Previously submitted to: JMIR mHealth and uHealth (no longer under consideration since May 07, 2018)
Date Submitted: Jan 8, 2018
Open Peer Review Period: Jan 10, 2018 - May 7, 2018
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Comparing the effect of gain-frame and loss-frame SMS on the knowledge and practice of mothers with children less than 6 years of age in the field of children oral health: A randomized controlled trial
Background:
Along with growing number of mobile phone users, mobile health (m-Health) has provided new opportunity to communicate, educate, motivate, empower, and provide access to health services for individuals and groups. Several studies have shown the necessity to educate mothers about their children's oral health. However, based on the available data the impact of different health message frames is differs from culture to culture.
Objective:
this study aimed to compare the effect of gain-frame and loss-frame SMS on knowledge and practice of mothers with children under the age of 6 in the field of children oral health.
Methods:
This study is a randomized controlled trial conducted in 2016 in kindergartens and preschool centers of Shiraz, Iran. Sample consisted of 240 mothers who had at least one child less than 6 years old. Random cluster sampling method was used. Data was collected before and 3 to 4 weeks after the intervention.
Results:
results showed that knowledge and practice scores were statistically significant after the intervention (P=0.66). Tukey test results showed a significant difference in the post-test knowledge mean scores between the control group (8.86 ± 2) with gain-frame (11.77 ± 2.16, P<0.001) and loss-framed groups (12.06±1.92, P<0.001). Moreover, there was a significant difference in the post-test practice mean scores between the control group (56.05±11.46) with gain-frame (60.69±7.77, P<0.001) and loss-frame groups (60.39±8.88, P<0.001). However, there was no significant difference between post-test scores of the gain-frame and loss-frame mean scores (P=0.69).
Conclusions:
Gain-frame and loss-frame SMS did not have different impacts on the knowledge and practice of mothers about children's oral health, but both improved them. Therefore, it is suggested that regardless of the text messages framing, this method should be used more in educating mothers.
ClinicalTrial:
IRCT-2016042727647N1
Citation
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