Many people find it hard to get regular exercise, follow a healthy diet and take their medications regularly. Even patients with chronic diseases, such as hypertension and diabetes, usually feel well so it’s hard to stay motivated. A study discussed in the Annals of Internal Medicine suggests that listening to the experiences (stories) of other people with hypertension can improve blood pressure control.
Research has shown that listeners may be influenced by a story if they identify themselves with the storyteller and picture themselves taking part in the action. At a clinic in Alabama, DVD’s of patients telling their stories in their own natural voices inspired positive health behavior changes. In contrast to entertainment education and testimonials, this success of this program may be due to homophily (perceived similarity between the character and the patient).
Physicians do not have a monopoly on wisdom: other patients with the same chronic illness can be a valuable resource. Social networks, such as Facebook and Twitter, may have an increasing role in patient education, medication compliance and motivation to stick with a diet and exercise plan. In this particular study, listening to the stories of other patients had a beneficial effect similar to that of increasing medication. More research is sure to follow.
Ann Intern Med. 2011;154:77-84
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