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Development of patient-centric linguistically tailored psychoeducational messages to support nutrition and medication self-management in type 2 diabetes: a feasibility study.

Ellis RJ, Connor U, Marshall J - Patient Prefer Adherence (2014)

Bottom Line: When the messages were matched to specific construct segment types, the tailored messages were preferred over the standard messages, although this was not statistically significant.Furthermore, tailored messages were more often preferred over standard messages.The present study did not explore whether tailored messages were better understood.

View Article: PubMed Central - PubMed

Affiliation: Indiana University School of Nursing, International Center for Intercultural Communication, Indiana University, Indianapolis, IN, USA.

ABSTRACT

Purpose: This study evaluated the feasibility of developing linguistically tailored educational messages designed to match the linguistic styles of patients segmented into types with the Descriptor™, and to determine patient preferences for tailored or standard messages based on their segments.

Patients and methods: Twenty patients with type 2 diabetes (T2DM) were recruited from a diabetes health clinic. Participants were segmented using the Descriptor™, a language-based questionnaire, to identify patient types based on their control orientation (internal/external), agency (high/low), and affect (positive/negative), which are well studied constructs related to T2DM self-management. Two of the seven self-care behaviors described by the American Association of Diabetes Educators (healthy eating and taking medication) were used to develop standard messages and then linguistically tailored using features of the six different construct segment types of the Descriptor™. A subset of seven participants each provided feedback on their preference for standard or linguistically tailored messages; 12 comparisons between standard and tailored messages were made.

Results: Overall, the tailored messages were preferred to the standard messages. When the messages were matched to specific construct segment types, the tailored messages were preferred over the standard messages, although this was not statistically significant.

Conclusion: Linguistically tailoring messages based on construct segments is feasible. Furthermore, tailored messages were more often preferred over standard messages. This study provides some preliminary evidence for tailoring messages based on the linguistic features of control orientation, agency, and affect. The messages developed in this study should be tested in a larger more representative sample. The present study did not explore whether tailored messages were better understood. This research will serve as preliminary evidence to develop future studies with the ultimate goal to design intervention studies to investigate if linguistically tailoring communication within the context of patient education influences patient knowledge, motivation, and activation toward making healthy behavior changes in T2DM self-management.

No MeSH data available.


Related in: MedlinePlus

Distribution of segment clusters for all patients segmented (n=20).Note: *Balanced affect refers to individuals who scored equally on positive and negative affect (n=4) on the Descriptor or who could not be segmented (n=1).
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f1-ppa-8-1399: Distribution of segment clusters for all patients segmented (n=20).Note: *Balanced affect refers to individuals who scored equally on positive and negative affect (n=4) on the Descriptor or who could not be segmented (n=1).

Mentions: Twenty participants with T2DM were segmented as internal/external, high agency/low agency, and positive/negative emotion (Figure 1). Of these 20 individuals, a majority were segmented as internal control orientation, positive affect, and high agency (IPH) and external control orientation, positive affect, and high agency (EPH), indicating variation in control orientation but similarity in affect and agency. There were 4 individuals who scored equally positive and negative on the affect construct. These individuals were considered ”balanced” affect – which was an unexpected finding from the Descriptor™. One individual did not respond to an affect question, making affect segmentation impossible for this individual. A subset of eight individuals was purposively selected and invited to provide feedback on their preference for educational messages tested in this study. This subset was selected to represent the eight segments based on the Descriptor™.


Development of patient-centric linguistically tailored psychoeducational messages to support nutrition and medication self-management in type 2 diabetes: a feasibility study.

Ellis RJ, Connor U, Marshall J - Patient Prefer Adherence (2014)

Distribution of segment clusters for all patients segmented (n=20).Note: *Balanced affect refers to individuals who scored equally on positive and negative affect (n=4) on the Descriptor or who could not be segmented (n=1).
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4199751&req=5

f1-ppa-8-1399: Distribution of segment clusters for all patients segmented (n=20).Note: *Balanced affect refers to individuals who scored equally on positive and negative affect (n=4) on the Descriptor or who could not be segmented (n=1).
Mentions: Twenty participants with T2DM were segmented as internal/external, high agency/low agency, and positive/negative emotion (Figure 1). Of these 20 individuals, a majority were segmented as internal control orientation, positive affect, and high agency (IPH) and external control orientation, positive affect, and high agency (EPH), indicating variation in control orientation but similarity in affect and agency. There were 4 individuals who scored equally positive and negative on the affect construct. These individuals were considered ”balanced” affect – which was an unexpected finding from the Descriptor™. One individual did not respond to an affect question, making affect segmentation impossible for this individual. A subset of eight individuals was purposively selected and invited to provide feedback on their preference for educational messages tested in this study. This subset was selected to represent the eight segments based on the Descriptor™.

Bottom Line: When the messages were matched to specific construct segment types, the tailored messages were preferred over the standard messages, although this was not statistically significant.Furthermore, tailored messages were more often preferred over standard messages.The present study did not explore whether tailored messages were better understood.

View Article: PubMed Central - PubMed

Affiliation: Indiana University School of Nursing, International Center for Intercultural Communication, Indiana University, Indianapolis, IN, USA.

ABSTRACT

Purpose: This study evaluated the feasibility of developing linguistically tailored educational messages designed to match the linguistic styles of patients segmented into types with the Descriptor™, and to determine patient preferences for tailored or standard messages based on their segments.

Patients and methods: Twenty patients with type 2 diabetes (T2DM) were recruited from a diabetes health clinic. Participants were segmented using the Descriptor™, a language-based questionnaire, to identify patient types based on their control orientation (internal/external), agency (high/low), and affect (positive/negative), which are well studied constructs related to T2DM self-management. Two of the seven self-care behaviors described by the American Association of Diabetes Educators (healthy eating and taking medication) were used to develop standard messages and then linguistically tailored using features of the six different construct segment types of the Descriptor™. A subset of seven participants each provided feedback on their preference for standard or linguistically tailored messages; 12 comparisons between standard and tailored messages were made.

Results: Overall, the tailored messages were preferred to the standard messages. When the messages were matched to specific construct segment types, the tailored messages were preferred over the standard messages, although this was not statistically significant.

Conclusion: Linguistically tailoring messages based on construct segments is feasible. Furthermore, tailored messages were more often preferred over standard messages. This study provides some preliminary evidence for tailoring messages based on the linguistic features of control orientation, agency, and affect. The messages developed in this study should be tested in a larger more representative sample. The present study did not explore whether tailored messages were better understood. This research will serve as preliminary evidence to develop future studies with the ultimate goal to design intervention studies to investigate if linguistically tailoring communication within the context of patient education influences patient knowledge, motivation, and activation toward making healthy behavior changes in T2DM self-management.

No MeSH data available.


Related in: MedlinePlus