What influences people's responses to public health messages for managing risks and preventing infectious diseases? A rapid systematic review of the evidence and recommendations.
COVID-19
infection control
public health
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
11 11 2021
11 11 2021
Historique:
entrez:
12
11
2021
pubmed:
13
11
2021
medline:
18
11
2021
Statut:
epublish
Résumé
Individual behaviour changes, such as hand hygiene and physical distancing, are required on a population scale to reduce transmission of infectious diseases such as COVID-19. However, little is known about effective methods of communicating risk reducing information, and how populations might respond. To synthesise evidence relating to what (1) characterises effective public health messages for managing risk and preventing infectious disease and (2) influences people's responses to messages. A rapid systematic review was conducted. Protocol is published on Prospero CRD42020188704. Electronic databases were searched: Ovid Medline, Ovid PsycINFO and Healthevidence.org, and grey literature (PsyarXiv, OSF Preprints) up to May 2020. All study designs that (1) evaluated public health messaging interventions targeted at adults and (2) concerned a communicable disease spread via primary route of transmission of respiratory and/or touch were included. Outcomes included preventative behaviours, perceptions/awareness and intentions. Non-English language papers were excluded. Due to high heterogeneity studies were synthesised narratively focusing on determinants of intentions in the absence of measured adherence/preventative behaviours. Themes were developed independently by two researchers and discussed within team to reach consensus. Recommendations were translated from narrative synthesis to provide evidence-based methods in providing effective messaging. Sixty-eight eligible papers were identified. Characteristics of effective messaging include delivery by credible sources, community engagement, increasing awareness/knowledge, mapping to stage of epidemic/pandemic. To influence intent effectively, public health messages need to be acceptable, increase understanding/perceptions of health threat and perceived susceptibility. There are four key recommendations: (1) engage communities in development of messaging, (2) address uncertainty immediately and with transparency, (3) focus on unifying messages from sources and (4) frame messages aimed at increasing understanding, social responsibility and personal control. Embedding principles of behavioural science into public health messaging is an important step towards more effective health-risk communication during epidemics/pandemics.
Sections du résumé
BACKGROUND
Individual behaviour changes, such as hand hygiene and physical distancing, are required on a population scale to reduce transmission of infectious diseases such as COVID-19. However, little is known about effective methods of communicating risk reducing information, and how populations might respond.
OBJECTIVE
To synthesise evidence relating to what (1) characterises effective public health messages for managing risk and preventing infectious disease and (2) influences people's responses to messages.
DESIGN
A rapid systematic review was conducted. Protocol is published on Prospero CRD42020188704.
DATA SOURCES
Electronic databases were searched: Ovid Medline, Ovid PsycINFO and Healthevidence.org, and grey literature (PsyarXiv, OSF Preprints) up to May 2020.
STUDY SELECTION
All study designs that (1) evaluated public health messaging interventions targeted at adults and (2) concerned a communicable disease spread via primary route of transmission of respiratory and/or touch were included. Outcomes included preventative behaviours, perceptions/awareness and intentions. Non-English language papers were excluded.
SYNTHESIS
Due to high heterogeneity studies were synthesised narratively focusing on determinants of intentions in the absence of measured adherence/preventative behaviours. Themes were developed independently by two researchers and discussed within team to reach consensus. Recommendations were translated from narrative synthesis to provide evidence-based methods in providing effective messaging.
RESULTS
Sixty-eight eligible papers were identified. Characteristics of effective messaging include delivery by credible sources, community engagement, increasing awareness/knowledge, mapping to stage of epidemic/pandemic. To influence intent effectively, public health messages need to be acceptable, increase understanding/perceptions of health threat and perceived susceptibility.
DISCUSSION
There are four key recommendations: (1) engage communities in development of messaging, (2) address uncertainty immediately and with transparency, (3) focus on unifying messages from sources and (4) frame messages aimed at increasing understanding, social responsibility and personal control. Embedding principles of behavioural science into public health messaging is an important step towards more effective health-risk communication during epidemics/pandemics.
Identifiants
pubmed: 34764167
pii: bmjopen-2021-048750
doi: 10.1136/bmjopen-2021-048750
pmc: PMC8587350
doi:
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e048750Informations de copyright
© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Nat Hum Behav. 2021 Jun;5(6):706-715
pubmed: 33911228
Eur J Public Health. 2015 Feb;25(1):135-9
pubmed: 25125575
Annu Rev Psychol. 2001;52:1-26
pubmed: 11148297
Emerg Infect Dis. 2017 Apr;23(4):706-708
pubmed: 28322691
J Eval Clin Pract. 2018 Jun;24(3):459-467
pubmed: 29464873
Health Educ Res. 2011 Oct;26(5):761-9
pubmed: 21613380
Am J Prev Med. 2010 Nov;39(5):395-402
pubmed: 20965376
Public Health Rep. 2014;129 Suppl 4:49-60
pubmed: 25355975
Front Psychol. 2021 Jan 07;11:591638
pubmed: 33542699
Health Promot Int. 2015 Dec;30(4):942-53
pubmed: 24842078
Pathog Glob Health. 2014 Mar;108(2):76-94
pubmed: 24649867
Public Health Rep. 2015 Mar-Apr;130(2):128-33
pubmed: 25729101
Disaster Med Public Health Prep. 2018 Oct;12(5):587-598
pubmed: 28974284
J Bus Contin Emer Plan. 2015-2016 Winter;9(2):149-62
pubmed: 26642172
Infect Dis Poverty. 2020 Apr 7;9(1):34
pubmed: 32264957
Pan Afr Med J. 2019 May 28;33(Suppl 2):4
pubmed: 31402964
Health Commun. 2007;21(1):35-44
pubmed: 17461750
Front Psychol. 2021 Jan 12;11:564434
pubmed: 33510664
Emerg Infect Dis. 2017 Jan;23(1):108-111
pubmed: 27983495
Prev Med. 2018 Jun;111:284-290
pubmed: 29154794
PLoS One. 2010 Oct 12;5(10):e13350
pubmed: 20967280
Health Psychol. 2011 May;30(3):295-9
pubmed: 21553973
Pers Individ Dif. 2021 Feb 15;170:110420
pubmed: 33082614
Influenza Other Respir Viruses. 2013 Sep;7 Suppl 2:114-9
pubmed: 24034495
Health Educ Res. 2016 Feb;31(1):12-23
pubmed: 26612051
BMC Infect Dis. 2011 Jan 04;11:2
pubmed: 21199583
J Psychol. 1975 Sep;91(1):93-114
pubmed: 28136248
Health Commun. 2019 Apr;34(4):437-455
pubmed: 29558199
J Formos Med Assoc. 2013 Oct;112(10):600-7
pubmed: 24120151
Sci Rep. 2021 Oct 12;11(1):20222
pubmed: 34642341
Vaccines (Basel). 2021 Jan 20;9(2):
pubmed: 33498395
BMC Public Health. 2011 Jul 19;11:575
pubmed: 21771296
Patient Educ Couns. 2011 Dec;85(3):413-8
pubmed: 21295434
Health Promot Int. 2016 Mar;31(1):124-32
pubmed: 25204452
Public Health Res Pract. 2017 Jan 15;27(1):
pubmed: 28243675
Soc Sci Med. 2018 Mar;200:166-173
pubmed: 29421463
Health Educ Res. 2008 Jun;23(3):467-76
pubmed: 18218615
Ann Acad Med Singap. 2006 May;35(5):361-7
pubmed: 16830005
Emerg Infect Dis. 2004 Feb;10(2):358-63
pubmed: 15030713
Western Pac Surveill Response J. 2016 Jul 11;7(3):21-28
pubmed: 27757257
Emerg Infect Dis. 2018 Feb;24(2):336-344
pubmed: 29350151
JMIR Public Health Surveill. 2020 Apr 1;6(2):e18717
pubmed: 32217507
J Public Health Manag Pract. 2011 Jan-Feb;17(1):52-8
pubmed: 21135661
BMC Med Res Methodol. 2007 Feb 15;7:10
pubmed: 17302989
Am J Public Health. 2009 Oct;99 Suppl 2:S324-32
pubmed: 19797744
BMC Public Health. 2014 May 21;14:484
pubmed: 24884634
Euro Surveill. 2020 Apr;25(13):
pubmed: 32265008
Am J Health Behav. 2014 May;38(3):448-64
pubmed: 25181765
Health Commun. 2012;27(2):111-23
pubmed: 21843098
BMC Infect Dis. 2011 Sep 30;11:257
pubmed: 21958428
Health Expect. 2009 Sep;12(3):331-42
pubmed: 19754694
Public Health. 2015 Sep;129(9):1273-7
pubmed: 26285825
Implement Sci. 2011 Apr 23;6:42
pubmed: 21513547
Public Adm Rev. 2020 May 19;:
pubmed: 32836438
BMC Public Health. 2016 Aug 24;16(1):858
pubmed: 27552983
BMC Public Health. 2012 Mar 19;12:205
pubmed: 22429559
BMC Res Notes. 2012 Jul 26;5:377
pubmed: 22830499
J Health Commun. 2017 Nov;22(11):913-922
pubmed: 29125394
BMC Public Health. 2014 Jun 28;14:665
pubmed: 24973943
J Med Internet Res. 2011 Dec 09;13(4):e107
pubmed: 22155673
BMC Public Health. 2015 Apr 29;15:436
pubmed: 25926035