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Using Photo Stories to Support Doctor-Patient Communication: Evaluating a Communicative Health Literacy Intervention for Older Adults

Author

Listed:
  • Ruth Koops van ‘t Jagt

    (Aletta Jacobs School of Public Health; 9747 AD Groningen, The Netherlands
    Department of Communication and Information Sciences, University of Groningen, Oude Kijk in ’t Jatstraat 26, 9712 EK Groningen, The Netherlands)

  • Shu Ling Tan

    (Institute for Sport and Exercise Science, Department for Social Sciences of Sport, Westfälische Wilhelms-Universität Münster, Horstmarer Landweg 62a, 48149 Münster, Germany)

  • John Hoeks

    (Department of Communication and Information Sciences, University of Groningen, Oude Kijk in ’t Jatstraat 26, 9712 EK Groningen, The Netherlands)

  • Sophie Spoorenberg

    (Department of Health Sciences, University Medical Center Groningen, P.O. Box 196, 9700 AD Groningen, The Netherlands)

  • Sijmen A. Reijneveld

    (Department of Health Sciences, University Medical Center Groningen, P.O. Box 196, 9700 AD Groningen, The Netherlands)

  • Andrea F. de Winter

    (Department of Health Sciences, University Medical Center Groningen, P.O. Box 196, 9700 AD Groningen, The Netherlands)

  • Sonia Lippke

    (Department of Psychology & Methods, Jacobs University Bremen, Res IV, Campus Ring 1, D-28759 Bremen, Germany)

  • Carel Jansen

    (Department of Communication and Information Sciences, University of Groningen, Oude Kijk in ’t Jatstraat 26, 9712 EK Groningen, The Netherlands
    Language Centre, Stellenbosch University, 7600 Stellenbosch, South Africa)

Abstract

Older adults often have limited health literacy and experience difficulties in communicating about their health. In view of the need for efficacious interventions, we compared a narrative photo story booklet regarding doctor-patient communication with a non-narrative but otherwise highly similar brochure. The photo story booklet included seven short picture-based stories about themes related to doctor-patient communication. The non-narrative brochure had comparable pictures and layout and dealt with the same themes, but it did not include any stories. We conducted two Randomized Controlled Trials (RCTs) among older adults with varying levels of health literacy: one RCT in Germany ( N = 66) and one RCT in the Netherlands ( N = 54); the latter one was followed by an in-depth interview study among a subset of the participants (81.5%; n = 44). In the RCTs, we did not find significant differences between the photo story booklet and the non-narrative brochure. In the interview study, a majority of the participants expressed a preference for the photo story booklet, which was perceived as recognizable, relevant, entertaining and engaging. We conclude that photo story booklets are a promising format but that there is room for improving their effectiveness.

Suggested Citation

  • Ruth Koops van ‘t Jagt & Shu Ling Tan & John Hoeks & Sophie Spoorenberg & Sijmen A. Reijneveld & Andrea F. de Winter & Sonia Lippke & Carel Jansen, 2019. "Using Photo Stories to Support Doctor-Patient Communication: Evaluating a Communicative Health Literacy Intervention for Older Adults," IJERPH, MDPI, vol. 16(19), pages 1-18, October.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:19:p:3726-:d:273250
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    References listed on IDEAS

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    1. Smith, Sian K. & Dixon, Ann & Trevena, Lyndal & Nutbeam, Don & McCaffery, Kirsten J., 2009. "Exploring patient involvement in healthcare decision making across different education and functional health literacy groups," Social Science & Medicine, Elsevier, vol. 69(12), pages 1805-1812, December.
    2. Bas Geboers & Sijmen A. Reijneveld & Jaap A. R. Koot & Andrea F. De Winter, 2018. "Moving towards a Comprehensive Approach for Health Literacy Interventions: The Development of a Health Literacy Intervention Model," IJERPH, MDPI, vol. 15(6), pages 1-11, June.
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    Cited by:

    1. Carel J. M. Jansen & Ruth Koops van ’t Jagt & Sijmen A. Reijneveld & Ellen van Leeuwen & Andrea F. de Winter & John C. J. Hoeks, 2021. "Improving Health Literacy Responsiveness: A Randomized Study on the Uptake of Brochures on Doctor-Patient Communication in Primary Health Care Waiting Rooms," IJERPH, MDPI, vol. 18(9), pages 1-17, May.
    2. Burt Davis & Carel J. M. Jansen, 2021. "Deploying a Fotonovela to Combat Methamphetamine Abuse among South Africans with Varying Levels of Health Literacy," IJERPH, MDPI, vol. 18(12), pages 1-18, June.

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