A Test of Conversational and Testimonial Messages versus Didactic Presentations of Nutrition Information

Slater, Michael D.; Buller, David B.; Waters, Emily; Archibeque, Margarita; Leblanc, Michelle

doi:10.1016/s1499-4046(06)60056-0

Cited by 111 publications

(83 citation statements)

References 11 publications

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“…Slater and colleagues found that identification with characters moderated effects of message type (conversational vs. testimonial vs. newsletter) on believability, usefulness, and clarity of dietary change information (94). Identification with characters in narratives may also increase perceived susceptibility to cancer and empathy for those with cancer.…”

Section: Other Moderating Factors That May Enhance or Diminish Narratmentioning

confidence: 99%

“…Finally, perceived similarity to narrative characters may influence one's perception of social norms regarding cancer-related behaviors. For example, if main characters in a narrative had been recently screened for colorectal cancer, audience members may conclude that most people get these tests (4,94). Social psychology research not specific to health suggests such a finding may also be due to belonging, trust of others in their ingroup, and conformity (97).…”

Section: Other Moderating Factors That May Enhance or Diminish Narratmentioning

confidence: 99%

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Narrative communication in cancer prevention and control: A framework to guide research and application

et al. 2007

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Narrative forms of communication-including entertainment education, journalism, literature, testimonials, and storytelling-are emerging as important tools for cancer prevention and control. To stimulate critical thinking about the role of narrative in cancer communication and promote a more focused and systematic program of research to understand its effects, we propose a typology of narrative application in cancer control. We assert that narrative has four distinctive capabilities: overcoming resistance, facilitating information processing, providing surrogate social connections, and addressing emotional and existential issues. We further assert that different capabilities are applicable to different outcomes across the cancer control continuum (e.g., prevention, detection, diagnosis, treatment, survivorship). This article describes the empirical evidence and theoretical rationale supporting propositions in the typology, identifies variables likely to moderate narrative effects, raises ethical

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Section: Other Moderating Factors That May Enhance or Diminish Narratmentioning

confidence: 99%

Section: Other Moderating Factors That May Enhance or Diminish Narratmentioning

confidence: 99%

Narrative communication in cancer prevention and control: A framework to guide research and application

et al. 2007

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“…The selection and organization of content areas were guided by expert advice and results from focus groups (Buller et al, 2001), evaluation of alternative message formats (Slater, Buller, Waters, Archibeque, & LeBlanc, 2003), and usability testing of website structure with local residents (Zimmerman, Akerelrea, Buller, Hau, & LeBlanc, 2003). Based on social cognitive theory (Bandura, 1986) and diffusion of innovations model (Rogers, 2003), content was intended to (a) provide necessary skills and knowledge on how to eat healthier; (b) convince users that FV were simple and compatible with current dietary behavior, easy to try, and advantageous; (c) create beliefs that users were capable of changing their diet; (d) create, activate, or alter beliefs and attitudes to support dietary change, particularly the perceived response efficacy of FV to prevent disease; (e) produce perceptions that dietary changes are supported by local people, normative within the communities, and beneficial to all; (f) motivate people to take action (convert intentions to actions); and (g) link dietary changes to existing dietary habits (e.g., drinking juice in the morning; taking FV in lunches; and adding a salad to a meal).…”

Section: A Day the Rio Grande Way Websitementioning

confidence: 99%

Randomized Trial on the5 a Day, the Rio Grande WayWebsite, A Web-based Program to Improve Fruit and Vegetable Consumption in Rural Communities

Buller

Woodall

Zimmerman

et al. 2008

Journal of Health Communication

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The Internet is a new technology for health communication in communities. The 5 a Day, the Rio Grande Way website intended to increase fruits and vegetables (FV) consumption was evaluated in a rural region enrolling 755 adults (65% Hispanic, 9% Native American, 88% female) in a randomized pretest-posttest controlled trial in [2002][2003][2004]. A total of 473 (63%) adults completed a 4-month follow-up. The change in daily intake on a food frequency questionnaire (control: mean = − 0.26 servings; intervention: mean = 0.38; estimated difference = 0.64, SD = 0.52, t(df = 416) = 1.22, p = 0.223) and single item (13.9% eating 5+ servings at pretest, 19.8% posttest for intervention; 17.4%, 13.8% for controls; odds ratio (OR) = 1.84, 95% CI = 1.07, 3.17) was in the expected direction but significant only for the single item. Website use was low and variable (logins: M = 3.3, range = 1 to 39.0; total time: M = 22.2 minutes, range = 0 to 322.7), but it was associated positively with fruit and vegetable intake (total time: Spearman r = 0.14, p = 0.004 for food frequency; Spearman r = 0.135, p = 0.004 for single item). A nutrition website may improve FV intake. The comparison on the food frequency measure may have been undermined by its high variability. Websites may be successful in community settings only when they are used enough by adults to influence them.The Internet is a relatively new medium for health communication. It has several characteristics that might be used to improve health promotion: Its ability to span large distances at low cost with standardized information in multimedia formats that promote learning among populations with diverse ages, education, literacy levels, and social circumstances may help to address lower access to health care and transportation problems (Benton Foundation, 1998; U.S. Congress & Office of Technology Assessment, 1991;Walther, Pingree, Hawkins, & Buller, 2005). This article contains a report on diet changes produced by an Internet website among adults in a rural region in the southwestern United States. Rural communities present unique challenges to using this technology-lower Internet use, slower Internet connections, wide variations in computer and Internet skills, and limited training resources and technical support than in urban communities (Benton Foundation, 1998;Horrigan, 2005;Rainie & Horrigan, 2005 Efficacy of Internet-based Nutrition Education for Rural CommunitiesDiet, nutrition, vitamins, and nutritional supplements rank as the third most popular Internet health topic (Fox, 2005), but there is little evidence that it is effective to deliver nutrition education over the Internet in community settings. Internet-based health communication has produced positive changes in diet and related behaviors (Celio et al., 2000;Oenema, Brug, & Lechner, 2001;Oenema, Tan, & Brug, 2005;Papadaki & Scott, 2005;Rothert et al., 2006;Tate, Wing, & Winett, 2001;White et al., 2004;Williamson et al., 2005;Williamson et al., 2006;Winzelberg et al., 2000), although not in all studie...

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“…Previous studies have shown that narrative communication is most influential for those that are most similar to the celebrity or character in the story. 21 Women from lower SEC groups and with fewer educational qualifications were more likely to say they had been influenced by Goody's story. This contrasts with data showing no association between area-level deprivation and attendance at cervical screening in Wales after her death; 9 however, it is possible that area-level deprivation measures are too crude to identify fine-grained socioeconomic patterning.…”

Section: Discussionmentioning

confidence: 99%

The Jade Goody Effect: Whose Cervical Screening Decisions Were Influenced by Her Story?

Marlow¹,

Sangha²,

Patnick³

et al. 2012

J Med Screen

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Objectives In 2009 more women attended cervical screening in England and Wales than in the previous year. Described as the 'Jade Goody Effect' this was attributed to the death from cervical cancer of a UK celebrity. The present study aimed to establish which sociodemographic characteristics were associated with being influenced by Jade Goody's story. Methods Data were collected as part of a Taylor Nelson Sofres (TNS) omnibus survey using random location sampling. Women in England aged 26 -64 years were asked to report whether they felt Jade Goody's story had influenced their decisions about cervical screening over the 18 months between her death and the time of the survey. Results Data from 890 participants was included in analysis. Over a third of women felt Goody's story had influenced their decisions about cervical screening (40%). Younger women (aged 26 -35 years) were more likely to have been influenced by Goody's story than older women (56-64 year olds). There was also evidence of socioeconomic variation with women from lower socioeconomic class groups and those with fewer educational qualifications more likely to say they had been influenced by Goody's story. Conclusions The 'Jade Goody Effect', as acknowledged by women themselves, was more pronounced among young women and influenced screening decisions more markedly among those from lower socioeconomic backgrounds. Narrative communication may be an effective way to encourage attendance at cervical cancer screening and reach groups of the population that are difficult to reach using traditional intervention methods.

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A Test of Conversational and Testimonial Messages versus Didactic Presentations of Nutrition Information

Cited by 111 publications

References 11 publications

Narrative communication in cancer prevention and control: A framework to guide research and application

Narrative communication in cancer prevention and control: A framework to guide research and application

Randomized Trial on the5 a Day, the Rio Grande WayWebsite, A Web-based Program to Improve Fruit and Vegetable Consumption in Rural Communities

The Jade Goody Effect: Whose Cervical Screening Decisions Were Influenced by Her Story?

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