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Cited by 279Media Influence and HealthWomen's cancer prevention and managementPatient-Provider Communication in Healthcare

Comparing narrative and informational videos to increase mammography in low-income African American women

Open access
Kreuter, Matthew W., Holmes, Kathleen, Alcaraz, Kassandra, Kalesan, Bindu, Rath, Suchitra, Richert, Melissa, McQueen, Amy, Caito, Nikki +2 more·2010·Patient Education and Counseling
DOI 10.1016/j.pec.2010.09.008PMC PMC3146295
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Abstract

Objective Compare effects of narrative and informational videos on use of mammography, cancer-related beliefs, recall of core content and a range of reactions to the videos. Method African American women (n=489) ages 40 and older were recruited from low-income neighborhoods in St. Louis, MO and randomly assigned to watch a narrative video comprised of stories from African American breast cancer survivors (Living Proof) or a content-equivalent informational video using a more expository and didactic approach (Facts for Life). Effects were measured immediately post-exposure and at 3- and 6-month follow-up. Results The narrative video was better liked, enhanced recall, reduced counterarguing, increased breast cancer discussions with family members and was perceived as more novel. Women who watched the narrative video also reported fewer barriers to mammography, more confidence that mammograms work, and were more likely to perceive cancer as an important problem affecting African Americans. Use of mammography at 6-month follow-up did not differ for the narrative vs. informational groups overall (49% vs. 40%, p=.20), but did among women with less than a high school education (65% vs. 32%, p<.01), and trended in the same direction for those who had no close friends or family with breast cancer (49% vs. 31%, p=.06) and those who were less trusting of traditional cancer information sources (48% vs. 30%, p=.06). Conclusions Narrative forms of communication may increase the effectiveness of interventions to reduce cancer health disparities. Practice implications Narratives appear to have particular value in certain population sub-groups; identifying these groups and matching them to specific communication approaches may increase effectiveness.

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  • When information is presented to people in the form of a story, they are less likely to feel that they are being manipulated and to counterargue.

    “When information is presented to people in the form of a story, they are less likely to feel that they are being manipulated and to counterargue (Kreuter et al., 2010).”

    From Stories in Action. (2022) · cites this paper as Kreuter et al., 2010

    The Introduction says audiences absorbed in a narrative are less likely to counterargue, and the Results report less counterarguing after the narrative video. The Measures section does not assess whether viewers felt manipulated, and the cited passages do not establish that part of the claim. (LLM, conf=0.86)

    Experimental — accuracy not yet measured

  • In Kreuter et al. (2010), the narrative video raised women's perception of the importance of cancer screening and led them to see mammography as more effective.

    “The narrative video raised women’s perception of the importance of cancer screening and led them to see mammography as a more effective way of protecting against the disease.”

    From Stories in Action. (2022) · cites this paper as Kreuter et al., 2010

    The Results (section 3.3; page unavailable) report that women who watched the narrative video rated mammograms as more effective at six months. They were also more likely to rank cancer among the top health problems affecting African American women in St. Louis, but the paper does not report an increased perception of the importance of cancer screening itself. (LLM, conf=0.88)

    Experimental — accuracy not yet measured

  • The narrative video was most impactful for women with less than a high school education: 6 months later, this group was twice as likely to have gotten a mammography exam.

    “The narrative video was most impactful for women with less than a high school education: 6 months later, this group was twice as likely to have gotten a mammography exam.”

    From Stories in Action. (2022) · cites this paper as Kreuter et al., 2010

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1 of the 41 references couldn’t be matched to a known paper.

Research works printed but not linked: 2

  1. [12]Thompson H Valdimarsdottir H Winkel G De Shong D Jandorf L Redd W The group-based medical mistrust scale: An investigation of psychometric properties Preventive Medicine February 2004 38 209 18 14715214
  2. [14]McQueen A Kreuter MW Measuring the effects of cancer survivor stories on cognitive and affective outcomes: A structural equation analysis Patient Education and Counseling under review PMC2993782 20850258

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Authors
Kreuter, M. W., Holmes, K., Alcaraz, K., Kalesan, B., Rath, S., Richert, M., McQueen, A., Caito, N., Robinson, L., & Clark, E. M.
Affiliations
  • Washington University in St. Louis (US)
  • Missouri Foundation for Health (US)
Corresponding author
Kreuter, Matthew W.
ORCID
Venue
Patient Education and Counseling
Publisher
Elsevier BV
Published
2010-12
Volume
81
Pages
S6-S14
ISSN
0738-3991 (ISSN-L)
DOI
10.1016/j.pec.2010.09.008
PMC
PMC3146295
OpenAlex
W1988988190
Cited by
279
References
41
Citations by year
2026: 7 · 2025: 18 · 2024: 9 · 2023: 28 · 2022: 18 · 2021: 24 · 2020: 24 · 2019: 19 · 2018: 13 · 2017: 22 · 2016: 17 · 2015: 26 · 2014: 16 · 2013: 15 · 2012: 10
FWCI
242.86
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Patient Education and Counseling (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Cancer Institute (CA P50 95815, P50CA095815)
Topics
  • Social Sciences › Arts and Humanities › Literature and Literary Theory › Media Influence and Health
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Keywords
mammography uptake, narrative video, informational videos, African American women, low-income women, breast cancer screening, cancer disparities, breast cancer survivors, health communication, educational attainment, social networks, trust in health information sources
MeSH terms
Adult, Black or African American, Breast Neoplasms, Educational Status, Female, Follow-Up Studies, Health Promotion, Humans, Health Knowledge, Attitudes, Practice, Mammography, Middle Aged, Missouri, Patient Education as Topic, Poverty, Videotape Recording, Narration, Healthcare Disparities

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