Department of Organizational Sciences and Communication, George Washington University, Washington, D. C., USA.
Department of Communication Studies, Chapman University, USA.
J Health Commun. 2023 Aug 3;28(8):526-538. doi: 10.1080/10810730.2023.2231886. Epub 2023 Jul 3.
Narratives play a powerful role in sharing meaning and making sense of experiences. Specifically, health narratives convey storylines, characters, and messages about health-related behaviors and provide audiences with models for healthy behaviors, prompting audiences' health-related reflections and decision-making. Narrative engagement theory (NET) explains how personal narratives can be integrated into interventions to promote health. This study utilizes NET to test direct and indirect effects of teachers' narrative quality on adolescent outcomes during a school-based substance use prevention intervention that includes narrative pedagogy and an implementation strategy. Observational coding of teacher narratives in video-recorded lessons along with self-report student surveys (N = 1,683) were subjected to path analysis. Findings showed significant direct effects of narrative quality on student engagement, norms (i.e. personal, best-friend injunctive, and descriptive norms), and substance use behavior. The analysis also yielded support for indirect effects of narrative quality on adolescent substance use behavior via student engagement, personal norms, and descriptive norms. Findings highlight important issues related to teacher-student interaction during implementation and contributes implications for adolescent substance use prevention research.
叙事在分享意义和理解经验方面发挥着强大的作用。具体来说，健康叙事传达了与健康相关行为的故事情节、角色和信息，并为观众提供了健康行为的模型，促使观众进行与健康相关的思考和决策。叙事参与理论（NET）解释了个人叙事如何可以融入干预措施中，以促进健康。本研究利用 NET 测试了教师叙事质量在基于学校的药物使用预防干预中的直接和间接效应对青少年结果的影响，该干预措施包括叙事教学法和实施策略。对视频记录课程中的教师叙事进行观察性编码，并结合学生自我报告调查（N=1683）进行路径分析。研究结果表明，叙事质量对学生参与度、规范（即个人、最好朋友的指令性规范和描述性规范）和药物使用行为有显著的直接影响。该分析还支持通过学生参与度、个人规范和描述性规范对青少年药物使用行为的叙事质量的间接影响。研究结果突出了与实施过程中师生互动相关的重要问题，并为青少年药物使用预防研究提供了启示。
