4.2 Article

A healthy liver will always deliver: development of a NAFLD awareness comic

Journal

HEALTH PROMOTION INTERNATIONAL
Volume 37, Issue 6, Pages -

Publisher

OXFORD UNIV PRESS
DOI: 10.1093/heapro/daac165

Keywords

non-alcoholic fatty liver disease; health communication; comics; participatory research; public health

Funding

  1. FOIE GRAS project - European Union's Horizon 2020, Research and Innovation programme under the Marie Sklodowska-Curie Grant [722619]
  2. European Regional Development Fund (ERDF), through the COMPETE 2020-Operational Programme for Competitiveness and Internationalization
  3. Portuguese national funds via FCT-Fundacao para a Ciencia e a Tecnologia [UID/NEU/04539/2019]
  4. Portuguese national funds via FCT-Fundacao para a Ciencia e a Tecnologia through Centro 2020 Regional Operational Programme [CENTRO-01-0145-FEDER-000012-HealthyAging 2020]

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Comics are used as an effective tool in this project to raise awareness about non-alcoholic fatty liver disease (NAFLD) and promote healthy lifestyles. The design and content of the comic are informed by a study conducted with type 2 diabetes patients. Comics are considered valuable in promoting behavior change and encouraging positive beliefs, attitudes, and intentions towards the disease.
Comics can be an effective tool to communicate health information and appeal to behavior change. The aim of this project, undertaken by a multidisciplinary team, was to develop a comic to raise awareness about non-alcoholic fatty liver disease (NAFLD) and promote healthy lifestyles regarding dietary practices and regular physical activity patterns. We focused on the ability of comics in portraying abstract concepts to articulate NAFLD biomedical knowledge and use it as an encouragement/empowerment strategy towards disease-related beliefs, attitudes, intentions and behaviors. Formative research by means of a NAFLD awareness study with T2DM patients informed the selection of biomedical content and the design of characters and storylines on which the former was embedded. Mindful of graphic narrative and storytelling as a valuable tool in the domains of health promotion, disease prevention and therapeutic adherence, this work discusses the decisions that were taken for the materialization of the comic 'A healthy liver will always deliver!'.

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