Message Framing and Engagement in Specialty Mental Health Care

Mavandadi, Shahrzad; Wright, Erin M.; Klaus, Johanna; Oslin, David W.

doi:10.1176/appi.ps.201700251

Cited by 14 publications

(20 citation statements)

References 41 publications

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“…The majority of studies assessing the effect of treatment framing across different psychiatric conditions have focused on helpseeking behaviours and on the uptake of treatment. Findings from these studies have been mixed (O'Keefe and Jensen, 2007;Lueck, 2017) with more positive findings on treatment uptake than subsequent adherence (Mavandadi et al, 2017(Mavandadi et al, , 2018. Prospect theory may help explain this divergence (Tversky and Kahneman, 1979;Rothman et al, 2006).…”

Section: Treatment Presentation and Framingmentioning

confidence: 99%

What can clinicians do to improve outcomes across psychiatric treatments: a conceptual review of non-specific components

Priebe

Conneely

McCabe

et al. 2019

Epidemiol Psychiatr Sci

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Aims Psychiatric treatments have specific and non-specific components. The latter has been addressed in an extensive literature on the placebo-effect in pharmacology and on common factors in psychotherapy. In the practice of mental health care, pharmacological, psychotherapeutic and social treatments are combined in complex interventions. This paper aims to review non-specific components across diverse psychiatric treatments and consider implications for practice and research. Methods We conducted a non-systematic review of non-specific components across psychiatric treatments, their impact on treatment processes and outcomes, and interventions to improve them. Results The identified research is heterogeneous, both in design and quality. All non-specific components capture aspects of how clinicians communicate with patients. They are grouped into general verbal communication – focusing on initial contacts, empathy, clarity of communication, and detecting cues about unspoken concerns – non-verbal communication, the framing of treatments and decision-making. The evidence is stronger for the impact of these components on process measures – i.e. therapeutic relationship, treatment satisfaction and adherence than on clinical outcomes – i.e. symptoms and relapse. A small number of trials suggest that brief training courses and simple methods for structuring parts of clinical consultations can improve communication and subsequently clinical outcomes. Conclusions Methodologically, rigorous research advancing current understandings of non-specific components may increase effectiveness across different treatments, potentially benefitting large numbers of patients. Brief training for clinicians and structuring clinical communication should be used more widely in practice.

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Section: Treatment Presentation and Framingmentioning

confidence: 99%

What can clinicians do to improve outcomes across psychiatric treatments: a conceptual review of non-specific components

Priebe

Conneely

McCabe

et al. 2019

Epidemiol Psychiatr Sci

View full text Add to dashboard Cite

show abstract

“…Health care researchers need to explore empirically validated methods of motivating the public to comply with health recommendations. One such cognitively centered approach involves manipulating the phrasing or "framing" of health recommendations (10).…”

Section: Introductionmentioning

confidence: 99%

Effects of Goal-Framed Messages on Mental Health Education Among Medical University Students: Moderating Role of Personal Involvement

Bai

Rao

Cai

et al. 2019

Front. Public Health

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Mental health problem among university students is an emerging public health issue, and mental health education has always been the focus of attention for universities. However, limited attention has been paid to the effect of students' acceptance of health messages. Previous studies have found that message framing plays a key role in the process of responding to health-promoting messages. In this backdrop, the study aimed to examine the effects of goal-framed messages on mental health education among medical university students and investigate the moderating role of personal involvement. A cross-sectional study was conducted on medical university students. An online self-administered questionnaire was used to collect data. Wilcoxon rank-sum test and ordinal logistic regression were used for data analysis. Results showed significant differences in message acceptance between the gain-and loss-framed groups (p < 0.001). Participants with high personal involvement had higher message acceptance than those with low personal involvement in gain-and loss-framed message models (p < 0.05). Specifically, participants who related to roommates with high intimacy had higher message acceptance than those who related to roommates generally (p < 0.05). Participants who were concerned about their health condition had higher message acceptance than those who were neutral about their health condition (p < 0.001). Evidence of advantages of gain-over loss-framed messages on mental health among medical university students was found. The hypothesis that personal involvement with a health issue affects the acceptance of message framing was supported. Public health advocates can use framed message as a strategy to improve the efficacy of intervention in mental health education.

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“…Mavandadi and colleagues conducted one study observing the effects of message framing on mental health service recommendation compliance. Participants were exposed to specialty mental health care referral messages (Mavandadi et al, 2017). These messages were either neutral, gain-framed, or loss-framed.…”

Section: Message Framing and Compliancementioning

confidence: 99%

“…Gainframed messages discussed the positive outcomes of meeting with a mental health provider, the loss-framed messages discussed the negative aspects of not meeting with a mental health provider, and the neutral messages were a standard appointment reminder including the date and time or appointment, name of provider, and directions to the clinic location (Mavandadi et al, 2017). The messages that were framed in terms of gains significantly increased mental health treatment utilization when compared to the neutral messages (Mavandadi et al, 2017). While not statistically significant, gain-framed messages resulted in more appointment attendances than the loss-framed messages.…”

Section: Message Framing and Compliancementioning

confidence: 99%

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Influence Of Authority And Message Framing On Compliance With Mental Health Treatment Recommendations

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Message Framing and Engagement in Specialty Mental Health Care

Cited by 14 publications

References 41 publications

What can clinicians do to improve outcomes across psychiatric treatments: a conceptual review of non-specific components

What can clinicians do to improve outcomes across psychiatric treatments: a conceptual review of non-specific components

Effects of Goal-Framed Messages on Mental Health Education Among Medical University Students: Moderating Role of Personal Involvement

Influence Of Authority And Message Framing On Compliance With Mental Health Treatment Recommendations

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