{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T12:15:10Z","timestamp":1768479310259,"version":"3.49.0"},"reference-count":62,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Belmiro de Azevedo Foundation"},{"name":"la Caixa Foundation"},{"DOI":"10.13039\/501100000348","name":"Calouste Gulbenkian Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000348","id-type":"DOI","asserted-by":"publisher"}]},{"name":"FCT\/Portuguese Foundation for Science and Technology","award":["CEECIND\/00506\/2018"],"award-info":[{"award-number":["CEECIND\/00506\/2018"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Cancer is one of the most important societal challenges in the world, with over 23 million new cases\/year and 10 million deaths\/year, that will only be properly tackled with a stronger focus on prevention. This calls for an informed population, aware of risk factors and willing to adopt preventive behaviors and early cancer screenings. For that purpose, 2\u2019 Life-changing minutes was created, the first ever televised Entertainment-Education series on cancer prevention. This study aims to evaluate the impact of 2\u2019 Life-changing minutes, a novel E-E format for cancer prevention, on knowledge gains and behavior changes. Two complementary studies were performed involving a total of 1314 participants: a test-screening (TS) study targeting potential viewers of the series, and a natural-screening (NS) study targeting those that spontaneously watched the series on television. We found (i) very high levels of appreciation and narrative engagement, and also willingness to see more episodes; (ii) statistically significant knowledge gains, ranging from 17% to 44%, on all four topics tested; (iii) evidence of effective behavior change. Regression analysis showed that narrative engagement was the best predictor of behavior change [NS: odds ratio (OR)\u2005=\u20053.38, 95% confidence interval (CI)\u2005=\u20051.70\u20136.74, p\u2005=\u20050.001; TS: OR\u2005=\u20052.05, 95% CI\u2005=\u20051.13\u20130.371, p\u2005=\u20050.018]. This study demonstrates the series\u2019 real impact and serves as a proof-of-concept for a novel strategy of cancer prevention that is based around compelling health narratives, rather than information or data, to engage viewers, increase knowledge and induce behavior change.<\/jats:p>","DOI":"10.1093\/heapro\/daae102","type":"journal-article","created":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T09:36:42Z","timestamp":1724405802000},"source":"Crossref","is-referenced-by-count":1,"title":["<i>2\u2019 Life-changing minutes<\/i>: impact evaluation of a novel health promotion format on cancer prevention"],"prefix":"10.1093","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5829-7367","authenticated-orcid":false,"given":"Nuno","family":"Ribeiro","sequence":"first","affiliation":[{"name":"Ipatimup \u2013 Instituto de Patologia e Imunologia Molecular da Universidade do Porto , Rua J\u00falio Amaral de Carvalho 45, Porto, 4200-135 , Portugal"},{"name":"i3S \u2013 Instituto de Investiga\u00e7\u00e3o e Inova\u00e7\u00e3o em Sa\u00fade, Universidade do Porto , Rua Alfredo Allen 208, Porto, 4200-135 , Portugal"}]},{"given":"Lu\u00eds","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Ipatimup \u2013 Instituto de Patologia e Imunologia Molecular da Universidade do Porto , Rua J\u00falio Amaral de Carvalho 45, Porto, 4200-135 , Portugal"},{"name":"i3S \u2013 Instituto de Investiga\u00e7\u00e3o e Inova\u00e7\u00e3o em Sa\u00fade, Universidade do Porto , Rua Alfredo Allen 208, Porto, 4200-135 , Portugal"}]},{"given":"Pedro","family":"Oliveira","sequence":"additional","affiliation":[{"name":"EPIUnit, Institute of Biomedical Sciences Abel Salazar, University of Porto , Rua Jorge de Viterbo Ferreira 228, Porto, 4050-313 , Portugal"}]},{"given":"Nuno T","family":"Marcos","sequence":"additional","affiliation":[{"name":"Ipatimup \u2013 Instituto de Patologia e Imunologia Molecular da Universidade do Porto , Rua J\u00falio Amaral de Carvalho 45, Porto, 4200-135 , Portugal"},{"name":"i3S \u2013 Instituto de Investiga\u00e7\u00e3o e Inova\u00e7\u00e3o em Sa\u00fade, Universidade do Porto , Rua Alfredo Allen 208, Porto, 4200-135 , Portugal"}]}],"member":"286","published-online":{"date-parts":[[2024,8,23]]},"reference":[{"key":"2024082306471389900_CIT0001","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1002\/jgc4.1345","article-title":"The impact of a cascade testing video on recipients\u2019 knowledge, cognitive message processing, and affective reactions: a formative evaluation","volume":"30","author":"Aeilts","year":"2021","journal-title":"Journal of Genetic Counseling"},{"key":"2024082306471389900_CIT0002","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1007\/s10389-020-01197-z","article-title":"Breast cancer knowledge, attitude and practice among medical and non-medical university students","volume":"29","author":"Anwar","year":"2020","journal-title":"Journal of Public Health (Germany)"},{"key":"2024082306471389900_CIT0003","article-title":"The association between adherence to cancer screening programs and health literacy: a systematic review and meta-analysis","volume-title":"Preventive Medicine","author":"Baccolini","year":"2022"},{"key":"2024082306471389900_CIT0004","first-page":"75","article-title":"Social cognitive theory for personal and social change by enabling media","volume-title":"Entertainment-Education and Social Change: History, Research, and Practice","author":"Bandura","year":"2004"},{"key":"2024082306471389900_CIT0005","doi-asserted-by":"crossref","first-page":"1482","DOI":"10.1016\/j.pec.2016.06.024","article-title":"Can stories influence African-American patients\u2019 intentions to change hypertension management behaviors? 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