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Narrative Health Communication

  • Hans HoekenEmail author
  • Hanny den Ouden
Chapter

Abstract

Narrative health interventions are considered potentially more effective than rhetorical health interventions as they are more likely to attract attention, be more comprehensible and memorable, and are less likely to evoke resistance. Meta-analyses reveal significant yet modest effects of narrative interventions on people’s beliefs, attitudes, intentions, and behaviours. In this chapter, we will discuss the nature of narrative health interventions, the ways in which they can exert their impact, and the need to tailor these interventions to the target audience. For example, in a cyberbullying situation, narrative interventions focusing on perpetrators should tell a different story to those interventions focusing on victims. Further, neither of these targeted interventions should be the same as a communication aimed at bystanders who wish to intervene on behalf of victims.

References

  1. Appel, M., & Maleckar, B. (2012). The influence of paratext on narrative persuasion: Fact, fiction, or fake? Human Communication Research, 38(4), 459–484.  https://doi.org/10.1111/j.1468-2958.2012.01432.x.CrossRefGoogle Scholar
  2. Appel, M., & Richter, T. (2007). Persuasive effects of fictional narratives increase over time. Media Psychology, 10(1), 113–134.  https://doi.org/10.1080/15213260701301194.CrossRefGoogle Scholar
  3. Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191–215.  https://doi.org/10.1037/0033-295x.84.2.191.CrossRefGoogle Scholar
  4. Bandura, A. (1997). Self-efficacy: The exercise of control. New York: W. H. Freeman.Google Scholar
  5. Blumenfeld, W. J., & Cooper, R. M. (2010). LGBT and allied youth responses to cyberbullying: Policy implications. International Journal of Critical Pedagogy, 3(1), 114–133.Google Scholar
  6. Boeijinga, A., Hoeken, H., & Sanders, J. (2017a). An analysis of health promotion materials for Dutch truck drivers: Off target and too complex? Work, 56(4), 539–549.CrossRefGoogle Scholar
  7. Boeijinga, A., Hoeken, H., & Sanders, J. (2017b). Risk versus planning health narratives targeting Dutch truck drivers: Obtaining impact via different routes? International Journal of Communication, 11, 5007–5026.Google Scholar
  8. Braddock, K. H., & Dillard, J. P. (2016). Meta-analytic evidence for the persuasive effect of narratives on beliefs, attitudes, intentions, and behaviors. Communication Monographs, 83(4), 446–467.  https://doi.org/10.1080/03637751.2015.1128555.CrossRefGoogle Scholar
  9. Bruner, J. (1986). Actual minds, possible worlds. Cambridge, MA: Harvard University Press.Google Scholar
  10. Busselle, R., & Bilandzic, H. (2009). Measuring narrative engagement. Media Psychology, 12(4), 321–347.  https://doi.org/10.1080/15213260903287259.CrossRefGoogle Scholar
  11. Campbell, J. (1972). The hero with a thousand faces (1949). Novato, California: New World Library.Google Scholar
  12. Cohen, J. (2001). Defining identification: A theoretical look at the identification of audiences with media characters. Mass Communication and Society, 4, 245–264.CrossRefGoogle Scholar
  13. De Graaf, A., Hoeken, H., Sanders, J., & Beentjes, J. (2009). The role of dimensions of narrative engagement in narrative persuasion. Communications, 34(4), 385–405.CrossRefGoogle Scholar
  14. De Graaf, A., Hoeken, H., Sanders, J., & Beentjes, J. (2012). Identification as a mechanism of narrative persuasion. Communication Research, 39(6), 802–821.  https://doi.org/10.1177/0093650211408594.CrossRefGoogle Scholar
  15. De Wit, J. B., Das, E., & Vet, R. (2008). What works best: Objective statistics or a personal testimonial? An assessment of the persuasive effects of different types of message evidence on risk perception. Health Psychology, 27(1), 110–115.  https://doi.org/10.1037/0278-6133.27.1.110.CrossRefGoogle Scholar
  16. Dillard, A. J., Fagerlin, A., Dal Cin, S., Zikmund-Fisher, B. J., & Ubel, P. A. (2010). Narratives that address affective forecasting errors reduce perceived barriers to colorectal cancer screening. Social Science and Medicine, 71(1), 45–52.  https://doi.org/10.1016/j.socscimed.2010.02.038.CrossRefGoogle Scholar
  17. Fishbein, M., & Yzer, M. C. (2003). Using theory in developing effective health behaviour interventions. Communication Theory, 14(2), 164–183.CrossRefGoogle Scholar
  18. Gerrig, R. J. (1993). Experiencing narrative worlds: On the psychological activities of reading. Yale University Press.Google Scholar
  19. Green, M. C. (2006). Narratives and cancer communication. Journal of Communication, 56(s1), S163–183.  https://doi.org/10.1111/j.1460-2466.2006.00288.x.CrossRefGoogle Scholar
  20. Green, M. C., & Brock, T. C. (2000). The role of transportation in the persuasiveness of public narratives. Journal of Personality and Social Psychology, 79(5), 701–721.  https://doi.org/10.1037//0022-3514.79.5.701.CrossRefGoogle Scholar
  21. Green, M. C., & Brock, T. C. (2002). In the mind’s eye: Transportation-imagery model of narrative persuasion. In T. C. Brock, J. J. Strange, & M. C. Green (Eds.), Narrative impact: Social and cognitive foundations (pp. 315–341). Mahwah, NJ: Erlbaum.Google Scholar
  22. Green, M. C., & Donahue, J. K. (2009). Simulated worlds: Transportation into narratives. In K. Markman, W. M. Klein, & J. A. Suhr (Eds.), Handbook of imagination and mental simulation (pp. 241–254). New York, NY: Taylor & Francis Group.Google Scholar
  23. Hinyard, L. J., & Kreuter, M. W. (2007). Using narrative communication as a tool for health behavior change: A conceptual, theoretical, and empirical overview. Health Education and Behavior, 34(5), 777–792.  https://doi.org/10.1177/1090198106291963.CrossRefGoogle Scholar
  24. Hoeken, H. (2017). Argument quality and strength in health and risk messaging. In R. Parrott (Ed.), Oxford research encyclopedia of communications—Oxford encyclopedia of health and risk message design and processing (pp. 1–26). Oxford: Oxford University Press.Google Scholar
  25. Hoeken, H., & Fikkers, K. M. (2014). Issue-relevant thinking and identification as mechanisms of narrative persuasion. Poetics, 44, 84–99.  https://doi.org/10.1016/j.poetic.2014.05.001.CrossRefGoogle Scholar
  26. Hoeken, H., & Geurts, D. (2005). The influence of exemplars in fear appeals on the perception of self-efficacy and message acceptance. Information Design Journal & Document Design, 13(3), 238–248.CrossRefGoogle Scholar
  27. Hoeken, H., Kolthoff, M., & Sanders, J. (2016). Story perspective and character similarity as drivers of identification and narrative persuasion. Human Communication Research, 42(2), 292–311.  https://doi.org/10.1111/hcre.12076.CrossRefGoogle Scholar
  28. Hoeken, H., & Sinkeldam, J. (2014). The role of identification and emotion and perception of just outcome in evoking emotions in narrative persuasion. Journal of Communication, 64(5), 935–955.  https://doi.org/10.1111/jcom.12114.CrossRefGoogle Scholar
  29. Kahneman, D. (2011). Thinking, fast and slow. London: Penguin.Google Scholar
  30. Kowalski, R. M., Giumetti, G. W., Schroeder, A. N., & Lattanner, M. R. (2014). Bullying in the digital age: A critical review and meta-analysis of cyberbullying research among youth. Psychological Bulletin, 140(4), 1073–1137.CrossRefGoogle Scholar
  31. Kreuter, R. W., Green, M. C., Cappella, J. N., Slater, M. D., Wise, M. E., Storey, D., & Woolley, S. (2007). Narrative communication in cancer prevention and control: A framework to guide research and application. Annals of Behavioral Medicine, 33(3), 221–235.  https://doi.org/10.1007/bf02879904.CrossRefGoogle Scholar
  32. Moyer-Gusé, E. (2008). Toward a theory of entertainment persuasion: Explaining the persuasive effects of entertainment-education messages. Communication Theory, 18(3), 407–425.  https://doi.org/10.1111/j.1468-2885.2008.00328.x.CrossRefGoogle Scholar
  33. Moyer-Gusé, E., Chung, A. H., & Jain, P. (2011). Identification with characters and discussion of taboo topics after exposure to an entertainment narrative about sexual health. Journal of Communication, 61(3), 387–406.  https://doi.org/10.1111/j.1460-2466.2011.01551.x.CrossRefGoogle Scholar
  34. Moyer-Gusé, E., & Nabi, R. L. (2010). Explaining the effects of narrative in an entertainment television program: Overcoming resistance to persuasion. Human Communication Research, 36(1), 26–52.  https://doi.org/10.1111/j.1468-2958.2009.01367.x.CrossRefGoogle Scholar
  35. Murphy, S., Frank, L. B., Chatterjee, J. S., & Baezconde-Garbanati, L. (2013). Narrative versus nonnarrative: The role of identification, transportation, and emotion in reducing health disparities. Journal of Communication, 63(1), 116–137.  https://doi.org/10.1111/jcom.12007.CrossRefGoogle Scholar
  36. NRC. (2017, January 11). 15-years old boy commited suicide ‘cause of cyberbullying’. Retrieved from https://www.nrc.nl/nieuws/2017/01/11/heerlense-scholier-pleegt-zelfmoord-om-pesterijen-6159546-a1540722.
  37. Oatley, K. (1999). Meeting of minds: Dialogue, sympathy and identification in reading fiction. Poetics, 26, 454–493.CrossRefGoogle Scholar
  38. Petty, R. E., & Cacioppo, J. T. (1986). Communication and persuasion. Central and peripheral routes to attitude change. Berlin: Springer.Google Scholar
  39. Prati, G., Pietrantoni, L., & Zani, B. (2012). Influenza vaccination: The persuasiveness of messages among people aged 65 years and older. Health Communication, 27(5), 413–420.  https://doi.org/10.1080/10410236.2011.606523.CrossRefGoogle Scholar
  40. Schwarzer, R. (2008). Modeling health behavior change: How to predict and modify the adoption and maintenance of health behaviors. Applied Psychology, 57(1), 1–29.  https://doi.org/10.1111/j.1464-0597.2007.00325.x.CrossRefGoogle Scholar
  41. Sheeran, P. (2002). Intention-behavior relations: A conceptual and empirical review. European Review of Social Psychology, 12(1), 1–36.  https://doi.org/10.1080/14792772143000003.CrossRefGoogle Scholar
  42. Shen, F., Sheer, V. C., & Li, R. (2015). Impact of narratives on persuasion in health communication: A meta-analysis. Journal of Advertising, 44(2), 105–113.  https://doi.org/10.1080/00913367.2015.1018467.CrossRefGoogle Scholar
  43. Slater, M. D. (2002). Entertainment education and the persuasive impact of narratives. In M. C. Green, J. J. Strange, & T. C. Brock (Eds.), Narrative impact: Social and cognitive foundations (pp. 157–181). Mahwah, NJ: Erlbaum.Google Scholar
  44. Slater, M. D., & Rouner, D. (2002). Entertainment-education and elaboration likelihood: Understanding the processing of narrative persuasion. Communication Theory, 12, 173–191.Google Scholar
  45. So, J., & Nabi, R. (2013). Reduction of perceived social distance as an explanation for media’s influence on personal risk perceptions: A test of the risk convergence model. Human Communication Research, 39(3), 317–338.  https://doi.org/10.1111/hcre.12005.CrossRefGoogle Scholar
  46. Strange, J. J., & Leung, C. C. (1999). How anecdotal accounts in news and in fiction can influence judgments of a social’s problem urgency, causes, and cures. Personality and Social Psychology Bulletin, 25, 436–449.CrossRefGoogle Scholar
  47. Toolan, M. (2001). Narrative: A critical linguistic introduction (2nd ed.). London: Routledge.Google Scholar
  48. Vandebosch, H., & Van Cleemput, K. (2009). Cyberbullying among youngsters: Profiles of bullies and victims. New Media Society, 11(8), 1349–1371.CrossRefGoogle Scholar
  49. Vandebosch, H., Beirens, L., D’Haese, W., Wegge, D., & Pabian, S. (2012). Police actions with regard to cyberbullying: The Belgian case. Psicothema, 24(4), 646–652.Google Scholar
  50. Webb, T. L., & Sheeran, P. (2006). Does changing behavioral intentions engender behavior change? A meta-analysis of the experimental evidence. Psychological Bulletin, 132(2), 249–268.  https://doi.org/10.1037/0033-2909.132.2.249.CrossRefGoogle Scholar
  51. World Health Organization (WHO). (1998). Health promotion glossary. Retrieved from http://www.who.int/healthpromotion/about/HPR%20Glossary%201998.pdf.

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.UiL OTSUtrecht UniversityUtrechtThe Netherlands

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