A Framework for Pilot Testing Health Risk Video Narratives

Narrative messages may be superior to didactic messages when providing educational information due to their natural format for information sharing, ability to engage audiences, and engender positive thoughts about the message. Although narrative messages are gaining popularity in health promotion, l...

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Published inHealth communication Vol. 35; no. 7; pp. 832 - 841
Main Authors Scherr, Courtney Lynam, Nam, Kelli, Augusto, Bianca, Kasting, Monica L., Caldwell, Meghan, Lee, Marie Catherine, Meade, Cathy D., Pal, Tuya, Quinn, Gwendolyn P., Vadaparampil, Susan T.
Format Journal Article
LanguageEnglish
Published England Routledge 06.06.2020
Routledge, Taylor & Francis Group
Subjects
Audiences
Breast cancer
Breast Neoplasms
Coherence
Content analysis
Female
Genetic counseling
Genetic screening
Health belief model
Health beliefs
Health Promotion
Health risks
Humans
Information sharing
Intervention
Interviews
Iterative methods
Messages
Narration
Narratives
Popularity
Psychosocial factors
Psychosocial intervention
Qualitative analysis
Statistical analysis
Survivors
Teams
Text Messaging
Verification
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Summary:Narrative messages may be superior to didactic messages when providing educational information due to their natural format for information sharing, ability to engage audiences, and engender positive thoughts about the message. Although narrative messages are gaining popularity in health promotion, little guidance exists regarding the development phase. Our team created a psychosocial narrative video intervention grounded in the Health Belief Model to increase breast cancer survivors' attendance at genetic counseling after treatment. Here we report the use of Learner Verification (LV) during an iterative video development process. Using LV, we conducted individual semi-structured interviews with patients and providers, after they viewed the video. Demographic information was analyzed using descriptive statistics, and verbatim interview transcripts were used to conduct a two-phase qualitative content analysis. Patient and provider participants (n = 30) believed the video was attractive, relatable, and informative, and they identified areas for improvement including narrative coherence, changes to text and graphical information, and including more specific information. LV framework elicited audience feedback on the video intervention relevant to theoretical principles of narrative interventions, and highlighted audience preferences. In this study, LV interviews tapped into theoretical constructs of narratives and facilitated the iterative intervention design process.
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Monica L Kasting is presently affiliated with: Department of Health and Kinesiology, Purdue University, West Lafayette, IN, USA
Gwendolyn P Quinn is presently affiliated with: Department of OB-GYN, School of Medicine, New York University, USA and Department of Population Health and Center for Medical Ethics, School of Medicine, New York University, USA
ISSN:1041-0236
1532-7027
1532-7027
DOI:10.1080/10410236.2019.1598612