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      Restor(y)ing Health: A Conceptual Model of the Effects of Digital Storytelling

      1 , 2 , 1 , 2 , 3
      Health Promotion Practice
      SAGE Publications

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          Abstract

          We currently see an interdisciplinary shift toward a "participatory turn" in health research and promotion under which community engagement, shared decision making and planning, and the use of visual and digital methods have become paramount. Digital storytelling (DST) is one such innovative and engaging method increasingly used in applied health interventions, with a growing body of research identifying its value. Despite its increasing use, a standard approach to empirically assess the impacts on individuals participating in DST interventions does not currently exist. In this article, we define DST as a distinct narrative intervention, illustrate key elements that inform the methodology, and present a conceptual model to examine how DST may contribute to increased socioemotional well-being and bolster positive health outcomes. Our proposed model is informed by elements of narrative theory, Freirian conscientization, multimodality, and social cognitive theory and can serve as a guide for public health practitioners and researchers interested in assessing the potential benefits of DST as an applied health intervention. Recommendations for practice call for a rigorous methodological approach to apply and test this model across a range of health contexts and populations.

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          Most cited references27

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          Social support and patient adherence to medical treatment: a meta-analysis.

          In a review of the literature from 1948 to 2001, 122 studies were found that correlated structural or functional social support with patient adherence to medical regimens. Meta-analyses establish significant average r-effect sizes between adherence and practical, emotional, and unidimensional social support; family cohesiveness and conflict; marital status; and living arrangement of adults. Substantive and methodological variables moderate these effects. Practical support bears the highest correlation with adherence. Adherence is 1.74 times higher in patients from cohesive families and 1.53 times lower in patients from families in conflict. Marital status and living with another person (for adults) increase adherence modestly. A research agenda is recommended to further examine mediators of the relationship between social support and health.
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            Emotionally expressive coping predicts psychological and physical adjustment to breast cancer.

            This study tested the hypothesis that coping through emotional approach, which involves actively processing and expressing emotions, enhances adjustment and health status for breast cancer patients. Patients (n = 92) completed measures within 20 weeks following medical treatment and 3 months later. Women who, at study entry, coped through expressing emotions surrounding cancer had fewer medical appointments for cancer-related morbidities, enhanced physical health and vigor, and decreased distress during the next 3 months compared with those low in emotional expression, with age, other coping strategy scores, and initial levels on dependent variables (except medical visits) controlled statistically. Expressive coping also was related to improved quality of life for those who perceived their social contexts as highly receptive. Coping through emotional processing was related to one index of greater distress over time. Analyses including dispositional hope suggested that expressive coping may serve as a successful vehicle for goal pursuit.
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              Negative Interaction and Satisfaction with Social Support among Older Adults

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                Author and article information

                Journal
                Health Promotion Practice
                Health Promotion Practice
                SAGE Publications
                1524-8399
                1552-6372
                November 28 2018
                July 2019
                February 08 2019
                July 2019
                : 20
                : 4
                : 502-512
                Affiliations
                [1 ]University of Massachusetts Amherst, Amherst, MA, USA
                [2 ]Arizona State University, Phoenix, AZ, USA
                [3 ]Washington State University, Pullman, WA, USA
                Article
                10.1177/1524839918825130
                30736703
                2ecf587d-666d-489f-b2fd-dd9249d4eba3
                © 2019

                http://journals.sagepub.com/page/policies/text-and-data-mining-license

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