A review of strategies and levels of community engagement in strengths-based and needs-based health communication interventions.
community engagement
conflict strategies
consensus strategies
global health
health communication
needs-based approaches
strengths-based approaches
Journal
Frontiers in public health
ISSN: 2296-2565
Titre abrégé: Front Public Health
Pays: Switzerland
ID NLM: 101616579
Informations de publication
Date de publication:
2024
2024
Historique:
received:
01
06
2023
accepted:
14
03
2024
medline:
24
4
2024
pubmed:
24
4
2024
entrez:
24
4
2024
Statut:
epublish
Résumé
Community engagement is key in health communication interventions that seek to incorporate community voices in their planning and implementation. Understanding what approaches and strategies are currently being used can help tailor programs in different social and cultural contexts. This review explores needs-based and strengths-based approaches and consensus and conflict strategies in community-based global health communications programs. Our objective is to examine the current state of the field, outline lessons learned, and identify gaps in existing programming to help guide future interventions. PubMed and Web of Science were searched for articles published between 2010 and 2023. Studies were included if they described a community-based health communication intervention and an ongoing or completed implementation. Interventions were coded then categorized according to their level of community engagement and as single, hybrid, or complex, depending upon the number of approaches and strategies used. The search yielded 678 results and 42 were included in the final review and analysis. A vast majority 34 (81.0%) interventions utilized a needs-based approach and 24 (57.1%) utilized a strengths-based approach. Consensus as a strategy was utilized in 38 (90.5%) of the manuscripts and 9 (21.4%) implemented a conflict strategy. Interventions that combined approaches and strategies were more likely to leverage a higher level of community engagement. These results showcase the complicated nature of global health communication program planning and implementation. There is a lack of interventions that use conflict as a strategy to empower communities to act on their own behalf, even when at odds with existing power structures. Complex interventions that include all approaches and strategies demonstrate the potential for global health communication interventions to be at the cutting edge of public health practice.
Sections du résumé
Background
Community engagement is key in health communication interventions that seek to incorporate community voices in their planning and implementation. Understanding what approaches and strategies are currently being used can help tailor programs in different social and cultural contexts. This review explores needs-based and strengths-based approaches and consensus and conflict strategies in community-based global health communications programs. Our objective is to examine the current state of the field, outline lessons learned, and identify gaps in existing programming to help guide future interventions.
Methods
PubMed and Web of Science were searched for articles published between 2010 and 2023. Studies were included if they described a community-based health communication intervention and an ongoing or completed implementation. Interventions were coded then categorized according to their level of community engagement and as single, hybrid, or complex, depending upon the number of approaches and strategies used.
Results
The search yielded 678 results and 42 were included in the final review and analysis. A vast majority 34 (81.0%) interventions utilized a needs-based approach and 24 (57.1%) utilized a strengths-based approach. Consensus as a strategy was utilized in 38 (90.5%) of the manuscripts and 9 (21.4%) implemented a conflict strategy. Interventions that combined approaches and strategies were more likely to leverage a higher level of community engagement.
Conclusion
These results showcase the complicated nature of global health communication program planning and implementation. There is a lack of interventions that use conflict as a strategy to empower communities to act on their own behalf, even when at odds with existing power structures. Complex interventions that include all approaches and strategies demonstrate the potential for global health communication interventions to be at the cutting edge of public health practice.
Identifiants
pubmed: 38655513
doi: 10.3389/fpubh.2024.1231827
pmc: PMC11035763
doi:
Types de publication
Journal Article
Review
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1231827Informations de copyright
Copyright © 2024 Stover, Avadhanula and Sood.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Références
Am J Epidemiol. 1985 Aug;122(2):323-34
pubmed: 4014215
Prev Med. 2014 Oct;67 Suppl 1:S58-61
pubmed: 25069043
PLoS Med. 2007 Sep;4(9):e273
pubmed: 17850178
Annu Rev Public Health. 2018 Apr 1;39:135-151
pubmed: 29328876
Int J Indig Health. 2016;11(1):34-49
pubmed: 27429956
Health Commun. 2010 Jan;25(1):50-60
pubmed: 20390670
J Health Commun. 2016 May;21(5):554-63
pubmed: 27123984
BMC Public Health. 2018 Jul 11;18(1):861
pubmed: 29996819
Mhealth. 2019 Aug 27;5:30
pubmed: 31559275
BMC Public Health. 2017 Jan 3;17(1):1
pubmed: 28049454
Soc Sci Med. 2018 Sep;213:106-122
pubmed: 30075416
J Health Commun. 2000;5 Suppl:5-15
pubmed: 11010357
Syst Rev. 2013 Jan 08;2:1
pubmed: 23295105
Lancet. 2009 Jun 6;373(9679):1993-5
pubmed: 19493564
Hawaii J Health Soc Welf. 2022 Jul;81(7):201-208
pubmed: 35821668
Biochem Med (Zagreb). 2012;22(3):276-82
pubmed: 23092060
Am J Public Health. 2001 Dec;91(12):1929-38
pubmed: 11726368
PLoS One. 2019 May 10;14(5):e0216112
pubmed: 31075120
Int J Epidemiol. 2013 Apr;42(2):503-5
pubmed: 23569190
BMC Public Health. 2015 Feb 12;15:129
pubmed: 25885588
J Public Health Policy. 2013 May;34(2):345-52
pubmed: 23536099
Int Psychogeriatr. 2019 Jul;31(7):989-995
pubmed: 30318026
Transl Behav Med. 2017 Dec;7(4):783-792
pubmed: 28290143
Bull World Health Organ. 2016 May 1;94(5):376-82
pubmed: 27152056
J Gen Intern Med. 2003 Jul;18(7):592-4
pubmed: 12848844
Am J Lifestyle Med. 2020 Mar 19;14(5):495-499
pubmed: 32922234
J Clin Oncol. 2016 Feb 10;34(5):469-78
pubmed: 26700123
J Health Commun. 2018;23(1):80-90
pubmed: 29265915
J Epidemiol Community Health. 2015 Jun;69(6):604-12
pubmed: 25700533
Am J Public Health. 1996 Dec;86(12):1773-9
pubmed: 9003136
Int J Health Serv. 2013;43(1):49-60
pubmed: 23527453
Antimicrob Resist Infect Control. 2022 Feb 4;11(1):26
pubmed: 35120562
PLoS One. 2013;8(2):e55012
pubmed: 23390509
Glob Health Sci Pract. 2018 Jun 29;6(2):372-383
pubmed: 29959276
Front Public Health. 2022 Sep 20;10:979424
pubmed: 36203681
J Health Commun. 2015;20 Suppl 1:76-83
pubmed: 25839205
Syst Rev. 2016 Dec 5;5(1):210
pubmed: 27919275
Qual Health Res. 2022 Jul;32(8-9):1273-1284
pubmed: 35674176
Am Psychol. 1991 Sep;46(9):931-46
pubmed: 1958012
PLoS One. 2015 Oct 23;10(10):e0141091
pubmed: 26496124
J Health Commun. 2018;23(12):1044-1050
pubmed: 30427280
BMJ Open. 2015 Sep 15;5(9):e008285
pubmed: 26373400
Health Policy Plan. 2014 Sep;29 Suppl 2:ii98-106
pubmed: 25274645