Evidence map›Paper›PMID 33835644›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2021

The story vs the storyteller: Factors associated with the effectiveness of brief video-recorded patient stories for promoting opioid tapering.

Stephen G Henry, Bo Feng, Susan Verba, Richard L Kravitz, Ana-Maria Iosif

Open access · goldAbstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
21.6field-weighted citation impact, top 1% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 15 citations in OpenAlex.

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  11. The story vs the storyteller: Factors associated with the effectiveness of brief video-recorded patient stories for promoting opioid tapering.Health expectations : an international journal of public participation in health care and health policy · 2021
    Article
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

5 authors at 2 institutions in 1 country.

Stephen G HenryDepartment of Internal Medicine and Center for Healthcare Policy and Research, University of California, Davis, Sacramento, CA, USA.ORCID 0000-0002-5643-0881
Bo FengDepartment of Communication, University of California, Davis, Davis, CA, USA.
Susan VerbaDepartment of Design and Center for Design in the Public Interest, University of California, Davis, Davis, CA, USA.
Richard L KravitzDepartment of Internal Medicine and Center for Healthcare Policy and Research, University of California, Davis, Sacramento, CA, USA.
Ana-Maria IosifDepartment of Public Health Sciences, University of California, Davis, Davis, CA, USA.ORCID 0000-0001-7283-2015
University of California, Davis · USCenter For Policy Research · US

Funding

A clinician training intervention to improve pain-related communication, pain management and opioid prescribing in primary careK23DA043052 · NIDA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI HENRY, STEPHEN G · 2017 to 2019
$591k
Harnessing patient narratives to promote opioid tapering in primary careR21DA042269 · NIDA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI HENRY, STEPHEN G · 2016 to 2017
$432k
NIDA NIH HHS K23 DA043052NIDA NIH HHS K23DA043052NIDA NIH HHS R21 DA042269
6 · The paper itself

Abstract

backgroundNarrative communication is often more persuasive for promoting health behaviour change than communication using facts and figures; the extent to which narrative persuasiveness is due to patients' identification with the storyteller vs engagement with the story is unclear.

objectiveTo examine the relative impacts of patient engagement, age concordance and gender concordance on perceived persuasiveness of video-recorded narrative clips about opioid tapering.

methodsPatient raters watched and rated 48 brief video-recorded clips featuring 1 of 7 different storytellers describing their experiences with opioid tapering. The dependent variable was clips' perceived persuasiveness for encouraging patients to consider opioid tapering. Independent variables were rater engagement with the clip, rater-storyteller gender concordance and rater-storyteller age concordance (<60 vs ≥60). Covariates were rater beliefs about opioids and opioid tapering, clip duration and clip theme. Mixed-effects models accounted for raters viewing multiple clips and clips nested within storytellers.

resultsIn multivariable models, higher rater engagement with the clip was associated with higher perceived persuasiveness (coefficient = 0.46, 95% CI 0.39-0.53, P < .001). Neither age concordance nor gender concordance significantly predicted perceived persuasiveness. The theme Problems with opioids also predicted perceived persuasiveness.

conclusionHighly engaging, clinically relevant stories are likely persuasive to patients regardless of the match between patient and storyteller age and gender. When using patient stories in tools to promote health behaviour change, stories that are clinically relevant and engaging are likely to be persuasive regardless of storytellers' demographics. PATIENT OR PUBLIC CONTRIBUTION: Patients were involved as storytellers (in each clip) and assessed the key study variables.

Indexed as

Analgesics, OpioidHealth PromotionHumansNarrationPatient ParticipationAnalgesics, Opioidchronic painnarrative transportation theoryopioid analgesicspatient educationpersuasive communicationtapering

Identifiers

PMID33835644
PMCPMC8235893
OpenAlexW3147504553

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.