

Craige²,

Levine³

et al. 2021

Cureus

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Introduction Disease management programs (DMPs) provide education, self-management skills, care coordination, and frequent clinical assessment and medication adjustment. Our health system’s diabetes mellitus (DM) DMP recruited patients from an emergency department (ED) and outpatient settings (primary care physicians’ [PCP] and endocrinologists’ offices; cold calling patients with poorly-controlled diabetes). We investigated whether recruitment to a DMP from an ED is feasible and effective, hypothesizing such patients would have better enrollment rates, future A1c control, and ED utilization because their receptiveness to change was “framed” by their ED visit. “Framing” is the notion that the same problem presented using a different context impacts response to the information. Being told in an acute-care ED setting one has newly-diagnosed or poorly-controlled DM, or DM-related complications may influence desire/commitment to enroll in the DMP and make lifestyle/medication changes. That is, acute illness or acute setting may influence/”frame” willingness to enroll and improve glycemic control. Methods We captured all DMP recruitees’ demographic, medical, insurance, A1c, and recruitment venue characteristics and evaluated future enrollment rates, A1c, and ED utilization from any ED in our health system. We analyzed pre- vs. post-recruitment changes in A1c and ED visit rates, comparing patients recruited from the ED who enrolled, patients recruited from the ED who did not enroll, patients recruited from outpatient settings who enrolled, and patients recruited from outpatient settings who did not enroll. Continuous enrollment predictor and outcome variables were compared using the Mann-Whitney test; categorical outcome variables were compared using Fisher’s exact test. Results There were no statistically significant differences in characteristics (including mean baseline A1c [~11.4%]) among patients recruited from the ED, clinics, or cold calling. Twenty-five percent of all ED-recruited patients enrolled vs. 35% from outpatient settings. When a recruiter familiar with the DMP was in the ED, 41% of ED patients enrolled vs. 12% at other times (p=0.0001). Nearly 84% of ED visits were for direct DM-related causes (eg, diabetic ketoacidosis, hyperosmolar hyperglycemic state) or complications with a well-established link to diabetes (eg, acute coronary syndrome, stroke, wound infection); there was no statistically-significant difference in enrollment rates between patients whose ED visit was vs. was not for a DM-related complaint (53.8% vs. 60.0%, p=0.8018). No other variables, including whether the patient had newly diagnosed DM, were associated with enrollment. Enrollees with worse baseline glycemic control (A1c ≥11%) had a greater median A1c decrease (3.5% vs. 1.9%) vs. those with less-poor baseline glycemic control (A1c <11%) or those declining the program (p=0.05). Post-recruitment ED visits-per-patient-per-month decreased among patients recruited from the E...

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“…Prior research has demonstrated the influence of message framing on health behavior changes. [ 14 , 15 ]…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Influence of Framing: Recruitment to a Diabetes Disease Management Program From an Emergency Department Improves Enrollment and Outcomes

Moss¹,

Craige²,

Levine³

et al. 2021

Cureus

View full text Add to dashboard Cite

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How the linguistic style of medical crowdfunding charitable appeal influences individuals' donations

Zhang,

Wang,

Wang

et al. 2024

Technological Forecasting and Social Change

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What motivates information (non-)seeking behaviors about a healthy diet?

Zhu,

Zeid,

Leiner

et al. 2024

J Health Psychol

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Previous research on health information seeking has primarily focused on individuals’ intentions to seek or avoid information. However, limited empirical evidence exists regarding the actual behavioral patterns of information-seeking and non-seeking. To address this, we conducted a survey experiment manipulating cognitive load with mostly Belgian participants ( N = 359). By integrating self-report and behavioral data, we investigated motivations and conditions associated with information (non)-seeking behaviors on a healthy diet. Guided by the risk information seeking and processing (RISP) model, we examined the roles of informational subjective norms and information insufficiency, as well as the moderating role of cognitive capacity. Neither informational subjective norms nor information insufficiency significantly correlated with information-seeking behaviors. However, a significant interaction between the predictors and cognitive capacity in predicting non-seeking behaviors was observed. These findings underscore the intricate nature of individuals’ behavioral patterns in seeking or not seeking information about healthy eating.

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Concrete Messages Increase Healthy Eating Preferences

Cited by 4 publications

References 40 publications

Influence of Framing: Recruitment to a Diabetes Disease Management Program From an Emergency Department Improves Enrollment and Outcomes

Influence of Framing: Recruitment to a Diabetes Disease Management Program From an Emergency Department Improves Enrollment and Outcomes

How the linguistic style of medical crowdfunding charitable appeal influences individuals' donations

What motivates information (non-)seeking behaviors about a healthy diet?

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