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MESSAGE FRAMING AND ENGAGEMENT IN MENTAL HEALTH CARE: THE MODERATING ROLE OF AGE

Engagement rates in specialty mental health (MH) care for depression are suboptimal across the lifespan, prompting various efforts to promote treatment engagement. This study examined the extent to which age moderates the impact of message framing on appointment attendance among patients referred to...

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Autores principales: Mavandadi, Shahrzad, Wright, Erin, Klaus, Johanna, Oslin, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6846042/
http://dx.doi.org/10.1093/geroni/igz038.998
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author Mavandadi, Shahrzad
Wright, Erin
Klaus, Johanna
Oslin, David
author_facet Mavandadi, Shahrzad
Wright, Erin
Klaus, Johanna
Oslin, David
author_sort Mavandadi, Shahrzad
collection PubMed
description Engagement rates in specialty mental health (MH) care for depression are suboptimal across the lifespan, prompting various efforts to promote treatment engagement. This study examined the extent to which age moderates the impact of message framing on appointment attendance among patients referred to specialty MH care. The study employed a randomized, prospective, experimental design. Patients meeting criteria for major depression and referred to specialty MH care at a Veterans Affairs Medical Center (n=360) were randomized to receive either a routine, neutrally worded patient reminder letter prior to their scheduled specialty MH care appointment or a letter that included one of two messages (gain-framed or loss-framed) that were added to the routine letter. Appointment/attendance data were extracted from the computerized patient record system. Logistic regression was used to determine the potential moderating effect of age on the association between message frame and appointment attendance. The sample (mean age = 51.5 (SD=13.5)) was primarily male (85%), non-white (62%), and reported an average depressive symptom score of 19.3 (SD=3.8, range=9-27). Age moderated the impact of message frame on the odds of attending the MH appointment: while younger adults were more likely to attend after receiving a gain-framed message, older adults’ engagement rates did not differ significantly across conditions. Findings suggest that overtly highlighting the benefits of attending an initial specialty MH care appointment, even if in writing, can impact engagement rates among younger adults. Potential alternative, targeted approaches utilizing message framing that may be more effective among older adults should be explored.
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spelling pubmed-68460422019-11-18 MESSAGE FRAMING AND ENGAGEMENT IN MENTAL HEALTH CARE: THE MODERATING ROLE OF AGE Mavandadi, Shahrzad Wright, Erin Klaus, Johanna Oslin, David Innov Aging Session 1330 (Poster) Engagement rates in specialty mental health (MH) care for depression are suboptimal across the lifespan, prompting various efforts to promote treatment engagement. This study examined the extent to which age moderates the impact of message framing on appointment attendance among patients referred to specialty MH care. The study employed a randomized, prospective, experimental design. Patients meeting criteria for major depression and referred to specialty MH care at a Veterans Affairs Medical Center (n=360) were randomized to receive either a routine, neutrally worded patient reminder letter prior to their scheduled specialty MH care appointment or a letter that included one of two messages (gain-framed or loss-framed) that were added to the routine letter. Appointment/attendance data were extracted from the computerized patient record system. Logistic regression was used to determine the potential moderating effect of age on the association between message frame and appointment attendance. The sample (mean age = 51.5 (SD=13.5)) was primarily male (85%), non-white (62%), and reported an average depressive symptom score of 19.3 (SD=3.8, range=9-27). Age moderated the impact of message frame on the odds of attending the MH appointment: while younger adults were more likely to attend after receiving a gain-framed message, older adults’ engagement rates did not differ significantly across conditions. Findings suggest that overtly highlighting the benefits of attending an initial specialty MH care appointment, even if in writing, can impact engagement rates among younger adults. Potential alternative, targeted approaches utilizing message framing that may be more effective among older adults should be explored. Oxford University Press 2019-11-08 /pmc/articles/PMC6846042/ http://dx.doi.org/10.1093/geroni/igz038.998 Text en © The Author(s) 2019. Published by Oxford University Press on behalf of The Gerontological Society of America. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Session 1330 (Poster)
Mavandadi, Shahrzad
Wright, Erin
Klaus, Johanna
Oslin, David
MESSAGE FRAMING AND ENGAGEMENT IN MENTAL HEALTH CARE: THE MODERATING ROLE OF AGE
title MESSAGE FRAMING AND ENGAGEMENT IN MENTAL HEALTH CARE: THE MODERATING ROLE OF AGE
title_full MESSAGE FRAMING AND ENGAGEMENT IN MENTAL HEALTH CARE: THE MODERATING ROLE OF AGE
title_fullStr MESSAGE FRAMING AND ENGAGEMENT IN MENTAL HEALTH CARE: THE MODERATING ROLE OF AGE
title_full_unstemmed MESSAGE FRAMING AND ENGAGEMENT IN MENTAL HEALTH CARE: THE MODERATING ROLE OF AGE
title_short MESSAGE FRAMING AND ENGAGEMENT IN MENTAL HEALTH CARE: THE MODERATING ROLE OF AGE
title_sort message framing and engagement in mental health care: the moderating role of age
topic Session 1330 (Poster)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6846042/
http://dx.doi.org/10.1093/geroni/igz038.998
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