Diabetes and Metabolism Journal

Korean Diabetes Association (대한당뇨병학회)
권호 표지
DOI QR코드

DOI QR Code

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

당뇨교육에서 긍정적 메시지와 부정적 메시지의 효과 비교

Lee, Bong-Jo;Gu, Mee-Ock
이봉조;구미옥

  • Published : 20090800
⟨ Previous Next ⟩

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.

연구배경: 많은 병원에서 당뇨교육을 실시하고 있지만 여전히 당뇨병환자들의 자기간호행위는 잘 수행되지 않는 실정이다. 당뇨교육의 효과를 높이기 위해서는 우선적으로 당뇨병환자에게 자기간호행위 수행의 필요성을 절실히 느끼게 하는 동기유발이 필요한데 지금까지 당뇨교육 시 대상자의 동기유발에 대한 체계적인 연구가 시행되지 않았다. 이에 본 연구에서는 당뇨교육 시 환자에게 긍정적 메시지와 부정적 메시지를 제시하고 이들 메시지 유형에 따른 자기간호행위에 대한 태도, 자기간호행위 의도에 차이를 분석함으로서 메시지의 동기유발 효과를 규명하는 연구를 시도하였다. 방법: 연구 대상자는 경상대학교병원 내분비내과 외래를 방문하는 제2형 당뇨병환자로 긍정적 메시지 군 50명, 부정적 메시지 군 49명(총 99명) 이었다. 자료수집은 2006년 1${\sim}$3월까지 이루어졌으며, 실험처치 전에는 일반적 특성과 최근 3개월간의 자기간호행위를 조사하고 실험처치 후에는 메시지에 대한 태도, 자기간호행위에 대한 태도, 자기간호행위 의도를 조사하였다. 수집된 자료는 Chi square test, t-test 로 분석하였다 결과: 긍정적 메시지 군과 부정적 메시지 군의 메시지에 대한 태도, 자기간호행위에 대한 태도는 유의한 차이가 없었다. 반면 부정적 메시지 군(4.53점)이 긍정적 메시지 군(4.22점)보다 자기간호행위 의도가 유의하게 높게 나타났다(t = -2.362, P = 0.020). 결론: 본 연구결과는 당뇨병환자에게 자기간호행위 의도를 높이는데 부정적 메시지가 긍정적 메시지보다 효과적임을 보여준다.

Keywords

References

  1. Korea Diabetes Association: Diabetology. 3rd ed. p.1, Seoul, Korea Medical Pub. 2005
  2. Korea National Statistical Office: Statistics for causes of death in year 2007 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 14:306-14, 2002
  4. Park HS, Lee SY: Compliance and need assessment for diet therapy among diabetics and their caregivers. Korean J Community Nutr 8:91-101, 2003
  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 19:283-94, 2007
  6. Park LY: Public health education. 3rd ed. p.367, Seoul, Sumunsa. 2003
  7. Kahneman D, Tversky A: Prospect theory: An analysis of decision under risk. Econometrika 47:263-91, 1979 https://doi.org/10.2307/1914185
  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 35:817-28, 2005 https://doi.org/10.4040/jkan.2005.35.5.817
  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 11:135-56, 2000
  10. Cho HO, Kim BH : Investigating the relative persuasiveness of different type of obesity-prevention advertisement. J Korean Advertising Res 11:165-85, 2000
  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 10:123-49, 1999
  12. Kim KS: The effect of advertising framing based on prospect theory. J Korean Advertising Res 9:193-212, 1998
  13. Finney LJ, Iannotti RJ: Message framing and mammography screening: A theory-driven intervention. Behav Med 28:5-14, 2002 https://doi.org/10.1080/08964280209596393
  14. Meyerowitz BE, Chaiken S: The effect of message framing on breast self-examination attitudes, intentions, and behavior. J Pers Soc Psychol 52:500-10, 1987 https://doi.org/10.1037/0022-3514.52.3.500
  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 13:659-81, 2008 https://doi.org/10.1348/135910707X246186
  16. Apanovitch AM, McCarthy D, Salovey P: Using message framing to motivate HIV testing among low-income ethnic minority women. Health Psychol 22:60-7, 2003 https://doi.org/10.1037/0278-6133.22.1.60
  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 29:408-33, 1993 https://doi.org/10.1006/jesp.1993.1019
  18. Cohen J: Statistical power analysis for the behavior sciences. 2nd ed. p. 54, New Jersey, Lawrence Erlbaum Associates Pub. 1988
  19. Gu MO: A Structural model for self care behavior and metabolic control in diabetic patient. Unpublished doctoral dissertation, Seoul National University, Seoul, 1992
  20. Mitchell AA, Olson JC: Are product attribute beliefs the only mediator of advertising effects on brand attitude? J Marketing Res 18:318-22, 1981 https://doi.org/10.2307/3150973
  21. Nam ES: The Effect of an educational program based on the theory of planned behavior on breast feeding behavior. Unpublished doctoral dissertation, Yonsei University, Seoul, 1994
  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 33:1267-75, 2008 https://doi.org/10.1016/j.addbeh.2008.05.010
  23. Ajzen I, Fishbein M: Understanding attitudes and predicting social behavior. Englewood Cliffs, Prentice-Hall, 1980
  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 13:456-70, 2002

Cited by

  1. 제 2형 당뇨병 환자를 위한 포괄적 자기효능증진 자가관리 프로그램 개발 vol.19, pp.1, 2009, https://doi.org/10.7739/jkafn.2012.19.1.074
  2. 메시지 유형에 따른 A형 간염 예방교육 프로그램의 효과 vol.21, pp.1, 2009, https://doi.org/10.5953/jmjh.2014.21.1.19
  3. A Predictive Model of Health Outcomes for Early Adults with Type 2 Diabetes vol.9, pp.1, 2009, https://doi.org/10.1016/j.anr.2014.11.002
  4. Communication Strategies for Patients with Diabetes vol.17, pp.4, 2016, https://doi.org/10.4093/jkd.2016.17.4.257
  5. The Effect of Message-Framing on Breastfeeding Self-Efficacy Among Nulliparous Women in Shushtar, Iran vol.9, pp.1, 2009, https://doi.org/10.19082/3554