BACKGROUND: Adherence to oral self-care behaviors is low among adolescents. PURPOSE: This study aims to examine effects of two message framing interventions on oral self-care behaviors and health among Iranian adolescents. METHODS: Cluster-randomized controlled trial, with four schools randomly assigned to receive gain-framed, loss-framed, or no messages. Brushing/flossing, attitudes, intentions, oral health related quality of life (OHRQOL), and clinical examinations were measured at baseline, two and twenty-four weeks. Data were analyzed using multilevel modeling. RESULTS: At 2 weeks, loss-frame participants reported higher brushing and flossing rates, and more favorable attitudes and intentions to brush, compared to the other groups. At 24 weeks, loss-frame participants showed better OHRQOL, gingival health and less dental plaque compared to the other groups. Attitudes and intentions mediated intervention effects for the loss-framed group. CONCLUSIONS: Loss-framed messages were more effective than gain-framed messages in encouraging oral self-care behaviors among Iranian adolescents. These effects were mediated through attitudes and intentions. (clinicaltrials.gov number NCT01421108.).
BACKGROUND: Adherence to oral self-care behaviors is low among adolescents. PURPOSE: This study aims to examine effects of two message framing interventions on oral self-care behaviors and health among Iranian adolescents. METHODS: Cluster-randomized controlled trial, with four schools randomly assigned to receive gain-framed, loss-framed, or no messages. Brushing/flossing, attitudes, intentions, oral health related quality of life (OHRQOL), and clinical examinations were measured at baseline, two and twenty-four weeks. Data were analyzed using multilevel modeling. RESULTS: At 2 weeks, loss-frame participants reported higher brushing and flossing rates, and more favorable attitudes and intentions to brush, compared to the other groups. At 24 weeks, loss-frame participants showed better OHRQOL, gingival health and less dental plaque compared to the other groups. Attitudes and intentions mediated intervention effects for the loss-framed group. CONCLUSIONS: Loss-framed messages were more effective than gain-framed messages in encouraging oral self-care behaviors among Iranian adolescents. These effects were mediated through attitudes and intentions. (clinicaltrials.gov number NCT01421108.).
Authors: John A Updegraff; Cameron Brick; Amber S Emanuel; Roy E Mintzer; David K Sherman Journal: Health Psychol Date: 2014-07-14 Impact factor: 4.267
Authors: Andrea M de Silva; Shalika Hegde; Bridget Akudo Nwagbara; Hanny Calache; Mark G Gussy; Mona Nasser; Hannah R Morrice; Elisha Riggs; Pamela M Leong; Lisa K Meyenn; Reza Yousefi-Nooraie Journal: Cochrane Database Syst Rev Date: 2016-12-22
Authors: Cameron Brick; Scout N McCully; John A Updegraff; Phillip J Ehret; Maira A Areguin; David K Sherman Journal: Med Decis Making Date: 2015-02-05 Impact factor: 2.583
Authors: Andrea M de Silva; Shalika Hegde; Bridget Akudo Nwagbara; Hanny Calache; Mark G Gussy; Mona Nasser; Hannah R Morrice; Elisha Riggs; Pamela M Leong; Lisa K Meyenn; Reza Yousefi-Nooraie Journal: Cochrane Database Syst Rev Date: 2016-09-15
Authors: Keramat Nourijelyani; Mir Saeed Yekaninejad; Mohammad Reza Eshraghian; Kazem Mohammad; Abbas Rahimi Foroushani; Amir Pakpour Journal: Iran Red Crescent Med J Date: 2014-02-05 Impact factor: 0.611