Abstract：
OBJECTIVE: This study examines potential intended (attitudes, motivation and self-efficacy) and unintended (stigmatisation of diabetes) consequences of past Australian National Diabetes Week campaign videos. Further, outcomes are compared by the extent to which participants perceived their allocated video as stigmatising diabetes.
METHODS: In this cross-sectional, ten-arm study, participants (adults with or without diabetes; 1:2 ratio) were randomly allocated to view one of eight archival diabetes campaign videos (intervention), or either an active or passive control group. Post-exposure, study-specific scales measured diabetes Misconceptions and Seriousness, General and Diabetes Risk-Reduction Motivation and Self-efficacy, and perceptions of video Stigmatisation of diabetes. Scores were compared by condition (intervention vs. control) and by campaign Stigma (highest vs. lowest tertile score), separately by cohort (with or without diabetes).
RESULTS: The sample included n = 1023 without diabetes; and n = 510 with diabetes (79% type 2 diabetes). No significant differences in outcomes were observed between conditions (intervention vs. control), with one exception: a modest effect on General Self-efficacy among those without diabetes only. Those perceiving high campaign Stigma (15%), relative to low Stigma (60%), reported significantly greater diabetes Misconceptions, lower perceived Seriousness and (among those without diabetes only) lower General Motivation but higher Diabetes Risk Reduction Motivation.
CONCLUSIONS: Though limited to a single-exposure, we found little meaningful positive influence of past diabetes campaign videos on diabetes attitudes, behavioural intentions or self-efficacy. Further, campaign videos were perceived as stigmatising by a minority-a potential harmful impact. This novel study has implications for the design, implementation and evaluation of future diabetes campaigns.
METHODS: In this cross-sectional, ten-arm study, participants (adults with or without diabetes; 1:2 ratio) were randomly allocated to view one of eight archival diabetes campaign videos (intervention), or either an active or passive control group. Post-exposure, study-specific scales measured diabetes Misconceptions and Seriousness, General and Diabetes Risk-Reduction Motivation and Self-efficacy, and perceptions of video Stigmatisation of diabetes. Scores were compared by condition (intervention vs. control) and by campaign Stigma (highest vs. lowest tertile score), separately by cohort (with or without diabetes).
RESULTS: The sample included n = 1023 without diabetes; and n = 510 with diabetes (79% type 2 diabetes). No significant differences in outcomes were observed between conditions (intervention vs. control), with one exception: a modest effect on General Self-efficacy among those without diabetes only. Those perceiving high campaign Stigma (15%), relative to low Stigma (60%), reported significantly greater diabetes Misconceptions, lower perceived Seriousness and (among those without diabetes only) lower General Motivation but higher Diabetes Risk Reduction Motivation.
CONCLUSIONS: Though limited to a single-exposure, we found little meaningful positive influence of past diabetes campaign videos on diabetes attitudes, behavioural intentions or self-efficacy. Further, campaign videos were perceived as stigmatising by a minority-a potential harmful impact. This novel study has implications for the design, implementation and evaluation of future diabetes campaigns.
摘要：
目标：本研究检查了潜在的意图(态度，动机和自我效能）和过去澳大利亚国家糖尿病周活动视频的意外（对糖尿病的污名化）后果。Further,根据参与者认为其分配的视频对糖尿病造成污名化的程度,对结局进行比较.
方法：在此横截面中，十臂研究，参与者（有或没有糖尿病的成年人；1:2的比例）被随机分配观看八个存档糖尿病运动视频（干预）之一，或主动或被动控制组。曝光后，针对研究的量表测量了糖尿病的误解和严重性，一般和糖尿病风险降低动机和自我效能，以及对糖尿病视频污名化的看法。按条件比较分数(干预与控制)和竞选耻辱(最高与最低三元得分)，分别按队列（有或没有糖尿病）。
结果：样品包括n=1023，无糖尿病；n=510，有糖尿病（79％的2型糖尿病）。在不同条件下观察到的结果没有显着差异(干预与control),有一个例外：对一般自我效能感的适度影响在那些没有糖尿病。那些认为竞选耻辱很高的人(15%)，相对于低污名（60%），报道了更多的糖尿病误解，较低的感知严重性和（仅在没有糖尿病的人群中）较低的一般动机，但较高的糖尿病风险降低动机。
结论：尽管仅限于单次暴露，我们发现过去的糖尿病运动视频对糖尿病态度没有什么有意义的积极影响，行为意图或自我效能感。Further,竞选视频被少数人认为是污名化的--这是一种潜在的有害影响。这项新颖的研究对设计有影响，实施和评估未来的糖尿病运动。
方法：在此横截面中，十臂研究，参与者（有或没有糖尿病的成年人；1:2的比例）被随机分配观看八个存档糖尿病运动视频（干预）之一，或主动或被动控制组。曝光后，针对研究的量表测量了糖尿病的误解和严重性，一般和糖尿病风险降低动机和自我效能，以及对糖尿病视频污名化的看法。按条件比较分数(干预与控制)和竞选耻辱(最高与最低三元得分)，分别按队列（有或没有糖尿病）。
结果：样品包括n=1023，无糖尿病；n=510，有糖尿病（79％的2型糖尿病）。在不同条件下观察到的结果没有显着差异(干预与control),有一个例外：对一般自我效能感的适度影响在那些没有糖尿病。那些认为竞选耻辱很高的人(15%)，相对于低污名（60%），报道了更多的糖尿病误解，较低的感知严重性和（仅在没有糖尿病的人群中）较低的一般动机，但较高的糖尿病风险降低动机。
结论：尽管仅限于单次暴露，我们发现过去的糖尿病运动视频对糖尿病态度没有什么有意义的积极影响，行为意图或自我效能感。Further,竞选视频被少数人认为是污名化的--这是一种潜在的有害影响。这项新颖的研究对设计有影响，实施和评估未来的糖尿病运动。
