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Related Concept Videos

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Related Experiment Video

Updated: Oct 28, 2025

The Dyspepsia Educational Tool As a Novel Aid in Dyspepsia Management
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Communicating Guideline Recommendations Using Graphic Narrative Versus Text-Based Broadcast Screensavers: Design and

Lauren Sinnenberg1, Craig A Umscheid2,3, Frances S Shofer4,5

  • 1Department of Medicine, Brigham and Women's Hospital, Boston, MA, United States.

JMIR Human Factors
|July 15, 2021
PubMed
Summary

Graphic narrative screensavers effectively communicated guideline recommendations, reducing low-value acid suppressive therapy prescriptions. While both graphic and text screensavers were recalled, graphic narratives improved message retention among clinicians.

Keywords:
clinical workstationeducationgraphic narrativesguideline disseminationguidelineshealth communicationmedical educationmedical informaticsscreensaverworkstation

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Area of Science:

  • Health communication
  • Medical informatics
  • Clinical guideline dissemination

Background:

  • Graphic narratives are increasingly used in health communication.
  • Effectiveness of visual health communication tools requires further investigation.

Purpose of the Study:

  • To design and implement a graphic narrative screensaver (GNS) to convey a guideline against low-value acid suppressive therapy (AST).
  • To compare the effectiveness of GNS versus a text-based screensaver (TBS) on reducing low-value AST prescriptions and improving clinician recall.

Main Methods:

  • A GNS and TBS were deployed on inpatient workstations for two years.
  • Prescription data for AST were analyzed quarterly before, during, and after implementation.
  • Resident physicians were surveyed one year post-intervention to assess recall and message comprehension.

Main Results:

  • Screensavers (both GNS and TBS) were associated with reduced odds of AST prescriptions across medical services (ORs ranging from 0.81 to 0.89, P<.001).
  • Recall rates for GNS and TBS were similar (61% vs 77%, P=.07), but GNS recall led to significantly higher comprehension of the core message (70% vs 2%, P<.001).
  • Observed declines in AST prescriptions may have preceded screensaver implementation and were not significant in surgical services.

Conclusions:

  • Implementing graphic narratives via screensavers is feasible for communicating clinical guidelines.
  • Further research is necessary to fully understand the impact of graphic narratives on clinical practice changes.