Evidence map›Paper›PMID 21895370›Full record

ArticleHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2011

Understanding narrative effects: the impact of breast cancer survivor stories on message processing, attitudes, and beliefs among African American women.

Amy McQueen, Matthew W Kreuter, Bindu Kalesan, Kassandra I Alcaraz

3 registry-linked trialsAbstract read
In one paragraph

Article in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 81 papers.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02485561 nacompletednot on this mapstarted 2015, after this paper: background citation

Comparing Screener vs. Survivor Role Models to Improve Colon Cancer Screening

TypeinterventionalSponsorWashington University School of MedicineRan2015 to 2017Enrolled486ConditionsColonic Neoplasms, Colorectal Neoplasms, Colonic Diseases, Gastrointestinal NeoplasmsArmsHealth communication intervention, Education information
NCT03194958 nacompletednot on this mapstarted 2017, after this paper: background citation

Helping the Poor Quit Smoking: Specialized Quitlines and Meeting Basic Needs

TypeinterventionalSponsorWashington University School of MedicineRan2017 to 2022Enrolled1,944ConditionsSmoking Cessation, Smoking, Tobacco, Smoking, Cigarette, Smoking, PipeArmsSpecialized Quitline, Basic Needs Navigator
NCT06734819 nanot yet recruitingnot on this mapstarted 2024, after this paper: background citation

Effectiveness of Digital Storytelling in Increasing Living Kidney Donor Recruitment in Canada

TypeinterventionalSponsorUniversity of British ColumbiaRan2024 to 2025Enrolled80ConditionsLiving Donor Kidney Transplantation, Health Equity, Patient Education, Narrative MedicineArmsStorytelling Video, Standard Patient Education
3 · Its place in the literature

Who cites it

81 citing papers in PubMed.

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21 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Amy McQueenDivision of Health Behavior Research, School of Medicine, Washington University, St Louis, MO 63108, USA. amcqueen@dom.wustl.edu
Matthew W Kreuter
Bindu Kalesan
Kassandra I Alcaraz

Funding

Training / Career DevelopmentP50CA095815 · NCI · WASHINGTON UNIVERSITY · PI KREUTER, MATTHEW W. · 2003 to 2012
$20.4M
NCI NIH HHS CA-P50-95815NCI NIH HHS P50 CA095815
6 · The paper itself

Abstract

objectiveExamine the longitudinal effects of personal narratives about mammography and breast cancer compared with a traditional informational approach.

methodsAfrican American women (n = 489) ages 40 and older were recruited from low-income neighborhoods in St. Louis, Missouri, and randomized to watch a narrative video comprised of stories from African American breast cancer survivors or a content-equivalent informational video. Effects were measured immediately postexposure (T2) and at 3- (T3) and 6-month (T4) follow-up. T2 measures of initial reaction included positive and negative affect, trust, identification, and engagement. T3 message-processing variables included arguing against the messages (counterarguing) and talking to family members about the information (cognitive rehearsal). T4 behavioral correlates included perceived breast cancer risk, cancer fear, cancer fatalism, perceived barriers to mammography, and recall of core messages. Structural equation modeling examined interrelations among constructs.

resultsWomen who watched the narrative video (n = 244) compared to the informational video (n = 245) experienced more positive and negative affect, identified more with the message source, and were more engaged with the video. Narratives, negative affect, identification, and engagement influenced counterarguing, which, in turn, influenced perceived barriers and cancer fatalism. More engaged women talked with family members more, which increased message recall. Narratives also increased risk perceptions and fear via increased negative affect.

conclusionsNarratives produced stronger cognitive and affective responses immediately, which, in turn, influenced message processing and behavioral correlates. Narratives reduced counterarguing and increased cognitive rehearsal, which may increase acceptance and motivation to act on health information in populations most adversely affected by cancer disparities.

Indexed as

AdultAgedBlack or African AmericanBreast NeoplasmsFemaleFollow-Up StudiesHealth EducationHealth Knowledge, Attitudes, PracticeHumansLongitudinal StudiesMammographyMiddle AgedNarrationSurvivorsWomen

Identifiers

PMID21895370
PMCPMC3217077

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.