Department of Community Internal Medicine, Mayo Clinic, Rochester, USA.
Cancer Clinical Research Office, Mayo Clinic, Scottsdale, USA.
BMC Public Health. 2022 Jun 14;22(1):1180. doi: 10.1186/s12889-022-13595-x.
It is challenging to develop health promotion interventions created in collaboration with communities affected by inequities that focus beyond individual behavior change. One potential solution is interventions that use digital stories (DS). Digital storytelling (DST) is an opportunity for reflection, connection with others, and the elevation of voices often absent from daily discourse. Consequently, public health researchers and practitioners frequently employ the DST workshop process to develop messaging that promotes health and highlights concerns in partnership with historically marginalized communities. With participants' permission, DS can reach beyond the storytellers through behavior or attitude change interventions for health promotion among communities who share the targeted health concern. Our goal was to synthesize the literature describing interventions that use DS for health promotion to identify gaps.
We conducted a scoping review. Our inclusion criteria were articles that: 1) described empirical research; 2) used DS that were developed using the StoryCenter DST method; 3) assessed an intervention that used DS to address the health promotion of viewers (individuals, families, community, and/or society) impacted by the targeted health issue 4) were written in English or Spanish. To synthesize the results of the included studies, we mapped them to the health determinants in the National Institute of Minority Health and Health Disparities (NIMHD) research framework. We assessed the number of occurrences of each determinant described in the results of each article.
Ten articles met the eligibility criteria. All the included articles highlighted health equity issues. Our mapping of the articles with definitive results to the NIMHD research framework indicates that interventions that use DS addressed 17 out of 20 health determinants. All mapped interventions influenced intentions to change health behaviors (NIMHD level/domain: Individual/Behavioral), increased health literacy (Individual/Health Care System), and/or stimulated conversations that addressed community norms (Community/Sociocultural Environment).
Interventions that use DS appear to positively affect the health promotion of participants across a range of health issues and determinants. Future research is needed in the Interpersonal, Community, and Societal levels and within the Biological, Physical/Built Environment, and Sociocultural Environment domains.
开发关注不平等问题并超越个人行为改变的社区合作健康促进干预措施具有挑战性。一种潜在的解决方案是使用数字故事 (DS) 的干预措施。数字故事讲述 (DST) 是一种反思、与他人建立联系以及提升日常话语中经常缺失的声音的机会。因此，公共卫生研究人员和从业人员经常采用 DST 工作坊流程来开发信息传递，以与历史上处于边缘地位的社区合作，促进健康并强调关注问题。经参与者允许，DS 可以通过行为或态度改变干预措施，在关注目标健康问题的社区中传播信息，从而促进健康。我们的目标是综合描述使用 DS 进行健康促进的干预措施的文献，以确定差距。
我们进行了范围审查。我们的纳入标准是：1) 描述实证研究；2) 使用使用 StoryCenter DST 方法开发的 DS；3) 评估使用 DS 来解决受目标健康问题影响的观众（个人、家庭、社区和/或社会）的健康促进的干预措施；4) 以英语或西班牙语撰写。为了综合纳入研究的结果，我们将它们映射到国家少数民族健康和健康差异研究所 (NIMHD) 研究框架中的健康决定因素。我们评估了每篇文章结果中描述的每个决定因素出现的次数。
有 10 篇文章符合入选标准。所有纳入的文章都强调了健康公平问题。我们将具有明确结果的文章与 NIMHD 研究框架进行映射表明，使用 DS 的干预措施解决了 20 个健康决定因素中的 17 个。所有映射的干预措施都影响了改变健康行为的意图（NIMHD 水平/领域：个人/行为），提高了健康素养（个人/医疗保健系统），并/或激发了讨论社区规范的对话（社区/社会文化环境）。
使用 DS 的干预措施似乎对一系列健康问题和决定因素产生了积极影响参与者的健康促进。未来的研究需要在人际、社区和社会层面进行，并且需要在生物、物理/建筑环境和社会文化环境领域进行。
