Original Article(s)

Storytelling and creative writing for enhancement of empathy and well-being in health professionals: the “Verba Curant” study, a randomized trial

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Published: 19 December 2025
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Background: storytelling and creative writing can improve empathy and well-being. Few randomized controlled trials have been carried out so far in health care settings, generally with small sample sizes. Materials and Methods: in this study 175 health professionals working in a large general hospital were randomized into two groups: group 1 received theoretical narrative medicine education with 4 hours of distance education, while group 2 received the same theoretical narrative medicine education and a practice course of storytelling and creative writing with 8 hours of distance education in small groups. The empathic ability and psychological well-being were measured immediately before the start and at the end of the education program with the Jefferson scale and Psychological General Well-Being-Short form test (PGWB-S). Results: participants in group 2 showed a significant improvement of the mean PGWB-S index at variance with group 1. Two-way ANOVA showed a between-groups time per treatment difference with p=0.039. Empathy improved in both groups with a statistically significant change. No significant difference was found in between-groups comparison in the degree of improvement (p=0.25). Conclusions: storytelling and creative writing education that combines theory with practice is an effective strategy for improving health professionals' psychological well-being and empathic ability.

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1. Derksen F, Bensing J, Lagro-Janssen A. Effectiveness of empathy in general practice: a systematic review. British Journal of General Practice 2013;63:e76-84.
2. Keen S. A theory of narrative empathy. 2006. Available from: https://english.as.uky.edu/sites/default/files/zunshineTheory%20of%20Narrative%20Empathy.pdf
3. Leske S, Strodl E, Hou X-Y. Patient–practitioner relationships desired by overweight/obese adults. Patient Education and Counseling 2012;89:309-15.
4. Blatt B, LeLacheur SF, Galinsky AD, et al. Does perspective-taking increase patient satisfaction in medical encounters? Academic Medicine 2010;85:1445-52.
5. Suchman AL, Markakis K, Beckman HB, et al. A model of empathic communication in the medical interview. JAMA 1997;277:678-82.
6. Hatem D, Ferrara E. Becoming a doctor: Fostering humane caregivers through creative writing. Patient Education and Counseling 2001;45:13-22.
7. DasGupta S, Charon R. Personal illness narratives: Using reflective writing to teach empathy. Academic Medicine 2004;79:351-6.
8. Batt-Rawden SA, Chisolm MS, Anton B, et al. Teaching empathy to medical students: An updated, systematic review. Academic Medicine 2013;88:1171-7.
9. Wear D, Zarconi J, Garden R, et al. Reflection in/and writing: pedagogy and practice in medical education. Academic Medicine 2012;87:603-9.
10. Kerr L. More than words: applying the discipline of literary creative writing to the practice of reflective writing in health care education. Journal of Medical Humanities 2010;31:295-301.
11. Cowen VS, Kaufman D, Schoenherr L. A review of creative and expressive writing as a pedagogical tool in medical education. Medical Education 2016;50:311-9.
12. Charon R, Hermann N, Devlin MJ. Close reading and creative writing in clinical education: Teaching attention, representation, and affiliation. Academic Medicine 2016;91:345.
13. George DR, Stuckey HL, Whitehead MM. How a creative storytelling intervention can improve medical student attitude towards persons with dementia: a mixed methods study. Dementia 2014;13:318-29.
14. Benner P, Sutphen M, Leonard V, et al. Educating nurses: a call for radical transformation – how far have we come? J Nurs Educ 2012;51:183-4.
15. Striano M. Reconstructing narrative: a new paradigm for narrative research and practice. Narrative Inquiry 2012;22:147-54.
16. Dupuy HJ. The Psychological general Well-Being (PGWB) Index. In: N. Wenger (ed.), “Assessment of quality of life in clinical trials of cardiovascular therapies”. Le Jacq.; New York, USA; 1984. p.170-83.
17. Grossi E, Groth N, Mosconi P, et al. Development and validation of the short version of the Psychological General Well-Being Index (PGWB-S). Health Qual Life Outcomes 2006;4:88.
18. Manzoli L, Louis DZ, Gonnella JS, et al. Health care financing reforms in Italy: projects of Jefferson's Center for Research in Medical Education and Health Care. Population Health Matters (Formerly Health Policy Newsletter) 2001;14:4.
19. Grossi E, Sacco PL, Blessi GT, et al. The impact of culture on the individual subjective well-being of the Italian population: an exploratory study. Applied Research in Quality of Life 2011;4:387-410.
20. Buscema M, Grossi E. The semantic connectivity map: An adapting self-organising knowledge discovery method in data bases. Experience in gastro-oesophageal reflux disease. International Journal of Data Mining and Bioinformatics 2008;2,362-404.
21. Kruskal JB. On the shortest spanning subtree of a graph and the traveling salesman problem. Proceedings of the American Mathematical Society 1956;7:48-50.
22. Mojtahedzadeh R, Mohammadi A, Emami AH, et al. How digital storytelling applied in health profession education: a systematized review. J Adv Med Educ Prof 2021;9:63-78.
23. MH Chen A, Kiersma ME, S Yehle K, et al. Impact of the Geriatric Medication Game® on nursing students' empathy and attitudes toward older adults. Nurse Educ Today 2015;35:38-43.
24. Dickinson PE, Schwarzmueller A, Martin B. An empirical assessment of an activity to teach sensory change in aging. Teaching of Psychology 2014;41:242-5.
25. Parke B, Hunter KF. The care of older adults in hospital: if it's common sense why isn't it common practice? J Clin Nurs 2014;23:1573-82.
26. Robieux L, Karsenti L, Pocard M, et al. Let's talk about empathy! Patient Educ Couns 2018;101:59-66.
27. Hafskjold L, Sundler AJ, Holmström IK, et al. A cross-sectional study on person-centred communication in the care of older people: the COMHOME study protocol. BMJ Open. 2015;5:e007864.
28. Kanagasabai P, Ormandy J, Filoche S, et al. Can storytelling of women's lived experience enhance empathy in medical students? A pilot intervention study. Med Teach 2024;46:219-24.
29. Roberts ML, Kaur T. effect of storytelling and empathy training to support affective learning in undergraduate nursing students. Nurse Educ 2023;48:260-4.
30. Kagawa Y, Ishikawa H, Son D, et al. Using patient storytelling to improve medical students' empathy in Japan: a pre-post study. BMC Med Educ 2023;23:67.
31. Boshra M, Lee A, Kim I, et al. When patients teach students empathy: a systematic review of interventions for promoting medical student empathy. Can Med Educ J 2022;13:46-56.
32. Fernández-Gutiérrez M, Bas-Sarmiento P, Del Pino-Chinchilla H, et al. Effectiveness of a multimodal intervention and the simulation flow to improve empathy and attitudes towards older adults in nursing students: a crossover randomised controlled trial. Nurse Educ Pract 2022;64:103430.
33. Levinson W, Born K, Wolfson D. Choosing wisely campaigns: a work in progress. JAMA 2018;319:1975-6.

Supporting Agencies

Compagnia di San Paolo

How to Cite



Storytelling and creative writing for enhancement of empathy and well-being in health professionals: the “Verba Curant” study, a randomized trial. (2025). Working Paper of Public Health, 13. https://doi.org/10.4081/wpph.2025.10531