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Grant Details

Grant Number: 5R01CA144052-05 Interpret this number
Primary Investigator: Murphy, Sheila
Organization: University Of Southern California
Project Title: Transforming Cancer Knowledge, Attitudes and Behavior Through Narrative
Fiscal Year: 2013


DESCRIPTION (provided by applicant): The primary purpose of the proposed research is to challenge the underlying assumption that the traditional straightforward recitation of the facts is the optimal way to convey health-related information. Years 1 and 2 focus on understanding existing cancer portrayals by analyzing the frequency and type of cancer depictions on the 10 most popular primetime television programs. To assess the impact these primetime portrayals have on between 10 to 20 million viewers each week, we will be working with Hollywood, Health and Society and the television networks to identify upcoming episodes involving breast and cervical cancer. By measuring any change in viewers' cancer-related knowledge, attitudes and behavior before and after these episodes air, we can determine the key elements that make a story or narrative more or less effective. In Year 3, we empirically test whether utilizing a narrative format produces a greater and longer lasting impact on cancer knowledge, attitudes and prevention behavior. Four hundred females between the ages of 25-65 with no pre-existing cancer history will be presented with an animated narrative involving a young woman who is diagnosed with cervical cancer (the experimental narrative condition). The same factual information will be presented to another 400 women in the non-narrative control condition. Because we also question the assumption of a "one- size-fits-all" message strategy our sample will be equally divided among four ethnic groups - African Americans, European Americans, Korean Americans and Mexican Americans - all of whom are at elevated risk for breast or ovarian cancer. In addition to cultural differences, we predict that narratives may be particularly effective for cultures with a strong oral history, for recent immigrants, for older generations, and for those with low literacy. We will add context and depth to these findings by using qualitative techniques such as focus groups and consulting with medical anthropologists to further understand how women of different ages, ethnicities, acculturation and education levels understand cancer, its cause, prevention and treatment. In Year 4, we examine the effect of communication modality to determine which communication channel or channels might produce the strongest and longest lasting changes in information retention and motivation. More specifically, we will conduct a field experiment in which a fresh sample of 800 females will be randomly assigned to the same cancer narrative but 200 (50 of each ethnicity) will be exposed to the narrative in a print format, 200 in an audio format (similar to radio), 200 in an audiovisual format (similar to television or YouTube), and 200 in an interactive format requiring responses from the individual (similar to a videogame). This design will allow us to test whether the effectiveness of a narrative may vary as a function of channel and whether there is an interaction between modality and key demographic factors such as generation, level of acculturation and education. In sum, each of these methodological tools provides an important piece to the overall puzzle of how to best convey health information to increasingly diverse audiences.


Using a Culturally Tailored Narrative to Increase Cervical Cancer Detection Among Spanish-Speaking Mexican-American Women.
Authors: Ochoa C.Y. , Murphy S.T. , Frank L.B. , Baezconde-Garbanati L.A. .
Source: Journal of cancer education : the official journal of the American Association for Cancer Education, 2020 Aug; 35(4), p. 736-742.
PMID: 31020621
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Barriers and innovative interventions for early detection of cervical cancer.
Authors: Baezconde-Garbanati L. , Agurto I. , Gravitt P.E. , Luciani S. , Murphy S. , Ochoa C. , Gallegos K. , Barahona R. , Rodríguez Y. .
Source: Salud publica de Mexico, 2019 Jul-Aug; 61(4), p. 456-460.
PMID: 31430087
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Implementation of HPV vaccination guidelines in a diverse population in Los Angeles: Results from an environmental scan of local HPV resources and needs.
Authors: Baezconde-Garbanati L. , Lienemann B.A. , Robles M. , Johnson E. , Sanchez K. , Singhal R. , Steinberg J. , Jaque J.M. , Pentz M.A. , Gruber S. .
Source: Vaccine, 2017-09-05; 35(37), p. 4930-4935.
EPub date: 2017-07-31.
PMID: 28774559
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Each Medium Tells a Different Story: The Effect of Message Channel on Narrative Persuasion.
Authors: Walter N. , Murphy S.T. , Frank L.B. , Baezconde-Garbanati L. .
Source: Communication research reports : CRR, 2017; 34(2), p. 161-170.
EPub date: 2017-03-02.
PMID: 30739986
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A pilot test of the acceptability and efficacy of narrative and non-narrative health education materials in a low health literacy population.
Authors: Moran M.B. , Frank L.B. , Chatterjee J.S. , Murphy S.T. , Baezconde-Garbanati L. .
Source: Journal of communication in healthcare, 2016; 9(1), p. 40-48.
EPub date: 2016-02-05.
PMID: 27872657
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Information scanning and vaccine safety concerns among African American, Mexican American, and non-Hispanic White women.
Authors: Moran M.B. , Frank L.B. , Chatterjee J.S. , Murphy S.T. , Baezconde-Garbanati L. .
Source: Patient education and counseling, 2016 Jan; 99(1), p. 147-53.
EPub date: 2015-08-18.
PMID: 26321294
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Comparing the Relative Efficacy of Narrative vs Nonnarrative Health Messages in Reducing Health Disparities Using a Randomized Trial.
Authors: Murphy S.T. , Frank L.B. , Chatterjee J.S. , Moran M.B. , Zhao N. , Amezola de Herrera P. , Baezconde-Garbanati L.A. .
Source: American journal of public health, 2015 Oct; 105(10), p. 2117-23.
EPub date: 2015-04-23.
PMID: 25905845
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Telling stories, saving lives: creating narrative health messages.
Authors: Frank L.B. , Murphy S.T. , Chatterjee J.S. , Moran M.B. , Baezconde-Garbanati L. .
Source: Health communication, 2015; 30(2), p. 154-63.
PMID: 25470440
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Self-Construal as a Predictor of Korean American Women's Intention to Vaccinate Daughters against Human Papillomavirus.
Authors: Zhao N. , Huh J. , Murphy S.T. , Chatterjee J.S. , Baezconde-Garbanati L. .
Source: Asian American journal of psychology, 2014 Jan; 5(2), p. 96-105.
PMID: 25558309
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Portrayals of reproductive and sexual health on prime-time television.
Authors: Pariera K.L. , Hether H.J. , Murphy S.T. , Buffington S.C. , Baezconde-Garbanati L. .
Source: Health communication, 2014; 29(7), p. 698-706.
EPub date: 2013-10-24.
PMID: 24156468
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Narrative versus Non-narrative: The Role of Identification, Transportation and Emotion in Reducing Health Disparities.
Authors: Murphy S.T. , Frank L.B. , Chatterjee J.S. , Baezconde-Garbanati L. .
Source: The Journal of communication, 2013 Feb; 63(1), .
PMID: 24347679
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The Ability of Narrative Communication to Address Health-related Social Norms.
Authors: Moran M.B. , Murphy S.T. , Frank L. , Baezconde-Garbanati L. .
Source: International Review of Social Research, 2013 Feb; 3(2), p. 131-149.
PMID: 24179677
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Reducing the Excess Burden of Cervical Cancer Among Latinas: Translating Science into Health Promotion Initiatives.
Authors: Baezconde-Garbanati L. , Murphy S.T. , Moran M.B. , Cortessis V.K. .
Source: Californian journal of health promotion, 2013; 11(1), p. 45-57.
PMID: 24587769
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Public Diplomacy in Prime Time: Exploring the Potential of Entertainment Education in International Public Diplomacy.
Authors: Murphy S.T. , Hether H.J. , Felt L.J. , de Castro Buffington S. .
Source: American journal of media psychology, 2012; 5(1-4), p. 5-32.
PMID: 24489980
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