Accepted for/Published in: JMIR Human Factors
Date Submitted: Jan 14, 2021
Date Accepted: Jul 4, 2021
Date Submitted to PubMed: Aug 3, 2021
Communicating Guideline Recommendations Using Graphic Narrative Versus Text-based Broadcast Screensavers
ABSTRACT
Background:
The use of graphic narratives, defined as stories that use images for narration, is growing in health communication.
Objective:
In this study, we describe the design and implementation of a graphic narrative to communicate a guideline recommendation (avoiding low-value acid suppressive therapy (AST) use) and examine the impact of the graphic narrative on clinical practice (low-value AST prescriptions).
Methods:
During a two year period, graphic narrative screensavers and text-based screensavers were displayed on clinical workstation computers. The number of new AST prescriptions were compared before, during and after the interventions.
Results:
We found that designing an attention-grabbing and aesthetically interesting graphic that could be rapidly understood was critical in the development of the graphic narrative. During the study period, the proportion of low-risk patients who received AST declined compared to the one year prior (28.1% vs. 25.5%, p<0.001). This decline appears to have begun prior to the intervention.
Conclusions:
In conclusion, it is feasible to use a graphic narrative embedded in a broadcast screensaver to communicate a guideline recommendation, but further study is needed to determine the impact of graphic narratives on clinical practice.
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