Drawing Connections: Medical Comics and the Patient-Provider Relationship - Add medical comics to your communication toolbox
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Drawing Connections: Medical Comics
and the Patient-Provider Relationship
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Add medical comics to your communication toolbox
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Agenda • Introduction • What is graphic medicine? • What makes graphic medicine a good communication tool? • How effective is graphic medicine? • How do health care facilities use graphic medicine? • How do we reach patients through graphic medicine? • Activity: Create your own communication piece • Q&A session
What is graphic medicine? • Graphic medicine is the use of comics in medical education and patient care • Dr. Ian Williams coined the term “graphic medicine” • You might also hear the term “graphic pathographies,” which are illness narratives in a graphic medium
GraphicMedicine.org Spanish sister site: https://medicinagrafica.com/
Topics and format
By: Brian Fies By: MK Czerwiec
Topic: Cancer Topic: HIV/AIDS
Format: Web comic, Graphic novel Format: Memoir
By: Massachusetts General
Hospital
Topic: Diabetes
Format: Educational comic
Topics and format (cont.)
By: Alex Thomas By: Seattle & King County Public
Topic: Asthma Health Offices
Format: Educational comic By: John Swogger and Topic: Flu
Kirsti Evans Format: Comic book
Topic: Autism
Format: Graphic novel
What makes graphic medicine a good
communication tool?
Brosh, Allie. “Boyfriend Doesn’t Have Ebola. Probably.” Hyperbole and a Half, 10 Feb., 2010,
http://hyperboleandahalf.blogspot.com/2010/02/boyfriend-doesnt-have-ebola-probably.htm
What makes graphic medicine a good communication tool? • Group activity • Each table will get a graphic medicine piece • Discuss the pros and cons of the piece in your group • What works? What doesn’t? • We will come together to discuss as a class afterwards
Common themes/observations
Class discussion
Group 1
Seattle & King County Public Health. Stay Safe in the
Heat.
https://www.kingcounty.gov/depts/health/emergen
cy-preparedness/preparing-
yourself/~/media/depts/health/emergency-
preparedness/documents/stay-safe-in-the-heat-
EN.ashxGroup 2
Chang VP, Mitchell B. Annals Graphic Medicine - Draw
the Line. Ann Intern Med. 2017;166:W57–W63. doi:
10.7326/G16-0028.
https://annals.org/aim/fullarticle/2629543/annals-
graphic-medicine-draw-lineGroup 3
Farris GE. Annals Graphic Medicine - Dr. Mom: Infection
Control. Ann Intern Med. 2019;171:W27–W28. doi:
10.7326/G19-0048. https://annals.org/aim/article-
abstract/2749385/annals-graphic-medicine-dr-mom-
infection-controlTerminology
• Balloons: word, non-verbal, sound, thought
• Borders
• Gutters
• Panel: size, number, shape
• Visual symbols
*Book suggestion: Understanding Comics by Scott McCloud (CLIO link)How effective is graphic medicine? hypothyroidism how hyperthyroidism works Seluk, Nick. “Hypothyroidism” the Awkward Yeti, 8 Dec., 2014, http://theawkwardyeti.com/comic/hypothyroidism/ Seluk, Nick. “How Hyperthyroidism Works” the Awkward Yeti, 4 Dec., 2014, http://theawkwardyeti.com/comic/hyperthyroidism-works/
How effective is graphic medicine?
• Additional journal articles handout
• QxMD collection- Medical Comics
https://library.cumc.columbia.edu/read-qxmd-app-one-tap-away-pdfsStudy 1
• Developing a Motion Comic for HIV/STD Prevention for Young People
Ages 15–24
• Used a motion comic to discuss HIV/STD-related knowledge, attitudes, beliefs,
and behavioral intentions (KABI)
• Found that the intervention improved HIV/STD-related KABI
• Reduced HIV stigma, while increasing HIV knowledge and behavioral
intentions to practice safe sex
Willis, L. A., Kachur, R., Castellanos, T. J., Nichols, K., & Mendoza, M. C. B. (03/2018). Developing a motion comic for HIV/STD prevention for young people ages 15-24,
part 2: Evaluation of a pilot intervention. doi:10.1080/10410236.2016.1255841Study 2
• Comic strips help children understand medical research: targeting the
informed consent procedure to children's needs.
• Used a comic strip to explain medical research basics, the goal of the
research, and the ability to withdraw
• Helped the children understand the research process and informed consent
Grootens-Wiegers, P., de Vries, M. C., van Beusekom, M. M., & van Dijck, L. (2015). Comic strips help children understand medical research. targeting the informed
consent procedure to children's needs Elsevier. doi:10.1016/j.pec.2014.12.005Study 3
• Streetwize UK: a controlled trial of an AIDS education comic
• Used an educational comic to discuss AIDS-related knowledge, attitudes, and
behavioral intentions to 14 year olds
• The experimental group had higher levels of knowledge after the comic
intervention
• They learned about HIV transmission and condom use to reduce risk
• The comic significantly impacted attitudes and beliefs, but had minimal effect on
behavioral intentions
Pamela A.Gillies, Ann Stork, Mandy Bretman, Streetwize UK: a controlled trial of an AIDS education comic, Health Education Research, Volume 5, Issue 1, March 1990,
Pages 27–33, https://doi.org/10.1093/her/5.1.27Benefits of graphic medicine • Populations: young people or non-native speakers • Topics: dense, heavy, or complicated • Emotions: anxiety, empathy, etc.
Translations https://www.kingcounty.gov/depts/health/emergency-preparedness/preparing-yourself/pandemic-flu/comic.aspx
How do we reach patients through graphic
medicine?
• Solo vs. collaboration
• Different types of media
• Cartoons, comics, web comics, zines, graphic novels, brochures, telenovelas,
etc.Different types of media • Social media campaign • Fotonovela Mental Health America Rural Women’s Health Project https://www.mhanational.org/mentalillnessfeelslike https://www.rwhp.org/fotonovela.html
Different types of media
• Zine • Hospital comic
Massachussets General Hospital
https://www.etsy.com/listing/652547282/a-friendly-guide-to- https://www.massgeneral.org/diabetes/assets/pdfs/20161026
a-carefree?ref=shop_home_active_11 _DSME-Insulin_Comic.pdfCreate your own communication piece • Let’s pick a broad topic to base our comics on • Feel free to use any of the available templates, stickers, and/or writing utensils • Feeling stuck? Let me know!
Discussion of communication pieces • Would anyone like to share? • This is completely optional • What are some of the different ways we addressed similar topics, emotions, concerns, etc.?
Q&A Session
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