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The narrative immersion model (NIM) suggests that certain structural elements can increase narrative immersion. Notably, these structural elements are often found in naturally occurring diagnostic narratives (i.e., stories focused on diagnoses). Across two studies, the current research tested four NIM\u2010supported structural elements in the melanoma context. Study 1 (<jats:italic>N<\/jats:italic>\u00a0=\u00a0455) tested the effects of point of view, inclusion of a prologue, and explicit time orientation in a melanoma <jats:italic>survivor<\/jats:italic> narrative. Sunscreen intention was highest for a first\u2010person story with a prologue, followed by a third\u2010person story without a prologue. Study 2 (<jats:italic>N<\/jats:italic>\u00a0=\u00a0592) added nuance by comparing the effects of point of view and prologue for a survivor versus a death outcome. The finding from Study 1 was replicated for the <jats:italic>survivor<\/jats:italic> outcome, but the opposite pattern\u2014third\u2010person with a prologue and first\u2010person without a prologue\u2014produced the greatest sunscreen intention with a <jats:italic>death<\/jats:italic> outcome. Identification was the mechanism of effect for Study 1; believability was the mechanism of effect for Study 2. Findings contribute greater nuance to research and theorizing about first\u2010person voice, demonstrating that effectiveness is dependent on other story elements. Practically, the current research also highlights the importance of carefully considering how narrative health and risk messaging is constructed.<\/jats:p>","DOI":"10.1111\/risa.70063","type":"journal-article","created":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T22:06:17Z","timestamp":1750889177000},"page":"2895-2907","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The importance of structural elements in narrative persuasion: Using the narrative immersion model to promote melanoma prevention"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4355-0929","authenticated-orcid":false,"given":"Helen M.","family":"Lillie","sequence":"first","affiliation":[{"name":"Department of Communication Studies University of Iowa Iowa City Iowa USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6959-7090","authenticated-orcid":false,"given":"Jakob D.","family":"Jensen","sequence":"additional","affiliation":[{"name":"Department of Communication University of Utah Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melinda","family":"Krakow","sequence":"additional","affiliation":[{"name":"John D. 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