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FIMR Strategic Storytelling Toolkit
This e-toolkit provides an overview of strategic storytelling, storytelling in the FIMR process, considerations for storytelling, sources of stories, examples, and resources.
Fetal Infant Mortality Review (FIMR) de-identified case summaries may include personal experience information from the parent/family interview. Utilizing strategic storytelling can strengthen FIMR's work by providing qualitative information, in addition to the quantitative data and recommendations typically collected.
The Michigan FIMR Network participated in a FIMR Strategic Storytelling Learning Collaborative hosted by the National Center for Fatality Review and Prevention. The learning collaborative provided support and resources by which the Michigan FIMR Network could elevate family voices. This toolkit was created in partnership with the Michigan FIMR Strategic Storytelling Team.
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What is Storytelling
We are all storytellers and storytelling has always been a form of communication. When we hear or see stories, they help us connect, evoke emotions, inspire, and motivate us. Stories honor lived experiences by elevating the voices of families and their experiences.1 Stories also may help address health equity by illustrating how racism manifests as discrimination, implicit bias, and unequal treatment can lead to poor birth outcomes.1 Stories can come in many forms—from someone sharing their story in a video or audio, providing a quote about their experience, providing a vignette, etc. Insights from psychology and cognitive science show that storytelling is the most effective way to help others understand and embrace topics by2:
Understanding Cause-and-Effect Relationships
Seeing Patterns in Important Information
Empathizing with People
Paying Attention
Sources:
- Fournier, R. and Peck, M. (2021, November). FIMR Storytelling Project 2021-2022, Internal Foundations Document for Project Design. National Center for Fatality Review and Prevention. https://ncfrp.org/wp-content/uploads/Foundation-Document-FIMR-Stories-Project.pdf.
- Public Health Reaching Across Sectors (2020, July). Strategic Storytelling for Public Health Messengers A Research-Based Toolkit. https://www.phrases.org/wp-content/uploads/2020/07/Storytelling-Toolkit-Final_.pdf.
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Examples of Storytelling
The following resources are examples of how personal narratives may be used to elevate recommendations and needs in communities:
The Illinois Maternal Health Digital Storytelling Project
Note of Caution: While the videos in the digital storytelling project are powerful and important to view, they could be triggering/emotional for viewers.
Family Stories of Sleep-Related Loss - A Facilitation Guide for Using their Digital Stories
2022 Michigan WIC Breastfeeding Report
Delaware Child Death Review Commission 2021 Annual Report
Michigan Breastfeeding Network (MIBFN) 2021 Annual Report (mibreastfeeding.org)
Michigan Hear Her Maternal Health Stories
Michigan Home Visiting Initiative (michigan.gov)
StoryWork Project | Healthy Start TASC (healthystart-tasc.org)
Giving Birth in America - Every Mother Counts (EMC) | Improving Maternal Health
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Storytelling Considerations
The Individuals/Storytellers
Storytelling provides an opportunity for individuals to share their experiences and to elevate their voice. While storytelling can be therapeutic, storytelling can also bring a multitude of emotions for the storyteller. If an agency is considering storytelling, there are some considerations that should be taken into account for the individual sharing their story:
- Weigh the risks versus benefits
- What are the risks of an individual sharing their story (blame, shame, confidentiality, etc.) vs. what are the benefits of an individual sharing their story (raising awareness, etc.).
- Ensure mental health supports are in place
- There may be a need to have a licensed therapist/social worker available for the participants/storyteller(s) to provide mental health support.
- Allow the storytellers to determine how their stories are shared
- Have the storyteller share how they would like to have their story shared and where they are not comfortable having their story shared.
Organizations/Agencies Sharing Stories
- Determine the readiness for storytelling
- Readiness Assessment Tool: FIMR-Storytelling.READINESS-TENTING-GUIDE.pdf (ncfrp.org)
- Consents and releases
- Agencies/organizations sharing stories may want to review their policies/procedures for securing consents/releases. It may be important for individuals sharing their stories to know that they can rescind their approval to share their story at any time.
- Citing stories
- Stories are first-person experiences
- First-person stories are individual experiences and may not be representative of all experiences.
- Preparing the viewer
- Depending on the nature of the story, it may be important to caution viewers/listeners of potentially triggering content.
Sources of Stories
Stories can be found in a variety of formats including, but not limited to quotes, digital stories, audio recordings, vignettes, etc. Additionally, stories can be found from a variety of sources:
- Publicly Available
- Stories can be found from publicly available sources. For example, news articles, videos, publicly available reports, etc.
Example: https://www.foxnews.com/health/mom-warns-co-sleeping-infants-death
- Data Requests
- Stories in the form of quotes, vignettes, and anecdotes might be obtained through data requests. For example, Michigan Pregnancy Risk Assessment Monitoring System (PRAMS) collects respondent responses to open ended questions and allows the public to request data through a PRAMS Data Request process.
- FIMR Interviews
- Families who have suffered a loss and volunteer to participate in a FIMR interview, may be willing to share de-identified quotes in reports outside of the FIMR Case Review Team (CRT) meetings.
- Contracting with an Agency that does Storytelling
- There are organizations willing to consult with individuals on storytelling. An agency may contract with one of these organizations.
Where to Incorporate Stories
Reports
Presentations
In-person events/community events
Websites
Social media campaigns
- Weigh the risks versus benefits
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Resources to Learn More About Storytelling
Below are resources to continue learning about strategic storytelling.
Storytelling-Toolkit-Final_.pdf (phrases.org)
Introduction to Public Health Digital Storytelling Webinars — STORYCENTER
Tools for FIMR Teams – The National Center for Fatality Review and Prevention (ncfrp.org)
Storytelling and Public Health: The Power of Emotion in Science < Yale School of Public Health
Storytelling for Public Health - Maternal Health Learning and Innovation Center
Learning Brief | MCH Navigator
Raising Community Voices: The Power of Storytelling in Public Health Webinar on Vimeo
StoryCollab - Storytelling Strategy, Workshops and Digital Impact