<i>Tamale Lesson</i>: A case study of a narrative health communication intervention

Baezconde‐Garbanati, Lourdes; Chatterjee, Joyee S.; Frank, Lauren B.; Murphy, Sheila T.; Moran, Meghan Bridgid; Werth, Lisa; Zhao, Nan; Herrera, Paula Amezola de; Mayer, Doe; Kagan, Jeremy; O’Brien, Dave

doi:10.1179/1753807614y.0000000055

Cited by 66 publications

(46 citation statements)

References 33 publications

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“…41, 42 Although the primary aim of this larger study did not involve comparing the efficacy of the films in women with varying levels of health literacy, we included a measure of health literacy so that we could conduct post-hoc analyses to examine the relative effects. All study procedures were approved by the researchers’ university Institutional Review Board.…”

Section: Methodsmentioning

confidence: 99%

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A pilot test of the acceptability and efficacy of narrative and non-narrative health education materials in a low health literacy population

Moran

Frank

Chatterjee

et al. 2016

Journal of Communication in Healthcare

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Although entertainment-education narratives are increasingly being used to communicate health information to a diversity of populations, there is limited evidence examining the use of narrative health education videos in low compared with adequate health literacy populations. There are also very few studies directly comparing narrative materials to more traditional, non-narrative materials. Because individuals with low health literacy are less likely than those with adequate health literacy to benefit from health communication interventions, it is especially important to develop an evidence base supporting the use of narrative health education materials in low literacy populations. This study extends knowledge on the use of narrative health education materials in populations with low health literacy by conducting a randomized trial comparing the acceptability and efficacy (knowledge gain) of two fact-equivalent films, one in a narrative and one in a non-narrative format, on individuals with adequate and low health literacy. This study finds that while both films were well-accepted and produced knowledge gains, the narrative film was more effective in this regard. This effect occurred regardless of health literacy level, indicating that narrative health communication materials are appropriate for individuals with low health literacy and do not exacerbate existing health disparities. These findings add to a small but growing body of evidence testing narrative health education materials in individuals with low health literacy, and provide new evidence supporting narrative, entertainment-education style video as a health communication tool to help reduce health literacy-related health disparities.

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Section: Methodsmentioning

confidence: 99%

“…More details on the films are provided by Authors blinded . 42 The full videos can be found at https://www.dropbox.com/sh/ui4creo6pv8nxxv/AADxr_fC8s0iRJmxTgJUF1oxa?dl=0.…”

Section: Methodsmentioning

confidence: 99%

A pilot test of the acceptability and efficacy of narrative and non-narrative health education materials in a low health literacy population

Moran

Frank

Chatterjee

et al. 2016

Journal of Communication in Healthcare

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“…However, it used a more traditional information dissemination method using charts and figures to provide evidence, and doctors and patients talking about the disease, risk factors, and the importance and process of getting a Pap test (see Baezconde-Garbanati et al 35 for more on development of the intervention materials). Because of the significant disparities in cervical cancer they face, both films were targeted toward and featured Mexican American women.…”

Section: Intervention Materialsmentioning

confidence: 99%

Comparing the Relative Efficacy of Narrative vs Nonnarrative Health Messages in Reducing Health Disparities Using a Randomized Trial

et al. 2015

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“…The narrative health message created for this study was an 11-minute English language film called Tamale Lesson , which depicts a Mexican American family preparing to celebrate the youngest daughter’s quinceañera, or 15 th birthday party. The film was designed based on extensive formative research with the primary intended audience (Mexican American women) to identify barriers to cervical cancer prevention behavior including perceptions of susceptibility to HPV and knowledge of means to prevent it (Baezconde-Garbanati et al, 2014). For example, our focus group discussions provided us with actual dialogue and character descriptions that were incorporated into the film to ensure that it would be relevant to our target audience.…”

Section: Narratives In Health Communicationmentioning

confidence: 99%

Telling Stories, Saving Lives: Creating Narrative Health Messages

Frank

Murphy

Chatterjee

et al. 2014

Health Communication

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Increasingly, health communication practitioners are exploring the use of narrative storytelling to convey health information. For this study, a narrative film was produced to provide information about the Human Papillomavirus (HPV) and cervical cancer prevention. The storyline centered on Lupita, a young woman recently diagnosed with HPV who informs her family about HPV and the availability of the HPV vaccine for her younger sister. The objective was to examine the roles of identification with characters and narrative involvement (made up of three dimensions: involvement, perceived relevance, and immersion) on perceived response efficacy, perceived severity, and perceived susceptibility to HPV and behavior (discussing the HPV vaccine with a health care provider). A random sample of 450 European American, Mexican American, and African American women between the ages of 25 to 45 living in the Los Angeles area was surveyed by phone before, two weeks after, and six months after viewing the film. The more relevant women found the narrative to their own lives at two weeks, the higher they perceived the severity of the virus and the perceived response efficacy of the vaccine. Also at two weeks, identifying with characters was positively associated with perceived susceptibility to HPV but negatively associated with perceived severity. At six months, identification with specific characters was significantly associated with perceived threat and behavior. These findings suggest that different aspects of narrative health messages should be manipulated depending on the specific beliefs and behaviors being targeted. Implications for narrative message design are discussed.

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Tamale Lesson: A case study of a narrative health communication intervention

Cited by 66 publications

References 33 publications

A pilot test of the acceptability and efficacy of narrative and non-narrative health education materials in a low health literacy population

A pilot test of the acceptability and efficacy of narrative and non-narrative health education materials in a low health literacy population

Comparing the Relative Efficacy of Narrative vs Nonnarrative Health Messages in Reducing Health Disparities Using a Randomized Trial

Telling Stories, Saving Lives: Creating Narrative Health Messages

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