The use of narrative in science and health communication: a scoping review

MZ Dudley, GK Squires, TM Petroske, S Dawson… - Patient Education and …, 2023 - Elsevier
MZ Dudley, GK Squires, TM Petroske, S Dawson, J Brewer
Patient Education and Counseling, 2023Elsevier
Background Many people deny science and reject health recommendations despite widely
distributed facts and statistics. Didactic science and health communication is often dry, and
relies on the false assumption that people make purely evidence-based decisions. Stories
can be a powerful teaching tool by capturing attention and evoking emotion. Objective We
explore the impact and appeal of, and describe best practices for, using narrative
(storytelling) versus didactic methods in science and health communication. Patient …
Background
Many people deny science and reject health recommendations despite widely distributed facts and statistics. Didactic science and health communication is often dry, and relies on the false assumption that people make purely evidence-based decisions. Stories can be a powerful teaching tool by capturing attention and evoking emotion.
Objective
We explore the impact and appeal of, and describe best practices for, using narrative (storytelling) versus didactic methods in science and health communication.
Patient involvement
No patients were involved in the review process.
Methods
We searched PubMed and Web of Science for articles either: assessing effectiveness of narrative science/health communication; assessing acceptability of (or preference for) narrative science/health communication; giving advice on how best to use narrative; and/or providing science-based explanations for how/why narrative succeeds.
Results
Narrative science/health communication is effective and appealing for audiences across a variety of topics and mediums, with supporting evidence across fields such as epidemiology, neuroscience, and psychology. Whether narrative or didactic messaging is most effective depends on the topic, audience, and objective, as well as message quality. However, combining narrative with didactic methods is likely to be more effective than using either strategy alone.
Discussion
Narrative science/health communication merits wider implementation and further research. Narrative communication creates openness to information by delaying the formulation of counterarguments.
Practical value
Science and health communicators should collaborate with cultural and storytelling experts, work directly with their target audiences throughout the message development and testing processes, and rely on popular story elements (e.g., first-person point of view, relatable protagonists) to improve the comprehension, engagement, and thoughtful consideration of their intended audience.
Funding
This work was funded by Thirty Meter Telescope, with which two authors (GKS and SD) were affiliated. Otherwise, the funding organization had no role in the study and/or submission.
Elsevier
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