Testing the effectiveness of narrative messages using critical health communication.
Testing the effectiveness of narrative messages using critical health communication.
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使用关键健康沟通来测试叙述信息的有效性。
DOI：
10.1080/17538068.2023.2189363
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发表时间：
2023
影响因子：
--
通讯作者：
Ha,Sandie
中科院分区：
文献类型：
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作者：
Zhou,Mi;Ramírez,ASusana;Chittamuru,Deepti;Schillinger,Dean;Ha,Sandie
背景拉美人的健康差距与过度消费含糖饮料有关。这项研究旨在通过两种内容相似的叙事模式(视频和漫画)来测试使用关键健康传播方法传递信息的有效性，旨在增强拉美裔人倡导社会变革的能力，并使个人行为改变与含糖饮料消费相关。方法参与者(N= 129名18至29岁的墨西哥裔美国女性)在暴露于嵌入式刺激前后完成了一项在线调查。参与者被随机分配到一种刺激，一种视频或漫画格式的叙事信息，两者都是使用关键的健康传播方法开发的，专注于个人伤害和含糖饮料消费的社会原因。结果付费样本t检验结果显示，两种叙事信息都增加了减少含糖饮料消费的意图(视频：P<； 0.01；d = 0.43；漫画：P= 0.03；d = 0.28)。两组在与含糖饮料相关的媒体素养(视频：P= 0.0 1，d = 0.34；漫画：P= 0.0 5，d = 0.2 5)、公共卫生素养(视频：P= 0.0 5，d = 0.2 4；漫画：P= 0.0 1，d = 0.32)以及参与与含糖饮料相关的社区运动的能力(视频：P= 0.003，d = 0.38；COMIC：P= 0.034，d = 0.27)。结论本研究提供的初步证据表明，使用关键健康沟通的两种方式的叙述性信息在促进个人行为意向和社会激活减少含糖饮料消费方面的有效性。
BackgroundLatinos suffer from health disparities associated with excessive consumption of sugar-sweetened beverages. This study aimed to test the effectiveness of messaging using critical health communication approaches and delivered by two narrative modalities (video and comic book) with similar content that aims to empower Latinos to advocate for social change and to make individual behavior change related to sugary beverage consumption.MethodsParticipants (N= 129 Mexican American women between 18 and 29 years) completed an online survey before and after exposure to an embedded stimulus. Participants were randomly assigned to a stimulus, a narrative message in video or comic book format, both developed using critical health communication approaches that focused on individual harms and social causes of sugary beverage consumption.ResultsPaired sample t-test results showed that both narrative messages increased intentions to reduce sugary beverage consumption (Video:P< 0.01; d = 0.43; Comic:P= 0.03; d = 0.28). Both groups also demonstrated significant improvements in sugary beverage-related media literacy (Video:P= 0.01, d = 0.34; Comic:P= 0.05, d = 0.25), public health literacy (Video:P= 0.05, d = 0.24; Comic:P= 0.01, d = 0.32), and empowerment to engage in sugary beverage-related community movements (Video:P= 0.003, d = 0.38; Comic:P= 0.034, d = 0.27).ConclusionsThis study provides initial evidence indicating the effectiveness of narrative messages in two modalities using critical health communication for promoting individual behavioral intention and social activation in reducing sugary beverage consumption.