Abstract
Background
Message framing has been an important focus in health communication research, yet prior meta-analyses found limited support for using framing to increase persuasiveness of health messages.
Purpose
This meta-analysis distinguished the outcomes used to assess the persuasive impact of framed messages (attitudes, intentions, or behavior).
Methods
One hundred eighty-nine effect sizes were identified from 94 peer-reviewed, published studies which compared the persuasive impact of gain- and loss-framed messages.
Results
Gain-framed messages were more likely than loss-framed messages to encourage prevention behaviors (r = 0.083, p = 0.002), particularly for skin cancer prevention, smoking cessation, and physical activity. No effect of framing was found when persuasion was assessed by attitudes/intentions or among studies encouraging detection.
Conclusions
Gain-framed messages appear to be more effective than loss-framed messages in promoting prevention behaviors. Research should examine the contexts in which loss-framed messages are most effective, and the processes that mediate the effects of framing on behavior.
Similar content being viewed by others
Notes
The present review focuses on a particular type of framing effect defined by Levin and colleagues [90] as “goal framing.” As opposed to “attribute framing”, which involves manipulating the health behavior as either a good thing to engage in (positive frame) or bad thing to engage in (negative frame), “goal framing” works under the assumption that the health behavior is a good thing to do and instead uses the positive frame to describe the gains associated with performing the behavior and the negative frame to describe the losses associated with not performing the behavior.
Unless otherwise specified, we report “behavior” as a combined outcome of self-reported and objective behavioral measures. We note the appropriateness of this approach as the relationship between self-reported and objective measures of behavior for the most commonly cited domains in the present analysis are typically greater than the typical attitude/intention and behavior correlation of 0.50 [9]. Indeed, we see this in the domains of smoking [107, 108], mammography [109–113] diet [114], oral health [115–118], and physical activity [119–121] (all r values of >0.50, sensitivities of >0.90).
The strongest evidence for moderation by timeframe was found among studies that assessed prevention behavior. Although not significant using the more conservative random effects analyses (Q(1) = 1.810, p = 0.178), this moderation was significant in a fixed effects analysis (Q(1) = 6.802, p = 0.009), with behaviors assessed immediately after message presentation showing stronger effects of framing (k = 6, r = 0.150, p = 0.001) than behaviors assessed at a follow-up (k = 26, r = 0.077, p = 0.007). Moderation by timeframe could not be tested for attitudes/intentions as not enough studies assess these outcomes at a delayed follow-up. Furthermore, no moderation by timeframe was found for studies assessing detection behavior.
References
Healthy People 2020. U.S. Department of Health and Human Services website. Available at http://healthypeople.gov/2020/topicsobjectives2020/default.aspx. Accessibility verified April 4, 2011.
Rothman AJ, Salovey P. Shaping perceptions to motivate healthy behavior: The role of message framing. Psychol Bull. 1997; 121: 3–19.
Tversky A, Kahneman D. The framing of decisions and the psychology of choice. Science. 1981; 211: 453–458.
Edwards A, Elwyn G, Covey J, Matthews E, Roisin P. Presenting risk information—A review of the effects of “framing” and other manipulations on patient outcomes. J Health Commun. 2001; 6: 61–82.
O’Keefe DJ, Jensen JD. The advantages of compliance or the disadvantages of noncompliance? A meta-analytic review of the relative persuasive effectiveness of gain-framed and loss-framed messages. Commun Yearbook. 2006; 30: 1–43.
O’Keefe DJ, Jensen JD. The relative persuasiveness of gain-framed and loss-framed messages for encouraging disease prevention behaviors: A meta-analytic review. J Health Commun. 2007; 12(7): 623–644.
O’Keefe DJ, Jensen JD. The relative persuasiveness of gain-framed and loss-framed messages for encouraging disease detection behaviors: A meta-analytic review. J Commun. 2009; 59: 296–316.
Myers RE. Promoting healthy behaviors: How do we get the message across? Int J Nurs Stud. 2010; 47: 500–512.
Webb TL, Sheeran P. Does change behavioral intentions engender behavior change? A meta-analysis of the experimental evidence. Psychol Bull. 2006; 132: 249–268.
*Abhyankar P, O’Connor DB, Lawton, R. The role of message framing in promoting MMR vaccination: Evidence of a loss-frame advantage. Psychol Health Med. 2008; 13: 1–16
*Apanovitch AM, McCarthy D, Salovey P. Using message framing to motivate HIV testing among low-income, ethnic minority women. Health Psychol. 2003; 22: 60–67
*Arora R. Message framing and credibility: Application in dental services. Health Mark Q. 2000; 18: 29–44
*Arora R, Arora A. The impact of message framing and credibility finding for nutritional guidelines. Service Mark Q. 2004; 26(1): 35–53
*Arora R, Stoner C, Arora A. Using framing and credibility to incorporate exercise and fitness in individuals’ lifestyle. J Cons Mark. 2006; 23: 199–207
*Banks SM, Salovey P, Greener S, et al. The effects of message framing on mammography utilization. Health Psychol. 1995; 14: 178–184
*Bannon K, Schwartz MB. Impact of nutrition messages on children’s food choice: Pilot study. Appetite. 2006; 46: 124–129
*Bartels RD, Kelly KM, Rothman AJ. Moving beyond the function of the health behavior: The effect of message frame on behavioural decision-making. Psychol Health. 2010; 25: 821–838
*Benz Scott L, Curbow B. The effect of message frames and CVD risk factors on behavioral outcomes. Am J Health Behav. 2006; 30: 582–597
*Berry T, Carson V. Ease of imagination, message framing and physical activity messages. Br J Health Psychol. 2010; 15: 197–211
*Block LG, Keller PA. When to accentuate the negative: The effects of perceived efficacy and message framing on intentions to perform a health-related behavior. J Mark Res. 1995; 32: 192–203
*Broemer P. Relative effectiveness of differently framed health messages: The influence of ambivalence. Eur J Soc Psychol. 2002; 32: 685–703
*Broemer P. Ease of imagination moderates reactions to differently framed health messages. Eur J Soc Psychol. 2004; 34: 103–119
*Brug J, Ruiter JA, van Assema P. The (ir)relevance of framing nutrition education messages. Nutr Health. 2003; 17: 9–20
*Chang CT. Beating the news blues: Mood repair through exposure to advertising. J Commun. 2006; 56: 198–217
*Chang CT. Health-care product advertising: The influences of message framing and perceived product characteristics. Psychol Mark. 2007; 24: 143–169
*Cho H, Boster FJ. Effects of gain versus loss frame antidrug ads on adolescents. J Commun. 2008; 58: 428–446
*Consedine NS, Horton D, Magai C, Kukafka R. Breast screening in response to gain, loss, and empowerment framed messages among diverse, low-income women. J Health Care Poor Underserved. 2007; 18: 550–566
*Cox AD, Cox D, Zimet G. Understanding consumer responses to product risk information. Am Market Assoc. 2006; 70: 79–91
*Cox DS, Cox AD. Communicating the consequences of early detection: The role of evidence and framing. J Mark. 2001; 65(3): 91–103
*Detweiler JB, Bedell BT, Salovey P, Pronin E, Rothman AJ. Message framing and sunscreen use: Gain-framed messages motivate beach goers. Health Psychol. 1999; 18: 189–196
*Finney LJ, Iannotti RJ. Message framing and mammography screening: A theory-driven intervention. Behav Med. 2002; 28: 5–14
*Gallagher KM, Updegraff JA. When “fit” leads to fit, and when “fit” leads to fat: How message framing and intrinsic v. extrinsic exercise outcomes interact in promoting physical activity. Psychol Health. 2011; Jan 1: 1–16 (iFirst article)
*Gallagher KM, Updegraff JA, Rothman, AJ, Sims L. Perceived susceptibility to breast cancer moderates the effect of gain- and loss-framed messages on use of screening mammography. Health Psychol. 2011; 30: 145–152
*Gerend MA, Cullen M. Effects of message framing and temporal context on college student drinking behavior. J Exp Soc Psychol. 2008; 44: 1167–1173
*Gintner GG, Rectanus E F, Achord K, Parker B. Parental history of hypertension and screening attendance: Effects of wellness appeal versus threat appeal. Health Psycho. 1987; 6: 431–444
*Goodall C, Appiah O. Adolescents’ perceptions of Canadian cigarette package warning labels: Investigating the effects of message framing. Health Commun. 2008; 23: 117–127
*Hevey D, Pertl M, Thomas K, Maher L, Craig A, Chuinneagain SN. Body consciousness moderates the effect of message framing on intentions to use sunscreen. J Health Psychol. 2010; 15: 553–559
*Hoffner C, Ye J. Young adults’ responses to news about sunscreen and skin cancer: The role of framing and social comparison. Health Commun. 2009; 24: 189–198
*Jones LW, Sinclair RC, Courneya SC. The effects of source credibility and message framing on exercise intentions, behaviors, and attitudes: An integration of the elaboration likelihood model and prospect theory. J Appl Soc Psychol. 2003; 33: 179–196
*Jones LW, Sinclair RC, Rhodes RE, Courneya KS. Promoting exercise behaviour: An integration of persuasion theories and the theory of planned behaviour. Br J Health Psychol. 2004; 9: 505–521
*Keller PA, Lipkus IM, Rimer BK. Affect, framing, and persuasion. J Mark Res. 2003; 40: 54–64
*Knapp LG. Effects of type of value appealed to and valence of appeal on children’s dental health behavior. J Pediatr Psychol. 1991; 16: 675–686
*Lalor KM, Hailey BJ. The effects of message framing and feelings of susceptibility to breast cancer on reported frequency of breast self-examination. Int Q of Community Health Educ. 1990; 10: 183–192
*Latimer AE, Rench TA, Rivers SE, et al. Promoting participation in physical activity using framed messages: An application of prospect theory. Br J Health Psychol. 2008; 13: 659–681
*Lauver D, Rubin M. Message framing, dispositional optimism, and follow-up for abnormal Papanicolaou tests. Res Nurs Health. 1990; 13: 199–207
*Lawatsch DE. A comparison of two teaching strategies on nutrition knowledge, attitudes and food behavior of preschool children. J Nutr Educ. 1990; 22: 117–123
*Lee AY, Aaker JL. Bringing the frame into focus: The influence of regulatory fit on processing fluency and persuasion. J Pers Soc Psychol. 2004; 86: 205–218
*Lee CKC, Brown R, Blood D. The effects of efficacy, cognitive processing and message framing on persuasion. Australas Mark J. 2000; 8: 5–17
*Lerman C, Ross E, Boyce A, et al. The impact of mailing psychoeducational materials to women with abnormal mammograms. Am J Public Health. 1992; 82: 729–730
*Levin IP, Gaeth GJ, Albaum G, Schreiber J. How positive and negative frames influence the decisions of persons in the United States and Australia. Asia Pac J Market Logist. 2001; 2: 64–71
*Looker A, Shannon B. Threat vs. benefit appeals: Effectiveness in adult nutrition education. J Nutr Educ. 1984; 16: 173–176
Maguire KC, Garnder J, Sopory P, et al. Formative research regarding kidney disease health information in a Latino American sample: Associations among message frame, threat, efficacy, message effectiveness, and behavioral intention. Commun Edu. 2010; 59: 344–359
*Maheswaran D, Meyers-Levy J. The influence of message framing and issue involvement. J Mark Res. 1990; 27: 361–371
*Mann T, Sherman D, Updegraff J. Dispositional motivations and message framing: A test of the congruency hypothesis in college students. Health Psychol. 2004; 23: 330–334
*McCall LA, Ginis KAM. The effects of message framing on exercise adherence and health beliefs among patients in a cardiac rehabilitation program. J Appl Biobehav Res. 2004; 9: 122–135
*McCaul KD, Johnson RJ, Rothman AJ. The effects of framing and action instructions on whether older adults obtain flu shots. Health Psychol. 2002; 21: 624–628
*McKee SA, O’Malley S, Steward WT, Neveu S, Land M, Salovey P. How to word effective messages about smoking and oral health: Emphasize the benefits of quitting. J Dent Educ. 2004; 68: 569–573
*Myers-Levy J, Maheswaran D. Exploring message framing outcomes when systematic, heuristic, or both types of processing occur. J Cons Psychol. 2004; 14(1–2): 159–167
*Millar MG, Millar KU. Promoting safe driving behaviors: The influence of message framing and issue involvement. J Appl Soc Psychol. 2000; 30: 853–866
*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. 2008; 33: 1267–1275
*Myers RE, Ross EA, Wolf TA, Balshem A, Jepson C, Millner L. Behavioral interventions to increase adherence in colorectal cancer screening. Med Care. 1991; 29: 1039–1050
*Nan X. The relative persuasive effect of gain- versus loss-framed messages: Exploring the moderating role of the desirability of end-states. Journalism Mass Comm Q. 2007; 84: 509–524
*O’Connor DB, Ferguson E, O’Connor RC. Intentions to use hormonal male contraception: The role of message framing, attitudes and stress appraisals. Br J Psychol. 2005; 96: 351–369
*Park P, Simmons RK, Prevost AT, Griffin SJ. A randomized evaluation of loss and gain frames in an invitation to screening for type 2 diabetes: Effects on attendance, anxiety and self-rated health. J Health Psychol. 2010; 15: 196–204
*Ramirez A. Social influence and ethnicity of the communicator. J Soc Psychol. 1977; 102: 209–213
*Richardson JL, Milam J, McCutchan A, et al. Effect of brief safer-sex counseling by medical providers to HIV-1 seropositive patients: A multi-clinic assessment. AIDS. 2004; 18: 1179–1186
*Rivers SE, Salovey P, Pizarro DA, Pizarro J, Schneider TR. Message framing and pap test utilization among women attending a community health clinic. J Health Psychol. 2005; 10: 65–77
*Robberson MR, Rogers RW . Beyond fear appeals: Negative and positive persuasive appeals to health and self-esteem. J Appl Soc Psychol. 1988; 18: 277–287
*Rothman AJ, Martino SC, Bedell B, Detweiler JB, Salovey P. The systematic influence of gain- and loss-framed messages on interest in and use of different types of health behaviors. Pers Soc Psychol Bull. 1999; 25(11): 1355–1369
*Rothman A J, Salovey P, Antone C, Keough K, Martin CD. The influence of message framing on intentions to perform health behaviors. J Exp Soc Psychol. 1993; 29: 408–433
*Schneider TR, Salovey P, Apanovitch AM, et al. The effects of message framing and ethnic targeting on mammography use among low-income women. Health Psychol. 2001; 20: 256–266
*Schneider T, Salovey P, Pallonen U, et al. Visual and auditory message framing effects on tobacco smoking. J Appl Soc Psychol. 2001; 31: 667–682
*Shannon B, Rowan ML. Threat vs. benefit appeals for motivating adults to participate in a weight-control class. J American Diet Assoc. 1987; 87: 1612–1614
*Sherman DK, Mann T, Updegraff JA. Approach/avoidance orientation, message framing, and health behavior: Understanding the congruency effect. Motiv Emot. 2006; 30: 165–169
*Steward WT, Schneider TR, Pizarro J, Salovey P. Need for cognition moderates responses to framed smoking-cessation messages. J Appl Soc Psychol. 2003; 33: 2439–2464
*Toll BA, O’Malley SS, Katulak NA, et al. Comparing gain- and loss-framed messages for smoking cessation with sustained release bupropion: A randomized control trial. Psychol Addict Behav. 2007; 21: 534–544
*Trupp RJ, Corwin EJ, Ahijevych KL, Nygren T. The impact of educational message framing on adherence to continuous positive airway pressure therapy. Behav Sleep Med. 2011; 9: 38–52
*Tykocinski OE, Higgins T, Chaiken S. Message framing, self- discrepancies, and yielding to persuasive messages: The motivational significance of psychological situations. Pers Soc Psychol Bull. 1994; 20: 107–115
*Umphrey LR. The effects of message framing and message processing on testicular self-examination attitudes and perceived susceptibility. Commun Res Rep. 2003; 20: 97–105
*Updegraff JA, Sherman DK, Luyster FS, Mann TL. The effects of message quality and congruency on perceptions of tailored health communications. J Exp Soc Psychol. 2006; 43: 249–257
*Urban AB, Stout PA, Zimet GD, Blake DR. The influence of message framing on adolescent females’ intention to obtain Chlamydia screening. J Adolesc Health. 2006; 38: 126–127
*Uskul AK, Sherman DK, Fitzgibbon J. The cultural congruency effect: Culture, regulatory focus, and the effectiveness of gain- vs. loss-framed health messages. J Exp Soc Psychol. 2009; 45: 535–541
*an Assema P, Martens M, Ruiter R, Brug J. Framing of nutrition education messages in persuading consumers of the advantages of a healthy diet. J Hum Nutr Diet. 2001; 14: 435–442
*van ‘t Riet J, Ruiter RAC, Werrij MQ, Candel MJJM, de Vries H. Distinct pathways to persuasion: The role of affect in message-framing effects. Eur J Soc Psychol. 2009; doi:10.1002/ejsp.722
*van't Riet J, Ruiter RAC, Werrij MQ, de Vries H. Investigating message-framing effects in the context of a tailored intervention promoting physical activity. Health Educ Res. 2009; doi:10.1093/her/cyp061
*van 't Riet J, Ruiter RAC, Werrij MQ, de Vries H. Self-efficacy moderates message-framing effects: The case of skin-cancer detection. Psychol Health. 2010; 25: 339–349
*van't Riet J, Ruiter RAC, Smerecnik C, de Vries H. Examining the influence of self-efficacy on message-framing effects: Reducing salt consumption in the general population. Basic App Soc Psychol. 2010; 32: 165–172
*Williams T, Clarke V, Borland R. Effects of message framing on breast-cancer-related beliefs and behaviors: The role of mediating factors. J Appl Soc Psychol. 2001; 31: 925–95
*Yu N, Ahern LA, Connolly-Ahern C, Shen F. Communicating the risks of fetal alcohol spectrum disorder: Effects of message framing and exemplification. Health Commun. 2010; 25: 692–699
Levin IP, Schneider SL, Gaeth, GJ. All frames are not created equal: A typology and critical analysis of framing effects. Org Beh Human Dec Proces. 1998; 76: 149–188.
Lucidi F, Russo PM, Mallia L, Devoto A, Lauriola M, Violani C. Sleep related car crashes: Risk perception and decision-making processes in young drivers. Accid Anal Prev. 2006; 38: 302–309.
Purewal S, van den Akker OBA. A study of the effect of message framing on oocyte donation. Hum Reprod. 2009; 24: 3136–3143.
Toll BA, Salovey P, O’Malley SS, Mazure C, Latimer A, McKee SA. Message framing for smoking cessation: The interaction of risk perceptions and gender. Nicotine Tob Res. 2008; 10: 195–200.
Fucito LM, Latimer AE, Salovey P, Toll BA. Nicotine dependence as a moderator of message framing effects on smoking outcomes. Ann Behav Med. 2010; 39: 311–317.
Levin IP, Gaeth GJ, Schreiber J, Lauriola M. A new look at framing effects: Distribution of effect sizes, individual differences, and independence of types of effects. Organ Behavior Hum Dec. 2002; 88: 411–429.
Kiene SM, Barta WD, Zelenski JM, Cothran DL. Why are you bringing up condoms now? The effect of message content on framing effects of condom use messages. Health Psychol. 2005; 24: 321–326.
Szklo AS, Coutinho ESF. The influence of smokers’ degree of dependence on the effectiveness of message framing for capturing smokers for a Quitline. Addict. Behav. 2010; 35: 620–624.
Ferguson E, Gallagher L. Message framing with respect to decisions about vaccination: The roles of frame valence, frame method and perceived risk. Br J Psychol. 2007; 98: 667–680.
Cherubini P, Rumiati R, Rossi D, Nigro F, Calabro A. Improving attitudes toward prostate examinations by loss-framed appeals. J App Soc Psychol. 2005; 35: 732–744.
Hedges LV, Vevea JL. Fixed- and random-effects models in meta-analysis. Psychol Methods. 1998; 4: 486–504.
Biostat (Comprehensive Meta-Analysis) [computer program]. Borenstein M, Rothstein H; Ver 2.2.023/2005.
Rosenthal R. Meta-analytic procedures for social research (Rev. ed.). Newbury Park, CA: Sage; 1991
Begg CB, Mazumdar M. Operating characteristics of a rank correlation test for publication bias. Biometrics. 1994; 50: 1088–1101.
Sterne JA, Gavaghan D, Egger M. Publication and related bias in meta-analysis. J Clin Epi. 2000; 53: 1119–1129
Rosenthal R. The “file drawer problem” and tolerance for null results. Psychol Bull. 1979; 86: 638–641.
Duval S, Tweedie R. Trim and fill: A simple funnel-plot-based method of testing and adjusting for publication bias in meta-analysis. Biometrics. 2000; 56: 455–463.
Patrick DL, Cheadle A, Thompson DC, Diehr P, Koepsell T, Kinne S. The validity of self-reported smoking: A review and meta-analysis. Am J Public Health. 1994; 84: 1086–1093.
Vartiainen E, Seppala T, Lillsunde P, Puska P. Validation of self reported smoking by serum cotinine measurement in a community-based study. J Epidemiol Community Health. 2002; 56: 167–170.
Lawrence VA, De Moor C, Glenn ME. Systematic differences in validity of self-reported mammography behavior: A problem for intergroup comparisons? Prev Med. 1999; 29: 577–80.
King ES, Rimer BK, Trock B, Balshem A, Engstrom P. How valid are mammography self-reports? Am J Public Health. 1990; 80: 1386–1388.
Degnan D, Harris R, Ranney J, Quade D, Earp JA, Gonzalez J. Measuring the use of mammography: Two methods compared. Am J Public Health. 1992; 82: 1386–1388.
Etzi S, Lane DS, Grimson R. The use of mammography vans by low-income women: The accuracy of self-reports. Am J Public Health. 1994; 84: 107–109.
Gordon NP, Hiatt RA, Lampert DI. Concordance of self-reported data and medical record audit for six cancer screening procedures. J Natl Cancer Inst. 1993; 85: 566–570.
Martin LJ, Su W, Jones PJ, Lockwood GA, Tritchler DL, Boyd NF. Comparison of energy intakes determined by food records and doubly labeled water in women participating in a dietary-intervention trial. Am J Clin Nutr. 1996; 63: 483–490.
Sniehotta FF, Soares VA, Dombrowksi SU. Randomised controlled trial of a 1-minute intervention changing oral self-care behaviour. J Dent Res. 2007; 86: 641–645.
Schüz B, Sniehotta FF, Wiedemann A, Seeman R. Adherence to a daily flossing regimen in university students: Effects of planning when, where, how and what to do in the face of barriers. J Clin Periodontol. 2006; 33: 612–619.
McCaul KD, Glasgow RE, Gustafson C. Predicting levels of preventive dental behaviors. J Am Dent Assoc. 1985; 111: 601–605.
Pitiphat W, Garcia RI, Douglass CW, Joshipura KJ. Validation of self-reported oral health measures. J Public Health Dent. 2007; 62: 122–128.
Hayden-Wade HA, Coleman KJ, Sallis JF, Armstrong C. Validation of the telephone and in-person interview versions of the 7-day PAR. Med Sci Sports Exer. 2003; 35:801–809.
Jacobs DR, Ainsworth BE, Hartman TJ, Leon AS. A simultaneous evaluation of 10 commonly used physical activity questionnaires. Med Sci Sports Exer. 1993; 25: 81–91.
Hagstromer M, Oja P, Sjostrom M. The International Physical Activity Questionnaire (IPAQ): A study of concurrent and construct validity. Public Health Nutr. 2006; 9: 755–762.
Armitage CJ, Conner M. Efficacy of the theory of planned behavior: A meta-analytic review. Br J Soc Psychol. 2001; 40: 471–499.
Rosenthal R, Rubin DB. Meta-analytic procedures for combining studies with multiple effect sizes. Psychol Bull. 1986; 99: 400–406.
Rothman AJ, Updegraff, JA. Specifying when and how gain- and loss-framed messages motivate healthy behavior: An integrated approach. In Keren G, ed. Perspectives on Framing. London: Psychology Press; 2010: 257–277.
Strecher VJ, DeVellis BM, Becker MH, Rosenstock IM. The role of self-efficacy in achieving health behavior change. Health Edu Quar. 1986; 13: 73–92.
Rhodes SD, Hergenrather KC. Using an integrated approach to understand vaccination behavior among young men who have sex with men: Stages of change, the health belief model, and self-efficacy. J Comm Health. 2003; 28: 347–362.
Strecher VJ, DeVellis BM, Becker MH, Rosenstock IM: The role of self-efficacy in achieving health behavior change. Health Educ Q. 1986; 13: 73–92.
Stuart AE, Blanton H. The effects of message framing on behavioral prevalence assumptions. Eur J of Soc Psychol. 2003; 33: 93–102.
O’Keefe, DJ, Jensen, JD. Do loss-framed persuasive messages engender greater message processing than do gain-framed messages? A meta-analytic review. Comm Studies, 2008; 59; 51–67.
Latimer AE, Salovey P, Rothman AJ. The effectiveness of gain framed messages for encouraging disease prevention behavior: Is all hope lost? J Health Commun. 2007; 12: 645–649.
Noar SM, Benac C, Harris M. Does tailoring matter? Meta-analytic review of tailored print health behavior change interventions. Psychol Bull. 2007; 133: 673–693.
Conflict of Interest Statement
The authors have no conflict of interest to disclose.
Author information
Authors and Affiliations
Corresponding author
Additional information
References marked with an asterisk (*) indicate studies included in the meta-analysis.
About this article
Cite this article
Gallagher, K.M., Updegraff, J.A. Health Message Framing Effects on Attitudes, Intentions, and Behavior: A Meta-analytic Review. ann. behav. med. 43, 101–116 (2012). https://doi.org/10.1007/s12160-011-9308-7
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12160-011-9308-7