"You're more engaged when you're listening to somebody tell their story": A qualitative exploration into the mechanisms of the podcast 'menopause: unmuted' for communicating health information.

OBJECTIVE: While health podcasts can be effective in reducing stigma and increasing knowledge, we know little about their mechanisms of action. This qualitative study explored the mechanisms of how women connected with the podcast 'menopause: unmuted', which presented menopause information in a storytelling format. METHODS: A diverse sample of 30 women aged 40-60 years were interviewed after listening to the podcast. Interviews covered participant's views and perceptions of the stories presented. Transcripts were analyzed thematically. FINDINGS: Two overarching themes were identified. 'Openness and authenticity' describes the value of personal stories told in an authentic way by real experts-by-experience. 'Relatability and representation' explores participants' emotional reaction to the podcast, influenced by the extent to which they identified with the stories and storytellers on the podcast. CONCLUSIONS: Authenticity and relatability were identified as key mechanisms through which participants connected with audio stories, consistent with Fisher's narrative theory. These findings have important implications for the application of storytelling in podcasts designed to influence health behaviors. PRACTICE IMPLICATIONS: Diverse stories representing a range of demographic characteristics and experiences are needed when creating podcasts about health information to increase listener's relatability and connection.

Effect of membrane filtration on the fate of polychlorinated biphenyls in wastewater treatment.

The Spokane River is impacted by levels of polychlorinated biphenyls (PCBs) that have triggered fish consumption advisories and exceed water quality standards. Select wastewater treatment plants (WWTPs) on the river have been upgraded from secondary (biological) treatment to tertiary treatment in the form of membrane filtration to address phosphorus contamination. Because membrane filtration is effective at removing particles, it is likely to reduce PCB concentrations in the effluent as well. In this work, PCBs measured in the influents and effluent of several WWTPs discharging to the river were examined. Implementation of membrane filtration reduced PCB concentrations in the effluent (and therefore PCB loads to the river) by 33% at a facility that produces recycled and virgin paper and by ∼55% at municipal WWTPs, compared to secondary (activated sludge) treatment. Largest reductions in concentrations in effluent and loads were achieved for higher molecular weight (MW) PCB congeners (i.e. those with six or more chlorines), homologs, and formulations. The more modest reductions in effluent concentrations achieved at the paper WWTP may be due to the mix of PCBs in the wastewater there: it contained primarily the low MW Aroclor 1242 (presumably from carbonless copy paper) and PCB 11 (3,3'-dichlorobiphenyl) possibly from pigments. PCBs that appear to be associated with silicone products such as caulk, tubing, and o-rings are relatively more abundant in the effluent of some plants compared to the influent, suggesting that these congeners arise from contamination during sampling or from within the plant itself. At some WWTPs, this contamination accounts for nearly a third of PCBs measured in the effluent.