# Nudging epidemic policy compliance: experimental insights into message framing

**Authors:** Biao Xu, Patiman Yidilisi, Hailing Xi, Shuyan Gu

PMC · DOI: 10.3389/fpubh.2025.1587987 · Frontiers in Public Health · 2025-07-23

## TL;DR

This study shows that messages emphasizing the negative societal impact of noncompliance are most effective in encouraging public adherence to health measures during epidemics.

## Contribution

The study identifies loss-social framing as the most effective message strategy for promoting epidemic policy compliance.

## Key findings

- Framed messages significantly increased compliance intentions compared to the control condition.
- Loss-social framing was the most effective, followed by gain-private, gain-social, and loss-private frames.
- Loss-social messages outperformed loss-private messages, while gain-social and gain-private messages performed similarly.

## Abstract

Achieving widespread voluntary public compliance is critical for effective epidemic management. This study investigates how different message-framing strategies influence individuals’ willingness to comply with public health measures during a simulated epidemic scenario.

Using a randomized 2 × 2 experimental design, we tested the relative effectiveness of four framing conditions—gain-private, loss-private, gain-social, and loss-social—on compliance intentions. Participants (N = 391) were randomly assigned to one of these conditions or a no-framing control group. Compliance willingness was assessed through self-reported intentions to adhere to recommended preventive behaviors.

Framed messages significantly increased compliance intentions compared to the control condition. Among framing strategies, the loss-social frame (emphasizing negative societal consequences of noncompliance) demonstrated the strongest effect, followed by gain-private, gain-social, and loss-private frames. Pairwise comparisons revealed important interactions: gain-framing was more effective within private motivational contexts, whereas loss-framing was particularly compelling within social contexts. Critically, loss-social messages were significantly superior to loss-private ones, while gain-social and gain-private messages performed similarly.

Strategic message framing effectively enhances public compliance during epidemic crises, with loss-social framing emerging as the most potent approach. These findings offer critical insights for policymakers and health communicators, recommending targeted use of loss-social messaging to optimize public adherence to epidemic prevention guidelines.

## Full-text entities

- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

35 references — full list in the complete paper: https://tomesphere.com/paper/PMC12325323/full.md

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Source: https://tomesphere.com/paper/PMC12325323