Cunningham Rachel M, Boom Julie A
Texas Children's Hospital, Houston, USA.
S D Med. 2013;Spec no:21-6.
In this paper, we explore the benefits of storytelling in health communication and, in particular, immunization education. During the mid-20th century polio epidemic, both personal stories and scientific information abounded in the media. However, as rates of vaccine-preventable diseases declined, narratives about the dangers of such diseases faded as did the public fear of them. Meanwhile, anti-vaccine advocates flooded the media and Internet with stories of injured children and tied those injuries, such as autism, to vaccines. Medical experts often counter anti-vaccine concerns with scientific information which can fail to persuade parents. Furthermore, evidence suggests that many people misunderstand quantitative information resulting in a misinterpretation of risk. Compared to scientific information, stories relate life lessons and values. They are effective because they are memorable and relatable. Evidence also suggests that storytelling can effectively improve health knowledge and behaviors. Inspired by In Harm's Way--True Stories of Uninsured Texas Children by the Children's Defense Fund and Faces of Influenza by the American Lung Association, we published Vaccine-Preventable Disease: The Forgotten Story, a collection of photographs and personal stories of families affected by vaccine-preventable diseases. We have found that the stories included in our booklet capture all the benefits of storytelling. Given the many benefits of storytelling, providers should strive to include stories along with medical facts in their daily practice.
在本文中,我们探讨了讲故事在健康传播,尤其是免疫接种教育中的益处。在20世纪中叶的脊髓灰质炎疫情期间,媒体上充斥着个人故事和科学信息。然而,随着疫苗可预防疾病的发病率下降,关于此类疾病危险的叙述逐渐消失,公众对这些疾病的恐惧也随之消退。与此同时,反疫苗倡导者在媒体和互联网上充斥着受伤儿童的故事,并将自闭症等伤害与疫苗联系起来。医学专家往往用科学信息来回应反疫苗担忧,但这可能无法说服家长。此外,有证据表明,许多人误解定量信息,导致对风险的错误解读。与科学信息相比,故事传达生活经验和价值观。它们之所以有效,是因为它们令人难忘且易于理解。证据还表明,讲故事可以有效地提高健康知识和行为。受儿童保护基金的《以伤害之名——得克萨斯州未参保儿童的真实故事》和美国肺脏协会的《流感面孔》启发,我们出版了《疫苗可预防疾病:被遗忘的故事》,这是一本收录了受疫苗可预防疾病影响家庭的照片和个人故事的集子。我们发现,我们小册子中的故事体现了讲故事的所有益处。鉴于讲故事有诸多益处,医疗服务提供者应在日常实践中努力将故事与医学事实相结合。