"Radio-based entertainment education (EE) programs have long been a way to communicate health-related information, particularly in developing countries. To explore the effectiveness of these campaigns, we used meta-analysis to examine the results of 20 published studies on the effectiveness of healt
...
h messages embedded in radio-based EE programs. The results suggest that these messages had small but significant effects in changing health related knowledge, attitudes, and behaviors. We also found that research methods, health issues, and exposure levels were significant moderators of these effects. These results have both theoretical and practical implications." (Abstract)
more
"Objective: To investigate the effect of exposure to 'MTV Shuga:Down South’ (MTVShuga-DS) during the scale-up of combination HIV-prevention interventions on awareness and uptake of sexual reproductive health (SRH) and HIV-prevention services by adolescent girls and young women (AGYW) [...] Conclus
...
ions: Among both urban and rural AGYW in South Africa, MTVShuga-DS exposure was associated with increased PrEP awareness and improved demand for some HIV prevention and SRH technologies but not sexual health outcomes. However, exposure to MTVShuga-DS was low. Given these positive indications, supportive programming may be required to raise exposure and allow future evaluation of edu-drama impact in this setting." (Abstract)
more
"This paper examines the extent to which an edutainment programme, MTV-Shuga, was reported to influence young people’s engagement with sexual and reproductive health (SRH) information in rural KwaZulu-Natal, South Africa. In 2019 we conducted eight community-based screenings of MTV-Shuga episodes
...
followed by 25 individual indepth interviews and 13 focus group discussions with young people aged between 15 and 30. Interviews were audio recorded and transcribed verbatim. Data analysis was thematic and complemented by constant comparison and deviant case analysis techniques. In this rural and poor setting with a high burden of HIV, young people exhibited high levels of awareness of SRH and HIV but had constrained access to services, and limited ability to engage with parents or guardians on SRH matters. MTV Shuga provided an entertaining guide of ways to navigate the risks that they faced in a way that resonated with them. The findings highlight the importance of enabling young people in rural areas to watch MTV Shuga with peers in a safe space in which discussion of the content is facilitated. There is also value in encouraging parents to watch MTV Shuga as a means of enabling discussions between children and adults in their lives about SRH matters." (Abstract)
more
"COVID-19 created a substantial set of challenges for health communication practitioners in the process of planning, implementing, and evaluating entertainment-education (EE) campaigns. EE is a theory and evidence-based communication strategy that employs entertainment media for educational messagin
...
g. Here, we briefly review EE campaigns in response to previous health emergencies and present three cases of EE responses to the COVID-19 pandemic from leading global organizations (PCI Media, BBC Media Action, and Sesame Workshop). Responses ranged from adaptation and re-distribution of existing content to creating new content under social-distancing restrictions and utilizing transmedia. These cases demonstrate that EE initiatives responding to future pandemics may be well served by starting with existing infrastructure to quickly build capacity, support, and trust; working with partners to tailor programs to the local context; and continuing to focus on good storytelling while simultaneously considering evolving media formats and theory." (Abstract)
more
"Navrangi Re! (Nine To A Shade), a 26–episode television drama series was created to take the discussion on e Faecal Sludge Management (FSM) to mainstream audiences, beyond the domain of infrastructure and technology. It was the result of a unique partnership between a donor (the Bill & Melinda Ga
...
tes Foundation), a commercial media network (Viacom18), an academic institution (Centre for Social & Behavior Change, Ashoka University), an evaluation partner (Oxford Policy Management), and a global media brand with proven social and behaviour change communication expertise (BBC Media Action). Navrangi Re! is the story of an urban neighbourhood – a mohalla – where lots of different people live cheek by jowl, and through the trials and tribulations of life in an urban jungle, find ways to overcome this constant crisis mode that has become normalised. The mohalla is a creative device to accommodate an entire socio–economic microcosm, with different families occupying different points on the sanitation value chain [...] The evaluation results of Navrangi Re! demonstrate the power of narratives in making the invisible, visible – in bringing attention to critical, silent and complex social problems. They also validate the science, art and craft used in BBC Media Action’s narrative ‘engagement’ model – a) rooting the storytelling in research and theory, b) a commitment to an immersive creative approach and c) an unwavering focus on ‘entertainment first’. The results also show that it is possible for narratives to walk the tightrope between outcomes and audience ratings to achieve change. There is strong evidence that an insight–based Theory of Change combined with all the ingredients that make compelling drama helped Navrangi Re! deliver on the twin challenges of achieving Television Rating Points (TRPs) week after week and demonstrating impact. The results shine the light on the need for innovative partnerships. Crafting partnerships that bring together donors, private sector platforms, academia, research and storytellers is the need of the hour. In a post–Covid world, different stakeholders need to convene more of these partnerships to leverage the power of narrative for stronger societies." (Pages 2-14)
more
"As new information technologies facilitate the production and dissemination of broadcast media, entertainment-education interventions are increasingly used in attempts to influence audiences on issues such as political participation, support for democracy, violence against women, and tolerance of e
...
thnic, religious, and sexual minorities. What factors make these programs effective in enacting behavior change in their audiences? Insights from social learning theory, which motivate entertainment-education media, highlight that individuals (i) learn about behaviors by observing examples of behavior in their environment and (ii) adopt the behaviors that they believe will help them achieve their goals. We review the existing entertainment-education literature in light of this foundational theory and find that exposure to broadcast media can change behavior by linking desired behaviors to pre-existing goals. Conversely and as expected, the literature does not provide much evidence that media leads to behavior change by persuading individuals to adopt new goals. We conclude the review with a discussion of the prospects for successful broadcast media interventions in two domains: public health, a realm where most interventions focus on linking behavior with existing goals, and countering violent extremism (CVE), where most interventions focus on changing goals." (Abstract)
more
"Risky sexual behaviors are associated with the transmission of sexually transmitted infections (STIs) and unwanted pregnancies, both major health concerns for youth worldwide. This review studies the effectiveness of narrated mass media programs in promoting safer sexual practices among youth in de
...
veloped and developing countries." (Abstract)
more
"This paper tests the effectiveness of an entertainment education television series, MTV Shuga, aimed at providing information and changing attitudes and behaviors related to HIV/AIDS. Using a simple model, the paper shows that “edutainment” can work through an individual or a social channel. Th
...
is study is a randomized controlled trial conducted in urban Nigeria, where young viewers were exposed to MTV Shuga or a placebo television series. Among those exposed to MTV Shuga, the trial created additional variation in the social messages they received and the people with whom they watched the show. The study finds significant improvements in knowledge and attitudes toward HIV and risky sexual behavior. Treated subjects are twice as likely to get tested for HIV eight months after the intervention. The study also finds reductions in sexually transmitted diseases among women. These effects are stronger for viewers who reported being more involved with the narrative, consistent with the psychological underpinnings of edutainment." (Abstract)
more
"Entertainment-education (EE) began as a communication approach that uses both entertainment and education to engender individual and social change, but is emerging as a distinct theoretical, practice, and evidence-based communication subdiscipline. EE has roots in oral and performing arts tradition
...
s spanning thousands of years, such as morality tales, religious storytelling, and the spoken word. Modern-day EE, meanwhile, is produced in both fiction and nonfiction designs that include many formats: local street theater, music, puppetry, games, radio, television, and social media. A classic successful example of EE is the children’s television program Sesame Street, which is broadcast in over 120 countries. EE, however, is a strategy that has been successfully planned, implemented, and evaluated in countries around the world for children and adults alike. EE scholarship has traditionally focused on asking, “Does it work?” but more recent theorizing and research is moving toward understanding how EE works, drawing from multidisciplinary theories. From a research standpoint, such scholarship has increasingly showcased a wide range of methodologies. The result of these transformations is that EE is becoming an area of study, or subdiscipline, backed by an entire body of theory, practice, and evidence. The theoretical underpinnings, practice components, and evidence base from EE may be surveyed via the peer- reviewed literature published over the past 10 years. However, extensive work in social change from EE projects around the world has not all made it into the published literature. EE historically began as a communication approach, one tool in the communication toolbox. Over time, the nascent approach became its own full-fledged strategy focused on individual change. Backed by emerging technologies, innovative examples from around the globe, and new variations in implementation, it becomes clear that the field of EE is emerging into a discrete theoretical, practice, and evidence-based subdiscipline within communication that increasingly recognizes the inherent role of individuals, families, communities, organizations, and policies on improving the conditions needed for lasting social change." (Summary)
more
"Can the mass media cause changes in an audience’s knowledge, attitudes and intention to practise behaviours? At BBC Media Action, we have just successfully conducted a randomised control trial (RCT) to investigate this chain of causality in a prime time health TV drama in Bangladesh." (Introducti
...
on)
more
"Entertainment education and the promotora model are 2 evidence-based health communication strategies. This study examined their combined effect on promoting healthy eating among mothers in a family-based intervention. Participants were 361 Mexican-origin families living in Imperial County, Californ
...
ia, who were randomly assigned to an intervention or delayed treatment condition. The intervention involved promotoras (community health workers) who delivered 11 home visits and 4 telephone calls. Home visits included a 12-minute episode of a 9-part situation comedy depicting a family struggling with making healthy eating choices; an accompanying family workbook was reviewed to build skills and left with the family. Baseline and immediate postintervention data were collected from the mothers, including the primary outcome of daily servings of fruits and vegetables. Other dietary and psychosocial factors related to healthy eating were examined. At postintervention, mothers in the intervention reported increases in daily vegetable servings (p <= .05); however, no changes were observed in fruit consumption. Improvements were observed in behavioral strategies to increase fiber (p <= .001) and to decrease fat intake (p <= .001), unhealthy eating behaviors (p <= .001), and individual (p <= .05) and family-related (p <= .01) perceived barriers to healthy eating. Entertainment education and promotoras engaged families and improved mothers' diets. Further research should examine the dose needed for greater changes." (Abstract)
more
"Entertainment-education for Health Behaviour Change: Issues and Perspectives in Africa is a collection of essays from some of the leading scholars in entertainment-education, including writers from South Africa, Nigeria, and the United States. Chapters cover a wide range of application and strategi
...
es for entertainment-education, from mass media campaigns to participatory communication for behaviour change in health interventions including polio eradication and HIV/AIDS. Through reviews of past programmes and discussions of areas of potential research, these scholars highlight an emerging approach that is set to change health education and behaviour change strategies around the world." (Publisher description)
more
"Vor dem Hintergrund der aktuellen Debatte um die Rolle der Medien für das kindliche Ernährungsverhalten und Übergewicht stellt dieser Band die Entertainment-Education-Strategie als Weg für eine effektive mediale Gesundheitskommunikation in den Mittelpunkt. Untersucht wird, ob in unterhaltende F
...
ernsehgeschichten integrierte Aufklärungsbotschaften das kindliche Ernährungsverhalten und sozialkognitive Dimensionen wie ernährungsbezogenes Wissen oder Selbstwirksamkeit beeinflussen können und welche Rolle dabei das Rezeptionserleben spielt. Die Ergebnisse einer experimentellen Studie mit Grundschulkindern zeigen, dass massenmediale Entertainment-Education-Formate effektiv zur ernährungsbezogenen Gesundheitsförderung beitragen können." (Verlagsbeschreibung)
more
"Promotion of healthy behaviors and prevention of disease are inextricably linked to cultural understandings of health and well-being. Health communication scholarship and practice can substantially and strategically contribute to people living safer, healthier, and happier lives. This book represen
...
ts a concrete step in that direction by establishing a strategic framework for guiding global and local health practices. Taking a multi-disciplinary approach, the volume includes state-of-the-art theories that can be applied to health communication interventions and practical guidelines about how to design, implement, and evaluate effective health communication interventions. Few books have synthesized such a broad range of theories and strategies of health communication that are applicable globally, and also provided clear advice about how to apply such strategies. This volume combines academic research and field experience, guided by past and future research agendas and on-the-ground implementation opportunities." (Publisher description)
more
"This study examines the effectiveness of an entertainment education (EE) programme, Makgabaneng, in reducing the spread of HIV/AIDS in Botswana. If successful, this communication intervention should result in greater self-report of attitudes, actions and knowledge related to risk reduction goals am
...
ong those who listen to Makgabaneng more often than among those who listen less often. This article begins by describing the general orientation of Makgabaneng as EE and its specific theoretical model: the MARCH model of behaviour change. Through a survey of Batswana living in and around the capital of Gabarone, we assess whether Makgabaneng is effective in promoting knowledge, attitudinal and behavioural change. Findings reveal successes in some areas, but lack of success in other areas of prevention-supportive messages. We offer some conclusion for improving this form of EE." (Abstract)
more
"The Gama Cuulu radio serial drama is written and produced in Zambia's Southern Province. It promotes behavior change and service use to prevent HIV transmission. The authors evaluated the effects of Gama Cuulu on intermediate outcomes (e.g., perceived norms), as well as number of sexual partners, c
...
ondom use, and HIV testing in the past year among adults between 18 and 49 years of age. The authors used a pretest/posttest assessment with a comparison group design, with Southern Province as the intervention area and Western Province as the comparison area. Approximately 1,500 in-person interviews were conducted in both provinces in 2006 (pretest), 2007, and 2008. Regression models included terms for province, time, and the interaction of the two. Outcomes improved in both provinces (e.g., by 2008, 37.6% of participants in Southern Province and 28.3% participants in Western Province tested for HIV in the past year). Pretest-to-posttest changes in condom use (from 20.2% to 29.4% in Southern Province) and 5 intermediate outcomes were significantly different in the 2 provinces. However, changes in condom use were not associated with listening to Gama Cuulu and changes in other outcomes were similar in both provinces. Weak intervention effects might be attributable to implementation challenges or the saturation of HIV programs in Zambia." (Abstract)
more
"Entertainment-education interventions frequently include an explicit persuasive appeal, such as an epilogue, at their conclusion. This may help to overcome potential limitations of narrative persuasion by highlighting and clarifying the underlying message. Despite this potential, an explicit persua
...
sive appeal may also undermine the subtle approach that distinguishes narrative persuasion and thereby induce reactance and/or counterarguing. The purpose of this study was to experimentally test these two possible outcomes. In particular, the effect of an explicit persuasive appeal in the context of a dramatic television program about the dangers of drinking and driving was examined. Overall, results revealed that the narrative and explicit persuasive appeal interact to influence drinking-and-driving attitudes. Theoretical and practical implications are discussed." (Abstract)
more