Transforming Cancer Knowledge, Attitudes and Behavior through Narrative

通过叙事改变癌症知识、态度和行为

基本信息

批准号：
8325165
负责人：
LOURDES A. BAEZCONDE-GARBANATI
金额：
$ 56.69万
依托单位：
UNIVERSITY OF SOUTHERN CALIFORNIA
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-09-29 至 2014-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8325165
关键词：
Acculturation Adolescent Adult African American Age Air American Anatomy Anthropology Area Attention Attitude Awareness Behavior Breast Cancer Detection Cancer Gene Mutation Clinic Cognitive Communication Consult Decision Making Demographic Factors Diagnosis Drama Education Educational Background Effectiveness Elements Ethnic Origin Ethnic group European Exposure to Family health status Female Focus Groups Frequencies Generations Gray unit of radiation dose Happiness Health Health Campaign Health Knowledge, Attitudes, Practice Health Personnel Health Professional Healthcare Human Human Papillomavirus Immigrant Individual Knowledge Korean American Lead Learning Life Link Malignant Neoplasms Malignant neoplasm of cervix uteri Malignant neoplasm of ovary Mastectomy Measures Medical Medicine Mexican Americans Modality Motivation Names Nose Oral Pamphlets Physicians Population Prevention Printing Process Psychologist Public Health Radio Randomized Recording of previous events Religion and Spirituality Reporting Research Research Personnel Research Support Resistance Risk Risk Factors Sampling Services Societies Source Structure Sum Symptoms Techniques Television Testing Text Time Woman Work Writing artist behavior change cancer type condoms design emergency contraception experience literacy malignant breast neoplasm neglect programs research study response teacher third grade tool young woman

项目摘要

DESCRIPTION (provided by applicant): The primary purpose of the proposed research is to challenge the underlying assumption that the traditional straightforward recitation of the facts is the optimal way to convey health-related information. Years 1 and 2 focus on understanding existing cancer portrayals by analyzing the frequency and type of cancer depictions on the 10 most popular primetime television programs. To assess the impact these primetime portrayals have on between 10 to 20 million viewers each week, we will be working with Hollywood, Health and Society and the television networks to identify upcoming episodes involving breast and cervical cancer. By measuring any change in viewers' cancer-related knowledge, attitudes and behavior before and after these episodes air, we can determine the key elements that make a story or narrative more or less effective. In Year 3, we empirically test whether utilizing a narrative format produces a greater and longer lasting impact on cancer knowledge, attitudes and prevention behavior. Four hundred females between the ages of 25-65 with no pre-existing cancer history will be presented with an animated narrative involving a young woman who is diagnosed with cervical cancer (the experimental narrative condition). The same factual information will be presented to another 400 women in the non-narrative control condition. Because we also question the assumption of a "one- size-fits-all" message strategy our sample will be equally divided among four ethnic groups - African Americans, European Americans, Korean Americans and Mexican Americans - all of whom are at elevated risk for breast or ovarian cancer. In addition to cultural differences, we predict that narratives may be particularly effective for cultures with a strong oral history, for recent immigrants, for older generations, and for those with low literacy. We will add context and depth to these findings by using qualitative techniques such as focus groups and consulting with medical anthropologists to further understand how women of different ages, ethnicities, acculturation and education levels understand cancer, its cause, prevention and treatment. In Year 4, we examine the effect of communication modality to determine which communication channel or channels might produce the strongest and longest lasting changes in information retention and motivation. More specifically, we will conduct a field experiment in which a fresh sample of 800 females will be randomly assigned to the same cancer narrative but 200 (50 of each ethnicity) will be exposed to the narrative in a print format, 200 in an audio format (similar to radio), 200 in an audiovisual format (similar to television or YouTube), and 200 in an interactive format requiring responses from the individual (similar to a videogame). This design will allow us to test whether the effectiveness of a narrative may vary as a function of channel and whether there is an interaction between modality and key demographic factors such as generation, level of acculturation and education. In sum, each of these methodological tools provides an important piece to the overall puzzle of how to best convey health information to increasingly diverse audiences.

描述（由申请人提供）：拟议研究的主要目的是挑战基本的假设，即传统的直接朗诵事实是传达与健康相关信息的最佳方法。第1和2年的重点是通过分析10个最受欢迎的黄金时段电视节目的癌症描述的频率和类型来理解现有的癌症刻画。为了评估这些黄金时段的刻画对每周10到2000万观众的影响，我们将与好莱坞，健康与社会以及电视网络合作，以识别涉及乳腺癌和宫颈癌的即将发生的情节。通过测量这些情节前后观众与癌症相关的知识，态度和行为的任何变化，我们可以确定使故事或叙述更有效的关键要素。在第三年，我们凭经验测试使用叙事格式是否会对癌症知识，态度和预防行为产生更大持久的影响。 25-65岁之间的四百名女性将出现在没有癌症史的没有先前的癌症史的情况下，涉及一个被诊断出患有宫颈癌的年轻女性（实验性叙事状况）。在非叙事控制条件下，将向另外400名妇女提供相同的事实信息。因为我们还质疑“一定大小合适的”信息策略的假设，我们的样本将在四个族裔中平均分配 - 非裔美国人，欧洲美国人，韩裔美国人和墨西哥裔美国人 - 所有这些人都处于乳腺癌或卵巢癌的风险较高。除文化差异外，我们预测，叙事对于最近的移民，老一辈和识字率低的人来说，叙事对于具有较强的口述历史的文化可能特别有效。我们将通过使用定性技术（例如焦点小组）并与医学人类学家进行咨询，以进一步了解不同年龄，种族，文化和教育水平如何了解癌症，其原因，预防和治疗方式，从而为这些发现增加了背景和深度。在第4年中，我们研究了交流方式的效果，以确定哪些通信渠道或渠道可能会产生信息保留和动机的最持久，最持久的变化。更具体地说，我们将进行一次实地实验，在该实验实验中，将将800名女性的新鲜样本随机分配到相同的癌症叙事中，但有200个（每个种族中的50个）将以印刷格式暴露于叙事中，200个音频格式（类似于广播）（类似于无线电），在听觉格式中200（类似于电视的格式）（类似于电视或YouTube或YouTube或YouTube的互动），并且互动（类似于YouTube）和200次互动（类似）（类似于互动）（类似）（类似于互动）（类似）（类似）（类似于YouTube）（类似）（类似于YouTube）（类似）（类似于YouTube）（类似）（类似于YouTube）。这种设计将使我们能够测试叙事的有效性是否可以随渠道的函数而变化，以及模态和关键人口统计学因素（例如产生，适应水平和教育水平）之间是否存在相互作用。总而言之，这些方法论工具中的每一个都为如何最好地传达健康信息传达越来越多样化的受众提供了重要的困难。