Cuffee Yendelela L, Burse Natasha Renee, Jaffe Rachel, Hargraves J Lee
Assistant Professor, Epidemiology, University of Delaware.
School of Nursing, University of North Carolina.
Dela J Public Health. 2022 Oct 28;8(4):48-53. doi: 10.32481/djph.2022.10.010. eCollection 2022 Oct.
Storytelling is an engaging approach for promoting health and wellness among individuals with health conditions including type 2 diabetes (TTDM), breast cancer, and hypertension. Storytelling interventions are an evidence-based approach that has been effective in promoting behavioral change such as increasing physical activity, medication adherence, and making dietary changes. The use of storytelling to convey health information and promote behavior change is associated with increased engagement in self-management particularly in communities of color. The primary objective of this paper was to describe our process for developing the storytelling study; specifically, recruitment, screening, selecting storytellers, and developing a study-specific interactive website. The secondary objective was to describe the approach for conducting the feasibility study and conduct a 6-week web-based storytelling study.
Between 2017 to 2020, we developed a storytelling study for African Americans with hypertension. During that period we recruited participants from a Federally Qualified Health Center, a local church, and at community events. We selected storytellers to share their experiences managing hypertension and filmed 10 storytellers. Presently, a feasibility and pilot study are underway, the goal of the feasibility study is to ascertain feedback about the stories and the study website from African American adults with hypertension. We will also conduct a 6-week pilot study with 30 African American adults to see if conducting a storytelling study online would be an effective approach for promoting behavioral change.
We successfully recruited and filmed 10 storytellers and produced 9 stories about living with and managing hypertension. The feedback we received from participants in the feasibility and pilot study will be useful as we refine the design of the study to determine the potential for a future randomized controlled trial (RCT).
讲故事是一种引人入胜的方法,可促进患有包括2型糖尿病(TTDM)、乳腺癌和高血压等健康问题的个体的健康。讲故事干预是一种基于证据的方法,已有效地促进了行为改变,如增加身体活动、坚持服药和改变饮食。利用讲故事来传达健康信息并促进行为改变与增强自我管理的参与度相关,尤其是在有色人种社区。本文的主要目的是描述我们开展讲故事研究的过程;具体而言,包括招募、筛选、选择讲述者以及开发特定于该研究的互动网站。次要目的是描述进行可行性研究的方法,并开展一项为期6周的基于网络的讲故事研究。
在2017年至2020年期间,我们为患有高血压的非裔美国人开展了一项讲故事研究。在此期间,我们从一家联邦合格健康中心、当地一所教堂以及社区活动中招募参与者。我们挑选讲述者来分享他们管理高血压的经历,并拍摄了10位讲述者。目前,一项可行性和试点研究正在进行中,可行性研究的目标是从患有高血压的非裔美国成年人那里获取关于这些故事和研究网站的反馈。我们还将对30名非裔美国成年人进行为期6周的试点研究,以了解在线开展讲故事研究是否是促进行为改变的有效方法。
我们成功招募并拍摄了10位讲述者,并制作了9个关于患有高血压并进行管理的故事。我们从可行性和试点研究的参与者那里收到的反馈,将有助于我们完善研究设计,以确定未来进行随机对照试验(RCT)的可能性。