TY  - JOUR
PY  - 2022//
TI  - Measuring impact of storyline engagement on health knowledge, attitudes, and norms: a digital evaluation of an online health-focused serial drama in West Africa
JO  - Journal of global health
A1  - Massey, Philip M.
A1  - Kearne, Matthew D.
A1  - Rideau, Alexandre
A1  - Peterson, Adam
A1  - Gipson, Jessica D.
A1  - Nianogo, Roch A.
A1  - Bornstein, Marta
A1  - Prelip, Michael L.
A1  - Glik, Deborah C.
SP  - e04039
EP  - e04039
VL  - 12
IS  - 
N2  - BACKGROUND: "Cest la Vie!" (CLV) is a serial drama that entertains, educates, and promotes positive health behaviors and social change for West African audiences. The purpose of this study was to evaluate if watching the CLV Season 2 series online had an impact on people's health knowledge, attitudes, and norms, focusing on populations in francophone West Africa. <br><br>METHODS: Between July 2019 and October 2019, viewers of CLV and non-viewers were recruited from Facebook and YouTube. We conducted an online longitudinal cohort study that assessed changes in health knowledge, attitudes, and norms (KAN) between these groups. Participants completed a baseline survey prior to the online airing and up to three follow-up surveys corresponding to specific health stories in the series, including sexual violence, emergency contraception, and female circumcision. We used descriptive statistics to describe viewers and non-viewers, and an item response theory (IRT) analysis to identify the effect of viewing CLV on overall KAN. <br><br>RESULTS: A total of 1674 respondents participated in the study. One in four participants (23%, n = 388) had seen one of the three storylines from CLV Season 2 (ie, CLV viewers). At follow-up, viewers were more likely than non-viewers to know when to correctly use emergency contraception (P < 0.001) and to believe that the practice of female circumcision should end (P = 0.001). Compared to people who did not see CLV, viewers of the series had 26% greater odds of answering pro-health responses at follow-up about sexual assault, emergency contraception, and female circumcision. Further, the level of engagement with specific storylines was associated with a differential impact on overall outcome questions. <br><br>CONCLUSIONS: As internet access continues to grow across the globe and health education materials are created and adapted for new media environments, our study provides a novel approach to examining the impact of online entertainment-education content on health knowledge, attitudes, and norms.<p />  <p>Language: en</p>
LA  - en
SN  - 2047-2978
UR  - http://dx.doi.org/10.7189/jogh.12.04039
ID  - ref1
ER  -