Does Entertainment-Education Work With Latinos in the United States? Identification and the Effects of a Telenovela Breast Cancer Storyline

Wilkin, Holley A.; Valente, Thomas W.; Murphy, Sheila T.; Cody, Michael J.; Huang, Grace; Beck, Vicki

doi:10.1080/10810730701438690

Cited by 142 publications

(114 citation statements)

References 22 publications

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“…While fotonovelas and other health education materials are considered effective in improving health knowledge and desire to seek treatment (Hinojosa et al 2010;Valle et al 2006;Wilkin et al 2007), few studies have evaluated which elements of such interventions engage and appeal to their audiences (Hawkins et al 2008). Despite limited use in past research, Larkey and Hecht's (2010) CCNHP model specifies several testable cultural (i.e., culturally familiar characters, language, and plausible storylines) and psychological elements (i.e., audience engagement and identification with storyline and characters, audience transportation or evoked emotions and consequent discussion of the topic and changes in attitudes and behaviors) as influencing health behavior change.…”

Section: Theoretical Frameworkmentioning

confidence: 98%

Qualitative Exploration of an Effective Depression Literacy Fotonovela with at Risk Latina Immigrants

Hernandez

Organista

2015

American J of Comm Psychol

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While depression is prevalent among immigrant Latinas, mental health literacy is low. Culturally tailored health narratives can improve mental health literacy and are now increasingly featured in Spanish language fotonovelas (i.e., booklets in a comic book format with posed photographs and dialogue bubbles). The purpose of this qualitative study is to explore why a depression literacy fotonovela proved effective with Latina immigrants at risk for depression in a quantitative randomized control study. This study is the qualitative companion of the previously published quantitative piece of a mixed methods study, the latter revealing posttest improvements in depression knowledge, self-efficacy to identify the need for treatment, and decreased stigma towards mental health care (Hernandez and Organista in Am J Community Psychol 2013. doi: 10.1007/s10464-013-9587-1 ). Twenty-five immigrant Latinas participated in structured interviews, in the current qualitative study, 3 weeks after participating in the quantitative study. Results suggest depression literacy improved because participants evidenced high recall of the storyline and characters, which they also found appealing (e.g., liked peer and professional support offered to depressed main character). Further, identification with the main character was reflected in participants recalling similar circumstances impacting their mental health. Despite some improvement, stigma related to depression and its treatment remained for some women. Future research for the improvement of health literacy tools is discussed.

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Section: Theoretical Frameworkmentioning

confidence: 98%

Qualitative Exploration of an Effective Depression Literacy Fotonovela with at Risk Latina Immigrants

Hernandez

Organista

2015

American J of Comm Psychol

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“…10 For example, Cohen 11 pointed to the importance of character identification in vicarious learning, and recent studies have shown that character identification can moderate EE effects. 12,13 An alternative to Cohen's explanation is that, rather than identifying with fictional characters, regular viewers form parasocial relationships with them. 14,15 Such relationships deepen the emotional impact of "interactions" with characters, and that may help to explain why stronger EE effects have been demonstrated among regular viewers of a show than among less frequent viewers.…”

Section: Possible Mechanisms Of Ee Effectsmentioning

confidence: 99%

Effects of a Television Drama about Environmental Exposure to Toxic Substances

et al. 2011

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Objective. This study assessed short-term outcomes of viewing an episode of a prime-time television drama in which a child developed cancer after environmental exposure to an illegal pesticide. The study explored the effects among viewers of feeling transported into a narrative world.Methods. Respondents (n2,139) to a post-episode Internet panel survey were asked if they had seen the show and asked questions about their demographic information, their frequency of viewing the television show, the degree to which they had felt transported into a narrative world created by the drama, and their knowledge and beliefs about the health effects of environmental exposure. Conversations with key informants from federal agencies and advocacy groups were also held.Results. Episode viewing and narrative transportation were positively associated with knowledge of toxic exposure effects, and transported viewers reported being more likely to report an unusually high number of cancer cases to authorities. The show also appeared to have prompted a clarification of federal pesticide-testing policy.Conclusions. Entertainment Education is a promising strategy for disseminating key points of information about environmental health. Entertainment education (EE) is the use of a serialized drama (e.g., a soap opera) or some other entertainment format to bring about widespread, positive change in public behavior or its prerequisites, such as knowledge and attitudes. In the United States, EE often takes the form of a health-related storyline within an episode of a regularly broadcast commercial television show.1 Hollywood writers and producers have complete creative control over the content of the storyline, but they frequently consult with medical and public health experts to ensure the accuracy of the health information in their scripts.2 There is accumulating evidence that storylines resulting from these consultations can increase health knowledge, health information-seeking behavior, and conversations about health topics, as well as intentions to perform health behaviors, among mass audiences.

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“…Entertainment-education research has found that feeling similar to characters, or adopting characters' perspective while viewing, can increase self-efficacy and positively impact story-consistent attitude and behavioral intentions (Green, Brock, & Kaufman, 2004;Sood, 2002;Wilkin, Valente, Murphy, Cody, Huang, & Beck, 2007). The E-ELM (Slater & Rouner, 2002) posits that identification and transportation function similarly in narrative persuasion.…”

Section: Future Researchmentioning

confidence: 99%

Exploring Subtext Processing in Narrative Persuasion: The Role of Eudaimonic Entertainment-Use Motivation and a Supplemental Conclusion Scene

Cohen

2016

Communication Quarterly

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This study sought to expand current narrative persuasion models by examining the role of subtext processing. The extended elaboration likelihood model suggests that transportation leads to persuasion by reducing counterarguments to stories' persuasive subtexts. The model implicitly argues that transportation should reduce total subtext processing, including counterarguments and intended elaboration. But this study reasoned that people with stronger eudaimonic motivation to have meaningful entertainment experiences, would put more effort into processing stories' subtexts while engaging with the narrative. Because less eudaimonically motivated individuals may be at risk for missing the subtext, it was also expected that adding a supplemental conclusion scene that reiterates the intended message would facilitate persuasion.Following a pre-test survey, 201 undergraduate students were randomly assigned to view an episode of the crime drama Numb3rs: one of two versions of "Harvest," designed to promote organ donation (with or without a conclusion scene), or a control episode. After viewing, participants completed a thought-listing task and second survey.Results show that "Harvest" did not result in persuasive outcomes related to organ donation. Transportation was a marginally significant positive predictor of total subtext processing. Contrary to predictions, eudaimonic motivation negatively predicted amount of total subtext processing.Eudaimonic motivation also negatively (but marginally) predicted doctor mistrust, but this effect was moderated by conclusion condition: eudaimonic motivation was negatively associated with doctor mistrust only in the no conclusion condition. Eudaimonic motivation was also negatively (but marginally) associated with intended elaboration. Further examination showed that, compared to people with low eudaimonic motivation, those with high eudaimonic motivation were less likely to engage in intended elaboration, but only in the no conclusion condition. This pattern of findings provides indirect evidence that intended elaboration was responsible for decreasing doctor mistrust among people with high eudaimonic motivation who saw the conclusion. But surprisingly, intended elaboration was not directly related to any persuasive outcomes.The findings tentatively suggest that transportation and subtext processing can coexist and that eudaimonic motivation can affect the extent to which viewers engage in subtext processing during narrative engagement. The results also indicate that supplemental conclusions may be useful tools for narrative persuasion. Nobody has influenced my development as a scholar more than Cindy Hoffner. Her research and teaching inspired me, and her mentorship gave me the skills, professional socialization, and confidence to become an independent scholar. This dissertation is a direct product of her hours of dedication, her firm guidance, her unrelenting patience, and her unwavering faith in me. I hope that I one day have the opportunity to be half as good a mentor to ...

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Does Entertainment-Education Work With Latinos in the United States? Identification and the Effects of a Telenovela Breast Cancer Storyline

Cited by 142 publications

References 22 publications

Qualitative Exploration of an Effective Depression Literacy Fotonovela with at Risk Latina Immigrants

Qualitative Exploration of an Effective Depression Literacy Fotonovela with at Risk Latina Immigrants

Effects of a Television Drama about Environmental Exposure to Toxic Substances

Exploring Subtext Processing in Narrative Persuasion: The Role of Eudaimonic Entertainment-Use Motivation and a Supplemental Conclusion Scene

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