title: Entertainment-Education Narrative Versus Nonnarrative Interventions to Educate and Motivate Latinas to Engage in Mammography Screening.
abstract: The evidence is limited comparing the effects of entertainment-education (E-E) narrative versus nonnarrative interventions to educate and motivate Latinas to engage in mammography screening.
  
  
  
  This study compared an E-E narrative intervention to two nonnarrative interventions' effects among Latinas on breast cancer knowledge and motivation, as measured by changes in self-efficacy, behavioral norms, and behavioral intentions to engage in mammography screening.
  
  
  
  A sample of 141 Spanish-speaking Latinas was randomly assigned to one of three arms: an E-E narrative video, a nonnarrative educational video, and printed educational materials. Using a repeated measures design, the influence of the E-E narrative on pretest to posttest measures was assessed and compared to the influence of the other two interventions.
  
  
  
  The E-E narrative and nonnarrative interventions significantly increased Latinas' breast cancer knowledge, mammography self-efficacy, and behavioral norms from pretest to posttest. However, the E-E narrative participants' pretest to posttest difference in mammography self-efficacy was significantly higher when compared to the difference of the other two interventions. The effect of the E-E narrative intervention on self-efficacy and behavioral norms was moderated by the participants' absorption in the story and identification with the story characters.
  
  
  
  E-E narrative and nonnarrative interventions significantly educated and motivated Latinas to engage in mammography screening. The effects on mammography self-efficacy, an important precursor to behavior change, can be more strongly influenced by E-E narratives.
  
  
  
  Although E-E narrative and nonnarrative interventions were effective, the need still exists to assess if they can ultimately influence lifesaving breast cancer screening behaviors.
authors.affiliation: 1 Colorado State University, Denver, CO, USA.
authors.forename: Evelinn A
authors.initials: EA
authors.lastname: Borrayo
authors.affiliation: 2 Los Angeles County Department of Public Health, Los Angeles, CA, USA.
authors.forename: Monica
authors.initials: M
authors.lastname: Rosales
authors.affiliation: 3 San Diego State University, San Diego, CA, USA.
authors.forename: Patricia
authors.initials: P
authors.lastname: Gonzalez
mesh_terms: D001943:Breast Neoplasms / Q000175:diagnosis* / Q000208:ethnology; D055088:Early Detection of Cancer; D005260:Female; D006266:Health Education; D054625:Healthcare Disparities; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008327:Mammography / Q000379:methods*; D008403:Mass Screening; D009042:Motivation; D033262:Narration; D010342:Patient Acceptance of Health Care; D011795:Surveys and Questionnaires
keywords: Hispanic; cancer prevention and screening; health disparities; health education; literacy; media