Comparing Gain and Loss Framed Message Texting (SMS) on Foot Self- Care Behaviors Among Women with Type 2 Diabetes
Shiraz E-Medical Journal: January 15, 2018, 19 (Suppl); e66298
February 23, 2017
Article Type: Abstract
January 15, 2018
January 01, 2017
Z, Zamani Alavijeh
G , Tehrani
M. Comparing Gain and Loss Framed Message Texting (SMS) on Foot Self- Care Behaviors Among Women with Type 2 Diabetes,
Shiraz E-Med J.
© 2018, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
Background: The effectiveness of the educational message for motivating to change behavior may be greater than the actual contentof a message, depending on how the message is designed.
Objectives: The purpose of this study was to compare the effect of gain and loss messages via SMS mobile phone on foot self-care behaviors in women with Type 2 diabetes who were referred to the Ahwaz diabetic clinic.
Methods: In this randomized controlled trial study, 189 Type 2 diabetes patients were selected by convenience sampling and
then randomly divided into 3 exp. groups and cont. group. Two experimental groups received gain and loss educational message
of foot care behaviors via mobile phone short message service for 2 months. Research data were collected through interviews
using demographic and disease characteristics questionnaires and the summary of diabetes self-care activities were measured.
The collected data were analyzed by using the SPSS 16 software, paired t-test, one-way ANOVA, and Chi-square at the level of 0.05 significance.
Results: Before the intervention disease characteristics, individual variables and the average score of foot care behaviors of the
study groups were similar. After the intervention, a significant increase occurred in the mean score foot care in experimental
groups (P = 0.001). It was also shown that this increase in loss framed message group is significantly more than the gain message group (P = 0.01).
Conclusions: According to the results, designing and implementing educational programs based on mobile phone short message
service and loss framed messages could improve foot- care behaviors in diabetic patients.