Background: Edutainment has long been used as a strategy in health promotion and public health wellness interventions. In March 2019, a large US southeastern university hosted a multimodal theatrical production entitled From Colored to Black (FCTB). The play used a historical lens to broadly address social determinants of health such as disparities in education, access to health services, fair housing and health outcomes. This creative intervention was intended to encourage progressive, justice-oriented attitudes about historically disenfranchised Black communities in North Central Florida. Methods: Driven by an arts-based education approach and constructs from narrative transportation theory, the study employed directed qualitative content analysis to evaluate audience commentary and examine how a play on historic health inequities in Black communities could activate cognition, emotion and imagination for critical thinking about present-day wellbeing. Results: Qualitative survey data in response to the artistic presentation revealed the following subthemes: fascination, assumed truthfulness, satisfaction, feelings of inspiration, enthusiasm, negative attitudes, hopelessness and emotional disconnect. Conclusions: Edutainment continues to be a strong intervention tool. Feedback indicates audience members experienced both highly immersive moments and low transportation-inducing points that ultimately influenced critical reflection on some of the themes addressed in the play.
Objective: Acupuncture is one of the most widely used treatments of complementary and alternative medicine (CAM) within the military's health system. The success of CAM integration is partially dependent on both providers' and patients' perceptions that acupuncture is health-promoting. The aim of this research was to identify turning points, or changes, across treatments that enhanced or inhibited physicians' and patients' perception of acupuncture as health-promoting. Materials and Methods: Using a retrospective-interview approach, interviews were conducted with 15 family medicine physicians practicing medical acupuncture in a family medicine setting and with 17 patients (N = 32). Turning points were separated into 2 groups (health-promoting or health-inhibiting). Similarities and differences between perspectives were noted. Results: Patients and physicians identified two changes that enhanced their perspective of acupuncture as health-promoting: (1) observed health changes and (2) pain-medicine/narcotic reduction/elimination. Patients identified their ability to fulfill personal or professional roles, whereas physicians identified (1) training experiences and (2) enhanced relationships with patients. Health-inhibiting changes in perspective were identified as logistical constraints/barriers by both parties, although their perspectives differed to some degree. Turning points that were viewed as health-inhibiting treatment were identified as clinical challenges by physicians and as a lack of consistency in care by patients. Conclusions: The insight from these findings can help identify areas where medical acupuncture can be improved to promote successful integration in conventional medicine settings, as well as how providers can tailor communication with patients about acupuncture.
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