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August 16, 2026American Journal of Hypertension

Application of Framing Effects of Health Promotion Information in Hypertension Management

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Authors

LXLi XiaofangCommunity Health CenterLQLu QingweiCommunity Health CenterYXYan XinCommunity Health Center

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Implication

Randomized trial shows tailored health message framing improves behavior change processes in community adults, highlighting personalized communication optimizes hypertension prevention.

Key Points

  • To examine the effects of gain-framed versus loss-framed health promotion messages on processes of change and decisional balance for primary prevention of hypertension.
  • Randomized controlled trial of 314 volunteers from Jiangchuan Community Health Service Center in Shanghai, randomly assigned to a gain-framed group (n = 159) or a loss-framed group (n = 155) using a random number table.
  • Assessed processes of change, decisional balance, cognitive level, and future orientation before and after the intervention, with stratified analyses across subgroups.
  • Both gain-framed and loss-framed interventions significantly increased processes of change scores (all P < .05), with improvements across 8 subdimensions in the gain-framed group and 6 subdimensions in the loss-framed group.
  • Post-intervention decisional balance scores improved in both arms (all P < .05) and were significantly higher in the loss-framed group than the gain-framed group [102.0 (94.0, 110.0) vs 99.0 (91.0, 108.0), Z = 2.157, P = .031].
  • Stratified analyses demonstrated that intervention efficacy varied across age brackets, cognitive levels, and future-orientation profiles.

Cite This Study

Xiaofang et al. (2026) studied this question.

synapsesocial.com/papers/6a8179cbf2fb91fc834ad214https://doi.org/10.1093/ajh/hpaf233
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Showing vs. Telling Before-After Health Change: Persuasive Effects of Gain/Loss Framing in Morphing Visuals and Bite-Sized Text on Social Media via Emotional Responses2026
  2. 2Presenting Risk Information A Review of the Effects of Framing and other Manipulations on Patient Outcomes2001 · 499 citations
  3. 3Randomized trial evaluating the framing of cardiovascular risk and its impact on blood pressure control [ISRCTN87597585]2001 · 4 citations
  4. 4Development and validation of the message-framed exercise rehabilitation education program for post-PCI patients: a study protocol2026
  5. 5Beyond the Individual: The Effectiveness of Nation-Focused Gain–Loss Framing in Smoking Cessation Persuasion2026