Yes, it helps, but the significance depends on how hot it is, how much natural chimney effect your refrigerator already has, etc. For me, fans kept my refrigerator in the middle to high 30's even when it was 90 outside.
I have five computer fans attached with nylon ties to the inside of the access door on the outside of the coach. I powered these fans from the 12 volt source that had been prewired in for the control panel. I also have one larger computer fan inside the refrigerator, with power coming from the switch to the light.
I understand many newer rigs have two larger fans near the top of the frig near the top vent, controlled by a thermostat and some are powered by solar panels. From an engineering standpoint, exhausting hot air is more efficient than blowing cold air in like my system does, so installing two fans at the top is preferred. I installed mine at the bottom since it was easier and it works.
No, I don't have pictures. It isn't all that hard to figure out how to do it anyway.