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Journal of Medical & Clinical Nursing

Maggots on BBC Casualty: Evaluating the impact of a Television storyline on awareness and public perceptions of Maggot Therapy

Author(s): Yamni Nigam* Tom Hewes,  Chloe Lanceley and Ioan Humphreys

Maggot Therapy is an established, effective treatment for chronic infected wounds. Despite its worldwide success, it suffers from poor public regard and acceptance. In 2019, the primetime BBC Medical Drama, Casualty, decided to run a Maggot Therapy storyline over four episodes of its recent series (series 33). Our study focusses on an evaluation of the impact of this storyline on changes in public awareness and acceptability of Maggot Therapy. The evaluation comprised an online questionnaire (administered through an independent private research company). Our results showed that exposure to the BBC Casualty maggot storyline was associated with a significant increased awareness of Maggot Therapy. Additionally, this resulted in a more positive perception and general acceptability of the treatment, and a decrease in negative responses towards it. Post-wave participants were also more likely to find Maggot Therapy acceptable for their own wound. Our findings suggest that television storylines and narratives are a useful route to raise awareness, inform and educate viewers about important health-related issues. Our study supports the notion that for effective treatments like Maggot Therapy, which often evoke feelings of disgust and reluctance, the persuasive effects of entertainment education could help to transform perception and acceptability.

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