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 Mar;15(2):196-204. doi: 10.1177/1359105309344896.


A randomized controlled trial in two general practices in Cambridgeshire compared the effect of loss and gain framed messages in an invitation to screening for type 2 diabetes on uptake and subsequent anxiety and self-rated health. High risk individuals aged 40-69 years were randomized to receive loss (n = 57) or gain (n = 59) framed screening invitations. A postal questionnaire was sent to all participants, including non-attenders, after six weeks. There were no significant differences in attendance, mean state anxiety, self-rated health or illness representation between the loss and gain frame arms. Framing of information in diabetes screening invitations does not influence uptake.

Publication types

  • Comparative Study
  • Multicenter Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Anxiety / diagnosis
  • Anxiety / psychology*
  • Attitude to Health*
  • Choice Behavior*
  • Communication*
  • Diabetes Mellitus, Type 2 / diagnosis*
  • Diabetes Mellitus, Type 2 / psychology*
  • England
  • Family Practice
  • Female
  • Humans
  • Male
  • Mass Screening / psychology*
  • Middle Aged
  • Motivation*
  • Patient Acceptance of Health Care / psychology*
  • Pilot Projects