Refining Entertainment Education for Cancer Literacy in African American Women

完善娱乐教育以提高非裔美国女性的癌症素养

• 批准号: 8007445
• 负责人: May G Kennedy
• 金额: $ 28.9万
• 依托单位: VIRGINIA COMMONWEALTH UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-01-01 至 2011-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8007445
• 关键词: African American; American; Appointment; Audiotape; Behavior; Behavioral; Breast; Cells; Cessation of life; Collaborations; Colorectal; Colorectal Cancer; Communication; Control Groups; Development; Diagnosis; Disease; Drama; Early treatment; Education; Effectiveness; Elements; Evaluation; Exposure to; Focus Groups; Future; Health; Health Knowledge, Attitudes, Practice; Health Status; Health behavior; Health behavior change; Hearing; Imagery; Indium; Information Services; Interview; Knowledge; Mails; Malignant Neoplasms; Measures; Minor; Minority; Modeling; Outcome; Outcome Measure; Outcomes Research; Participant; Population; Positive Test Result; Procedures; Process; Psychological reinforcement; Questionnaires; Randomized; Recommendation; Reporting; Research; Research Technics; Rewards; Screening Result; Screening for cancer; Screening procedure; Self Efficacy; Soaps; Staging; Surveys; Talents; Test Result; Testing; Transportation; Treatment outcome; United States; Woman; Writing; cancer education; cancer health disparity; colorectal cancer screening; design; experience; follow-up; functional health literacy; health disparity; health literacy; literacy; malignant breast neoplasm; member; mortality; psychosocial; public health relevance; research study; tool

DESCRIPTION (provided by applicant): The lack of health literacy in the United States represents a widespread and serious health threat (1). Entertainment Education (EE) embeds health information into entertaining narratives (2) and holds promise for increasing health literacy among large audiences. This study will investigate the effects of manipulating three narrative elements in audio soap operas that incorporate breast and colorectal cancer screening messages as EE recommends. Study participants will be African American women over 50 years old, an audience that has reported getting health information from soap operas (54) and for whom screening for these diseases is recommended (6). The research will be guided by the Transportation/Imagery Model (4) which theorizes that exposure to narratives changes health behavior and its determinants only when an audience member feels carried away or "transported" into a narrative world. We hypothesize that there will be higher scores on outcome measures among soap opera listeners than among members of a control group who listen to an expert interview. Among soap opera listeners, we expect higher levels of transportation when: (a) cancer screening messages are embeded in a central plot that involves main characters rather than in a subplot that deals with minor characters, (b) the narrative is a drama with a consistently serious tone instead of a comedy, and (c) the plot rewards the character for being screened with an immediately negative test result instead of with an eventually successful outcome of treatment that began early because of a positive screening result. When transportation scores increase, we predict increases in cancer literacy, other psychosocial screening determinants, intentions to seek information and screening, and actual information-seeking and screening behavior such as appointment- making. Formative research will guide the development of various versions of audio soap operas that will incorporate breast and colorectal screening messages. Then two randomized experiments will be conducted. Six hundred women will each hear one version of a soap opera in a small, face-to-face group. Participants will complete questionnaires immediately before and after exposure to the audiotape and one month later. PUBLIC HEALTH RELEVANCE: African Americans have lower levels of health literacy compared to whites and African American women suffer negative breast and colorectal cancer disparities with regard to screening rates, late-stage diagnosis and death (8,9). The long-term objective of this study is to develop more effective ways to deliver health messages to and promote health literacy among African American women. The public health relevance of such knowledge lies in its potential to decrease health disparities in a significant minority population.

描述（由申请人提供）：美国缺乏健康素养是一种广泛而严重的健康威胁（1）。娱乐教育（EE）将健康信息嵌入到娱乐叙事中（2），并有望提高大型受众的健康素养。这项研究将调查在音频肥皂剧中操纵三个叙事元素的影响，这些叙事元素正如EE所建议的那样结合了乳腺癌和大肠癌筛查信息。研究参与者将是50岁以上的非洲裔美国妇女，该妇女报告说，从肥皂剧中获取健康信息（54），建议对这些疾病进行筛查（6）。这项研究将以运输/图像模型（4）为指导，该模型的理论是，仅当听众感到被带走或“运送”到叙事世界时，对叙事的暴露才会改变健康行为及其决定因素。我们假设，在肥皂剧听众中，与听取专家面试的对照组成员中的成员中的结果度量得分要高。在肥皂剧听众中，我们期望以下时间：（a）将癌症筛查信息嵌入到涉及主要角色的中心情节中，而不是涉及次要角色的子图中，（b）叙述是一部戏剧性的戏剧，具有一贯的严肃语气，而不是喜剧，而（c）最终与一个正面筛选的角色相关的片段开始，而不是在较早的效果上得到筛选，而不是在一个较快的范围内效果，因为该剧情是成功的效果。当运输分数提高时，我们预测癌症素养，其他社会心理筛查决定因素，寻求信息和筛查的意图以及实际信息寻求和筛选行为（例如任命）。形成性研究将指导各种版本的音频肥皂剧的开发，这些歌剧将结合乳房和结直肠筛查信息。然后将进行两个随机实验。有600名女性将在一个小型面对面的小组中听到一个版本的肥皂剧。参与者将在接触录音带之前和一个月后立即填写问卷。公共卫生相关性：与白人相比，非洲裔美国人的健康素养水平较低，而在筛查率，晚期诊断和死亡方面，乳房和大肠癌差异负面影响（8,9）。这项研究的长期目标是开发更有效的方法来传达健康信息，以促进非裔美国妇女的健康素养。这种知识的公共卫生相关性在于它有可能减少少数族裔人口的健康差异。

项目成果

Effects of an entertaining, culturally targeted narrative and an appealing expert interview on the colorectal screening intentions of African American women.

有趣的、有文化针对性的叙述和有吸引力的专家访谈对非裔美国女性结直肠筛查意图的影响。

• DOI: 10.1002/jcop.21983
• 发表时间: 2018
• 期刊: Journal of community psychology
• 影响因子: 2.3
• 作者: Kennedy,MayG;McClish,Donna;Jones,ResaM;Jin,Yan;Wilson,DianeB;Bishop,DianeL
• 通讯作者: Bishop,DianeL