Amy McQueen|Matthew W. Kreuter|Bindu Kalesan|Kassandra I. Alcaraz
Understanding narrative effects: The impact of breast cancer survivor stories on message processing, attitudes, and beliefs among African American women.
Washington University in St. Louis|Washington University in St. Louis|Washington University in St. Louis|Washington University in St. Louis
examine longitudinal effects personal narratives mammography breast cancer compared traditional informational approachafrican american women n 489 ages 40 older recruited lowincome neighborhoods st louis missouri randomized watch narrative video comprised stories african american breast cancer survivors contentequivalent informational video effects measured immediately postexposure t2 3 t3 6month t4 followup t2 measures initial reaction included positive negative affect trust identification engagement t3 messageprocessing variables included arguing messages counterarguing talking family members information cognitive rehearsal t4 behavioral correlates included perceived breast cancer risk cancer fear cancer fatalism perceived barriers mammography recall core messages structural equation modeling examined interrelations among constructswomen watched narrative video n 244 compared informational video n 245 experienced positive negative affect identified message source engaged video narratives negative affect identification engagement influenced counterarguing turn influenced perceived barriers cancer fatalism engaged women talked family members increased message recall narratives also increased risk perceptions fear via increased negative affectnarratives produced stronger cognitive affective responses immediately turn influenced message processing behavioral correlates narratives reduced counterarguing increased cognitive rehearsal may increase acceptance motivation act health information populations adversely affected cancer disparities