Abstract

BackgroundThe United States leads the world in confirmed COVID-19 cases; Arkansas ranks fifth in average daily cases per 100,000. Historically, Americans relied on health communications from governmental sources and the news media. However, there has been a documented decline of trust in these sources. The present study seeks to understand trusted sources of information about COVID-19 to improve health messaging because research shows the level of trust is associated with adherence to recommendations.MethodsData were collected using an online survey from participants (N = 1221) who were 18 years of age or older and residing, employed, or accessing health care in Arkansas. A qualitative descriptive design was used to summarize participants’ experiences and perceptions related to trusted sources of COVID-19 information.ResultsTwo primary themes related to participants’ perceptions of sources of information about COVID-19 are reported: 1) trusted sources of information and 2) distrust or lack of trust in sources of information. Several subthemes emerged within each primary theme. Results showed high trust in the academic medical center, federal and state public health agencies, and local health care providers. The study also documents diverging voices of distrust and uncertainty in making sense of contradictory information. Participants reported the main reason for their lack of trust was the rapidly changing information and the lack of consistency in information provided across sources.ConclusionsThis finding provides insight into the importance of coordination between national, state, and local communications to bolster trust. Personal recommendations and testimonies from trusted health care providers and professionals could inform public health messaging interventions to increase vaccine uptake.

Highlights

  • The United States leads the world in confirmed COVID-19 cases; Arkansas ranks fifth in average daily cases per 100,000

  • In January 2021, the United States (US) had the highest number of confirmed COVID-19 cases in the world [2], and the state of Arkansas was ranked fifth in average daily cases

  • While the literature reports that US adults have a moderate to high level of trust in federal and state public health and governmental sources of information [5, 6], there has been a documented decline in trust of these sources of information related to COVID-19 [7,8,9,10]

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Summary

Introduction

The United States leads the world in confirmed COVID-19 cases; Arkansas ranks fifth in average daily cases per 100,000. While the literature reports that US adults have a moderate to high level of trust in federal and state public health and governmental sources of information [5, 6], there has been a documented decline in trust of these sources of information related to COVID-19 [7,8,9,10]. News media sources such as national and local television, newspapers, and radio have been important sources of information during previous outbreaks of infectious disease [7, 11, 12]. Social media platforms like Facebook and Twitter have become another source for health information [7, 15]; reports have shown a surge and spread of misinformation related to COVID-19 through social media [14, 16, 17]

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