title: A story of change: The influence of narrative on African-Americans with diabetes.
abstract: OBJECTIVE
  To understand if narratives can be effective tools for diabetes empowerment, from the perspective of African-American participants in a program that improved diabetes self-efficacy and self-management.
  
  
  METHODS
  In-depth interviews and focus groups were conducted with program graduates. Participants were asked to comment on the program's film, storytelling, and role-play, and whether those narratives had contributed to their diabetes behavior change. An iterative process of coding, analyzing, and summarizing transcripts was completed using the framework approach.
  
  
  RESULTS
  African-American adults (n=36) with diabetes reported that narratives positively influenced the diabetes behavior change they had experienced by improving their attitudes/beliefs while increasing their knowledge/skills. The social proliferation of narrative - discussing stories, rehearsing their messages with role-play, and building social support through storytelling - was reported as especially influential.
  
  
  CONCLUSIONS
  Utilizing narratives in group settings may facilitate health behavior change, particularly in minority communities with traditions of storytelling. Theoretical models explaining narrative's effect on behavior change should consider the social context of narratives.
  
  
  CONCLUSIONS
  Narratives may be promising tools to promote diabetes empowerment. Interventions using narratives may be more effective if they include group time to discuss and rehearse the stories presented, and if they foster an environment conducive to social support among participants.
authors.affiliation: Department of Medicine, University of Chicago, Chicago, USA; Center for Health and the Social Sciences, University of Chicago, Chicago, USA; Chicago Center for Diabetes Translation Research, Chicago, USA.
authors.forename: Anna P
authors.initials: AP
authors.lastname: Goddu
authors.affiliation: Pritzker School of Medicine, University of Chicago, Chicago, USA.
authors.forename: Katie E
authors.initials: KE
authors.lastname: Raffel
authors.affiliation: Department of Medicine, University of Chicago, Chicago, USA; Center for Health and the Social Sciences, University of Chicago, Chicago, USA; Chicago Center for Diabetes Translation Research, Chicago, USA; Center for the Study of Race, Politics and Culture, University of Chicago, Chicago, USA. Electronic address: mpeek@medicine.bsd.uchicago.edu.
authors.forename: Monica E
authors.initials: ME
authors.lastname: Peek
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology* / Q000706:statistics & numerical data; D003142:Communication; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology / Q000523:psychology*; D005260:Female; D017144:Focus Groups; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D054525:Minority Health; D008962:Models, Theoretical; D033262:Narration; D014481:United States
keywords: Behavioral change; Culture; Diabetes; Minority health; Narrative