Storytelling Slide Shows to Improve Diabetes and High Blood Pressure Knowledge and Self-Efficacy: Three-Year Results Among Community Dwelling Older African Americans

Bertera, Elizabeth M.

doi:10.1080/03601277.2014.894381

Cited by 23 publications

(51 citation statements)

References 26 publications

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“…However, the modest gain in this pilot provides the impetus to implement a larger scale intervention with longer and more in-depth educational sessions as recommended by the participants. Similar to this study, several studies have demonstrated the effectiveness of community-engaged health education in increasing knowledge of CVD (Brewer et al, 2017;Daniels et al, 2012), mental health (Ann Hall et al, 2011;Fuller et al, 2012), diabetes (Bertera, 2014;Embry et al, 2013;Peña-Purcell et al, 2015), and prostate cancer (Boehm et al, 1995;Linnan et al, 2014;Sandiford & D'Errico, 2016) among African Americans. A critical element is the utilization of existing social institutions and structures in the AA community to implement these health promotion programs.…”

Section: Increase In Knowledge and Awarenesssupporting

confidence: 76%

Culturally Responsive Health Promotion to Address Health Disparities in African American Men: A Program Impact Evaluation

et al. 2020

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African American (AA) men continue to experience worse health outcomes compared to men of other races/ethnicities. Community-based interventions are known to be effective in health promotion and disease prevention. The program objectives were to (a) increase knowledge and risk awareness of targeted conditions, (b) change health-care-seeking attitudes toward regular primary care among AA men, and (c) improve their lifestyle-related health behaviors by leveraging the influence of women in their lives. The community-engaged educational intervention targeted both men and women and included eight 90-min sessions per cohort. Topics included prostate cancer, cardiovascular disease, diabetes, mental health, health-care access, and healthy lifestyle. Sessions were both didactic and interactive. A pre-/post-intervention questionnaire assessed knowledge. Interviews were conducted with male participants and a focus group discussion (FGD) with women to assess program impact. Interview and FGD transcripts were analyzed for themes and recommendations. Major themes were—increased knowledge/awareness of risk associated with chronic conditions, change in health-care-seeking attitudes, increased self-efficacy to engage the health-care system, and lifestyle changes. Other impacts reported were building community/social support, a safe and enabling learning environment, and enhanced community health status overall. Recommendations included having extended, more in-depth sessions, targeting the younger generation, smaller cohort sizes, and more community-based health programming. Community-engaged health promotion using a cohort model as well as including women can be effective in increasing knowledge, enhancing self-efficacy, and providing the much-needed social support. These can influence health-related behaviors and thus contribute to improving health outcomes for AA men.

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Section: Increase In Knowledge and Awarenesssupporting

confidence: 76%

Culturally Responsive Health Promotion to Address Health Disparities in African American Men: A Program Impact Evaluation

et al. 2020

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Section: Health Literacy Strategiesmentioning

confidence: 99%

“…While adopting universal precautions of health literacy simplifies health communication and information processing for all consumers ( DeWalt et al, 2010 ; 2011 ), studies suggest that reaching African Americans with LHL more effectively also relies on adopting culturally tailored, interactive, and community-engaged health literacy approaches ( Bertera, 2014 ; Broussard, Radkins, & Compton, 2014 ; Rikard, Thompson, Head, McNeil, & White., 2012 ; Ross, Ashford, Bleechington, Dark, & Erwin, 2010 ). This is based on the premise that health information is processed through multiple lenses; thus, the interpretation of health-related concepts and images varies across cultures and other social markers (e.g., language, generations) ( Kindig et al, 2004 ; Scrimshaw, 2019 ).…”

Section: Health Literacy Strategiesmentioning

confidence: 99%

“…Culturally tailored and interactive approaches such as storytelling and culturally appropriate graphics have been reported to improve health literacy related to diverse health conditions in African-American samples ( Bertera, 2014 ; Broussard et al, 2014 ; Rikard et al, 2012 ; Ross et al, 2010 ). For instance, oral storytelling slideshows on diabetes and hypertension that featured community members' voices and photographs were developed and administered to a group of predominantly older African-American women ( Bertera, 2014 ). Exposure to these slideshows produced significant pre-post increases in diabetes (8.8%, p < .000) and hypertension (5.6 %, p < .001) knowledge and self-efficacy (11.3% and 13.2% respectively; p < .000) in the intervention group, with the greatest effects among those with LHL (measured by a Veteran's Administration instrument) ( Bertera, 2014 ).…”

Section: Health Literacy Strategiesmentioning

confidence: 99%

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Health Literacy in African-American Communities: Barriers and Strategies

Muvuka¹,

Combs²,

Ayangeakaa³

et al. 2020

HLRP: Health Literacy Research and Practice

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“…However, the evidence supporting the benefits of storytelling/poetry on improving clinical outcomes is sparse, a gap that our study aimed to fill. Storytelling interventions exposing personal experiences with disease management have been shown to decrease blood pressure ( Houston et al, 2011 ), and improve self-efficacy in adults with diabetes and hypertension ( Bertera, 2014 ; Bokhour et al, 2016 ), while recounting a favorite story has been employed to help children deal with pain ( Heiney, 1995 ; Kuttner, 1988 ). Storytelling interventions like the one we employed in the present study can provide hospitalized patients with cognitive stimulation and positive distractions from the monotony and stress associated with the hospital stay.…”

Section: Discussionmentioning

confidence: 99%

A Performing Arts Intervention Improves Cognitive Dysfunction in 50 Hospitalized Older Adults

Danila

Melnick

Mudano

et al. 2018

Innovation in Aging

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Background and ObjectivesArts in medicine programs have emerged as a patient-centered approach that aims to improve health-related quality of life for patients in U.S. hospitals. Storytelling and poetry/monologue recitation are forms of arts-based experiences designed to enhance healing and are delivered by an artist-in-residence. We evaluated the effect of a storytelling/poetry experience on delirium screening scores and patient satisfaction in hospitalized older adults.Research Design and Methods: We conducted an observational pre–post study with a control group in the Acute Care for the Elders (ACE) unit at an academic medical center. A convenience sample of 50 participants was recruited to participate and complete two questionnaires measuring pain, anxiety, general well-being, and distress at hospital admission and at hospital discharge. Multivariable regression models were used to compare delirium screening score (primary outcome) between the control and intervention groups and to adjust for the differences in baseline characteristics between groups.ResultsAt baseline participants in the intervention group were younger and had significantly lower cognitive impairment compared with those in the control group. Participants exposed to the storytelling/poetry intervention had a lower delirium screening score at hospital discharge compared with those in the control group. The result remained significant after adjusting for age, baseline cognitive impairment, and general well-being. Participants in the intervention group reported a high level of satisfaction with the interaction with the artist delivering the intervention.Discussion and ImplicationsAn artist in residence-delivered storytelling/poetry experience was associated with a lower delirium score at discharge in this pilot study. Further larger studies in diverse inpatient settings are needed to examine whether storytelling/poetry interventions or other types of arts in medicine programs can prevent or reduce delirium in hospitalized older adults.

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Storytelling Slide Shows to Improve Diabetes and High Blood Pressure Knowledge and Self-Efficacy: Three-Year Results Among Community Dwelling Older African Americans

Cited by 23 publications

References 26 publications

Culturally Responsive Health Promotion to Address Health Disparities in African American Men: A Program Impact Evaluation

Culturally Responsive Health Promotion to Address Health Disparities in African American Men: A Program Impact Evaluation

Health Literacy in African-American Communities: Barriers and Strategies

A Performing Arts Intervention Improves Cognitive Dysfunction in 50 Hospitalized Older Adults

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