Laura S Larsson1, Dorothy Champine2, Dee Hoyt3, Lillian Lin4, Emily Salois5, Sharon Silvas6, Terri Weasel Tail2, Matthew Williams7. 1. College of Nursing, Montana State University, Bozeman, Montana. 2. Browing WIC, Browning, Montana. 3. Blackfeet Community College, Browning, Montana. 4. Department of Mathematical Sciences, Montana State University, Bozeman, Montana. 5. Montana INBRE, Montana State University, Bozeman, Montana. 6. Browning Community Hospital, Browning, Montana. 7. Montana State University, Bozeman, Montana.
Abstract
OBJECTIVE: To compare three variants of a culturally relevant and theoretically based message to determine the most influential risk-framing approach for improving intention to place dental sealants for preschool children. DESIGN AND SAMPLE: A convenience sample of adult, American Indian participants (n = 89) attending a community health fair were assigned to view a gain-framed, loss-framed, or mix-framed dental sealant message. MEASURES: We compared participants' scores on a 46-item survey to determine the relative effect of the frame assignment on seven indices of behavior change. RESULTS: The mean difference in participants' stage-of-change scores (x = 1.17, n = 89, SD = 1.90) demonstrated a significant improvement for all groups after watching the dental sealant message t88 = 5.81, p < .0001, 95% CI [0.77-1.57]. Self-efficacy was the only construct for which we detected a statistically significant difference as a function of frame assignment. Overall, the mix-framed message resulted in the highest scores. The gain-framed message was the least influential on four constructs. This finding is in contrast to findings that gain-framed oral health messages are most influential (Gallagher & Updegraff, 2012; O'Keefe & Jensen, 2007). CONCLUSIONS: Community advisory board members determined to use the mix-framed approach in an oral health social marketing campaign with a rural, American Indian audience.
OBJECTIVE: To compare three variants of a culturally relevant and theoretically based message to determine the most influential risk-framing approach for improving intention to place dental sealants for preschool children. DESIGN AND SAMPLE: A convenience sample of adult, American Indian participants (n = 89) attending a community health fair were assigned to view a gain-framed, loss-framed, or mix-framed dental sealant message. MEASURES: We compared participants' scores on a 46-item survey to determine the relative effect of the frame assignment on seven indices of behavior change. RESULTS: The mean difference in participants' stage-of-change scores (x = 1.17, n = 89, SD = 1.90) demonstrated a significant improvement for all groups after watching the dental sealant message t88 = 5.81, p < .0001, 95% CI [0.77-1.57]. Self-efficacy was the only construct for which we detected a statistically significant difference as a function of frame assignment. Overall, the mix-framed message resulted in the highest scores. The gain-framed message was the least influential on four constructs. This finding is in contrast to findings that gain-framed oral health messages are most influential (Gallagher & Updegraff, 2012; O'Keefe & Jensen, 2007). CONCLUSIONS: Community advisory board members determined to use the mix-framed approach in an oral health social marketing campaign with a rural, American Indian audience.
Authors: Debra Sprague; Donna L LaVallie; Fredric M Wolf; Clemma Jacobsen; Kirsten Sayson; Dedra Buchwald Journal: Med Decis Making Date: 2010-12-29 Impact factor: 2.583