Digital storytelling boosts knowledge and behavioral expectation to reduce dietary sodium: a randomized controlled trial - Scorecard - MDSpire

Digital storytelling boosts knowledge and behavioral expectation to reduce dietary sodium: a randomized controlled trial

  • By

  • Maya Adam

  • Julia K. Rohr

  • Merlin Greuel

  • Van Kinh Nguyen

  • Mirna Abd El Aziz

  • Charlotte Überreiter

  • Oliver Coles

  • Till Bärnighausen

  • Alexander Supady

  • January 9, 2026

  • 0 min

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Clinical Scorecard: Enhancing Knowledge and Behavioral Intentions to Lower Dietary Sodium Through Digital Storytelling: Results from a Randomized Controlled Trial

At a Glance

CategoryDetail
ConditionExcessive dietary sodium intake contributing to cardiovascular diseases
Key MechanismsShort animated storytelling (SAS) videos to increase knowledge and behavioral intentions to reduce sodium intake
Target PopulationGeneral adult population with varied demographics including low health literacy and educational attainment
Care SettingPublic health and community settings via digital platforms and social media

Key Highlights

  • Cardiovascular diseases remain a leading cause of morbidity and mortality globally, with high sodium intake as a major modifiable risk factor.
  • Processed foods contribute approximately 70% of daily sodium intake in typical diets, yet public awareness of this is low.
  • Short animated storytelling videos delivered via social media can effectively increase knowledge and behavioral intentions to reduce sodium intake.

Guideline-Based Recommendations

Diagnosis

  • Assess dietary sodium intake and awareness of sodium sources in patient populations.

Management

  • Implement scalable digital health interventions such as short animated storytelling videos to educate about sodium reduction.
  • Promote public health communication initiatives targeting sodium intake reduction, especially via social media platforms.

Monitoring & Follow-up

  • Evaluate knowledge acquisition and behavioral intentions related to sodium intake at immediate and medium-term follow-ups.

Risks

  • High sodium intake increases risk of hypertension and cardiovascular diseases.
  • Lack of public awareness and declining consumer education programs may impede sodium reduction efforts.

Patient & Prescribing Data

Adults across diverse demographic groups including varying education and income levels

SAS videos increased knowledge and behavioral intentions to reduce sodium intake in both short- and medium-term follow-ups, with high voluntary engagement.

Clinical Best Practices

  • Incorporate easy-to-understand, engaging digital storytelling methods to disseminate preventive health messages on sodium intake.
  • Target public health messaging to reach populations with low health literacy and limited access to healthcare.
  • Use attention checks and follow-up assessments to ensure data quality and measure intervention impact.
  • Leverage social media platforms for rapid and scalable dissemination of sodium reduction education.

References

Original Source(s)

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