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Narrative communication in cancer prevention and control: A framework to guide research and application

  • Published:
Annals of Behavioral Medicine

Abstract

Narrative forms of communication—including entertainment education, journalism, literature, testimonials, and storytelling—are emerging as important tools for cancer prevention and control. To stimulate critical thinking about the role of narrative in cancer communication and promote a more focused and systematic program of research to understand its effects, we propose a typology of narrative application in cancer control. We assert that narrative has four distinctive capabilities: overcoming resistance, facilitating information processing, providing surrogate social connections, and addressing emotional and existential issues. We further assert that different capabilities are applicable to different outcomes across the cancer control continuum (e.g., prevention, detection, diagnosis, treatment, survivorship). This article describes the empirical evidence and theoretical rationale supporting propositions in the typology, identifies variables likely to moderate narrative effects, raises ethical issues to be addressed when using narrative communication in cancer prevention and control efforts, and discusses potential limitations of using narrative in this way. Future research needs based on these propositions are outlined and encouraged.

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Authors and Affiliations

  1. Health Communication Research Laboratory, Department of Community Health, School of Public Health, Saint Louis University, 3545 Lafayette Avenue, 63104, St. Louis, MO

    Matthew W. Kreuter Ph.D., M.P.H., Kathleen Holmes M.P.H., R.N. & Leslie J. Hinyard M.S.W.

  2. Department of Psychology, University of North Carolina, Chapel Hill

    Melanie C. Green Ph.D.

  3. Annenberg School for Communication and Abrams Cancer Center, University of Pennsylvania, USA

    Joseph N. Cappella Ph.D.

  4. School of Communication, Ohio State University, USA

    Michael D. Slater Ph.D.

  5. Center for Health Systems Research & Analysis, University of Wisconsin-Madison, USA

    Meg E. Wise Ph.D.

  6. Center for Communication Programs, Bloomberg School of Public Health Johns Hopkins University, USA

    Doug Storey Ph.D.

  7. Department of Psychology, Saint Louis University, USA

    Eddie M. Clark Ph.D.

  8. Department of Communication Studies, Northwestern University, USA

    Daniel J. O’Keefe Ph.D.

  9. Division of Cancer Prevention and Population Sciences, Roswell Park Cancer Institute, USA

    Deborah O. Erwin Ph.D.

  10. Center for Outcomes and Effectiveness Research and Education, University of Alabama, Birmingham

    Thomas Houston M.D., M.P.H.

  11. Deep South Center on Effectiveness Research, Veteran’s Affairs Medical Center, Birmingham, Alabama

    Thomas Houston M.D., M.P.H.

  12. Health Communication and Informatics Research Branch, Division of Cancer Control and Population Sciences, National Cancer Institute, USA

    Sabra Woolley Ph.D.

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  1. Matthew W. Kreuter Ph.D., M.P.H.
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  2. Melanie C. Green Ph.D.
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  4. Michael D. Slater Ph.D.
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  5. Meg E. Wise Ph.D.
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  6. Doug Storey Ph.D.
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  7. Eddie M. Clark Ph.D.
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  9. Deborah O. Erwin Ph.D.
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  10. Kathleen Holmes M.P.H., R.N.
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  11. Leslie J. Hinyard M.S.W.
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  13. Sabra Woolley Ph.D.
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Corresponding author

Correspondence to Matthew W. Kreuter Ph.D., M.P.H..

Additional information

After the first author, the author order was determined by chance.

This article is a product of the National Cancer Institute (NCI) Working Group on Narrative Communication in Cancer Prevention and Control, which received support through NCI’s Centers of Excellence in Cancer Communication Research (CECCR) initiative. Members of the interdisciplinary Working Group represent the fields of anthropology, communication, internal medicine, nursing, public health, social psychology, and social work.

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Kreuter, M.W., Green, M.C., Cappella, J.N. et al. Narrative communication in cancer prevention and control: A framework to guide research and application. ann. behav. med. 33, 221–235 (2007). https://doi.org/10.1007/BF02879904

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