Reach and Impact of a Mass Media Event Among Vulnerable Patients: The Terri Schiavo Story
Purchase on Springer.com
$39.95 / €34.95 / £29.95*
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.
It is unknown whether health-related media stories reach diverse older adults and influence advance care planning (ACP).
To determine exposure to media coverage of Terri Schiavo (TS) and its impact on ACP.
Design and Participants
Descriptive study of 117 English/Spanish-speakers, aged ≥50 years (mean 61 years) from a county hospital, interviewed six months after enrollment into an advance directive study.
We assessed whether participants had heard of TS and subject characteristics associated with exposure. We also asked whether, because of TS, subjects engaged in ACP.
Ninety-two percent reported hearing of TS. Participants with adequate literacy were more likely than those with limited literacy to report hearing of TS (100% vs. 79%, P < .001), as were participants with ≥ a high school vs. < high school education (97% vs. 82%, P = .004), and English vs. Spanish-speakers (96% vs. 85%, P = .04). Because of TS, many reported clarifying their own goals of care (61%), talking to their family/friends about ACP (66%), and wanting to complete an advance directive (37%).
Most diverse older adults had heard of TS and reported that her story activated them to engage in ACP. Media stories may provide a powerful opportunity to engage patients in ACP and develop public health campaigns.
Supplementary Material (0)
- Grilli R, Ramsay C, Minozzi S. Mass media interventions: effects on health services utilisation. Cochrane Database Syst Rev. 2002(1):CD000389.
- Kravitz RL, Epstein RM, Feldman MD, et al. Influence of patients’ requests for direct-to-consumer advertised antidepressants: a randomized controlled trial. JAMA. 2005;293(16):1995–2002. Apr 27. CrossRef
- Mosca L, Mochari H, Christian A, et al. National study of women’s awareness, preventive action, and barriers to cardiovascular health. Circulation. 2006;113:525–34. Jan 31. CrossRef
- Frates J, Bohrer GG, Thomas D. Promoting organ donation to Hispanics: the role of the media and medicine. J Health Commun. 2006;11(7):683–98. Oct-Nov. CrossRef
- Moynihan R, Bero L, Ross-Degnan D, et al. Coverage by the news media of the benefits and risks of medications. N Engl J Med. 2000;342(22):1645–50. Jun 1. CrossRef
- Schwartz LM, Woloshin S. News media coverage of screening mammography for women in their 40s and tamoxifen for primary prevention of breast cancer. JAMA. 2002;287(23):3136–42. Jun 19. CrossRef
- Cram P, Fendrick AM, Inadomi J, Cowen ME, Carpenter D, Vijan S. The impact of a celebrity promotional campaign on the use of colon cancer screening: the Katie Couric effect. Arch Intern Med. 2003;163(13):1601–5. Jul 14. CrossRef
- Annas GJ. “Culture of life” politics at the bedside-the case of Terri Schiavo. N Engl J Med. 2005;352(16):1710–15. Apr 21. CrossRef
- Sudore RL, Landefeld CS, Barnes DE, et al. An advance directive redesigned to meet the literacy level of most adults: a randomized trial. Patient Educ Couns. 2007;69(1–3):165–95. Dec. CrossRef
- Sudore RL, Schickedanz AD, Landefeld CS, et al. Engagement in multiple steps of the advance care planning process: a descriptive study of diverse older adults. J Am Geriatr Soc. 2008;56(6):1006–13, Apr 10.
- Baker DW, Williams MV, Parker RM, Gazmararian JA, Nurss J. Development of a brief test to measure functional health literacy. Patient Educ Couns. 1999;38(1):33–42. Sep. CrossRef
- Lexisnexis Academic Database. Search terms: “Terri Schiavo” for all English, full-text articles within the Major U.S. and World Publications search category and all non-English full-text publications within the major world publications search category. http://academic.lexisnexis.com. Accessed June 27, 2008.
- Vanderbilt Television News Archives. Search Terms: “Terri Schiavo” for all evening news coverage for ABC, CBS, NBC, CNN, PBS, FOX, MSNBC,CSPAN, and CNBC. http://tvnews.vanderbilt.edu. Accessed June 27, 2008.
- Eisemann M, Richter J. Relationships between various attitudes towards self-determination in health care with special reference to an advance directive. J Med Ethics. 1999;25(1):37–41. Feb. CrossRef
- Hofmann JC, Wenger NS, Davis RB, et al. Patient preferences for communication with physicians about end-of-life decisions. SUPPORT investigators. Study to understand prognoses and preference for outcomes and risks of treatment. Ann Intern Med. 1997;127(1):1–12. Jul 1.
- Hanson LC, Rodgman E. The use of living wills at the end of life. A national study. Arch Intern Med. 1996;156(9):1018–22. May 13. CrossRef
- Weiss BD, Reed RL, Kligman EW. Literacy skills and communication methods of low-income older persons. Patient Educ Couns. 1995;25(2):109–19. May. CrossRef
- Volandes AE, Paasche-Orlow MK. Health literacy, health inequality and a just healthcare system. Am J Bioeth. 2007;7(11):5–10. Nov.
- Stacy M. More living wills is lasting legacy of Schiavo drama. The Associated Press State and Local Wire, March 20, 2006.
- Smith WR, Betancourt JR, Wynia MK, et al. Recommendations for teaching about racial and ethnic disparities in health and health care. Ann Intern Med. 2007;147(9):654–65. Nov 6.
About this Article
- Reach and Impact of a Mass Media Event Among Vulnerable Patients: The Terri Schiavo Story
Journal of General Internal Medicine
Volume 23, Issue 11 , pp 1854-1857
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- mass media
- public health
- advance care planning
- health literacy
- vulnerable populations
- Industry Sectors
- Author Affiliations
- 1. Division of Geriatrics, University of California, San Francisco, San Francisco, CA, USA
- 2. San Francisco VA Medical Center, San Francisco, CA, USA
- 3. Department of Medicine, University of California, San Francisco, San Francisco, CA, USA
- 4. UCSF Center for Vulnerable Populations, San Francisco General Hospital, San Francisco, CA, USA