Evidence-based Communication Research Articles

How climate change intensified storm Boris’ extreme rainfall, revealed by near-real-time storylines

Disentangling the impact of climate change on environmental extremes is of key importance for mitigation and adaptation. Here we present an automated system that unveils the climate change signal of the day in near-real-time, employing a set of innovative storyline simulations based on a coupled climate model. Its potential to complement probabilistic assessments is showcased for storm Boris, which brought record-breaking rainfall over Central and Eastern Europe in September 2024, leading to devastating floods. Our near-real-time storylines suggest that storm Boris deposited about 9% more rain due to human-induced warming. The area impacted by the same storm’s extreme rainfall (>100 mm) was 18% larger and would continue expanding in a future warmer climate. Results from our prototype storyline system are disseminated publicly via an online tool. The case of Storm Boris demonstrates the potential of near-real-time storylines for rapid evidence-based climate change communication.

Communicating health risk in chronic kidney disease: a scoping review.

Communicating risk is a key component of shared decision-making and is vital for the management of advanced chronic kidney disease (CKD). Despite this, there is little evidence to suggest how best to communicate health risk information to people living with CKD. The aim of this review was to identify and understand the nature of evidence-based risk communication strategies for people living with CKD. We searched MEDLINE, CINAHL and Scopus databases for articles which described or evaluated the use of risk communication strategies within the renal population. Similar risk communication strategies were collated and summarised narratively. A total of 3700 sources were retrieved from the search, of which 19 were included in the review. Eleven studies reported primary research, and eight reported either narrative or systematic reviews. Seven main risk communication strategies were identified: framing, absolute versus relative risk, natural frequencies versus percentages, personalised risk estimates, qualitative risk communication, best-case/worst-case framework and use of graphs and graphics. There was a paucity of risk communication strategies specific to the CKD population. Evidence-based strategies to improve health risk communication for patients living with CKD are lacking. There is a need to establish the informational and communication preferences for patients living with CKD to better understand how to best communicate health risk information to individuals in this population.

Improving dissemination products and practices for community-based organisations serving LGBTQ+ communities in the USA: a thematic analysis

BackgroundIn the USA, lesbian, gay, bisexual, transgender and queer (LGBTQ+) people report higher rates of tobacco use than non-LGBTQ+ people due to diverse factors, from anti-LGBTQ stigma to targeted marketing...

Getting Heard: Practical Strategies for Capturing Attention and Influencing Outcomes at Work

Getting your ideas heard and influencing outcomes at work can be challenging given modern distractions and information overload. This practitioner-focused brief explores evidence-based communication strategies for capturing attention and gaining buy-in. Drawing from research in cognitive psychology, persuasion, and leadership storytelling, it provides guidance on crafting compelling messages through narrative structure, formatting for visual engagement, and crafting an persuasive opening statement, evidence, and resolution. The brief also offers tips for delivering ideas interactively to different learning styles while empowering participation over passivity. Real-world case studies from Patagonia, Anthropic, and Discovery Education demonstrate effective application across industries. By understanding human cognition and facilitating collaborative discovery, communicators can inspire others towards shared goals through respect, understanding and inspiration over directives.

COVID-19 impact on childhood vaccination attitudes in pregnant antenatal class attendants in Rome

Abstract Background The COVID-19 pandemic caused a decrease in vaccination rates, impacting vulnerable populations such as pregnant women (PW), who concern about future children’s immunisations. The aim of this study was to assess whether the pandemic led to changes in childhood vaccination attitudes among PW attending antenatal classes at the Fondazione Policlinico Universitario A. Gemelli in Rome. Specifically, it assessed the impact of the pandemic on the perceived usefulness of information sources, their trust in healthcare workers (HCWs) and the National Health Service (NHS), their perception of the risk of infection and severity of vaccine-preventable diseases (VPDs), and their vaccination intentions. Methods A repeated cross-sectional study was conducted across three flu seasons by administering an anonymous questionnaire: one before and two during the pandemic. Intention to vaccinate children was expressed as the percentage of PW who selected each vaccination from the questionnaire. Trust in HCWs and the NHS, and perception of the risk of infection and severity of VPDs were expressed as the percentage of PW who answered “quite” or “very”. For the usefulness of information sources, mean scores were calculated. To assess differences of the three periods a chi-square test was performed (p = 0.05). Results Course attendance surged from 105 to 340. Significant shifts in vaccination intentions were noted: 7.5% and 10% decreases for measles (p = 0.02) and pertussis (p = 0.004), respectively, from 2019-20 to 2020-21. Perceived contagion risk decreased, but perceived disease severity increased. A significant reduction in the proportion of PW suspecting economic interest behind NHS workers promoting vaccination, and an increase in the perceived usefulness of non-institutional websites and of the advice from non-NHS physicians were noted. Conclusions PW’s attitudes towards vaccinations might have been modified by COVID-19 pandemic, regarding risk perception and trust in NHS HCWs. Key messages • Our findings suggests that PW’s attitudes towards childhood vaccinations might be modified by the COVID-19 pandemic, in particular risk perception and trust in NHS healthcare workers. • These findings could help Public Health to develop evidence-based interventions and communication strategies, to maintain vaccine confidence and mitigate potential adverse effects.

The Contrasting Risk Communication Strategies of European Leaders during the COVID-19 Crisis

Abstract COVID-19 brought the role of leaders under intense scrutiny; their communication and framing of the crisis was crucial during the initial period of uncertainty. UK prime minister Boris Johnson and German chancellor Angela Merkel, managed and communicated the first wave of the crisis (March-June 2020) very differently. The clear contrast between pandemic response in two countries, with similar population sizes, wealth, and exposure to COVID-19, provides a lens through which to reflect on the different risk communication strategies utilized by both leaders. Following a grounded theory approach, the communication strategies of both leaders were examined. Transcripts from 31 press conferences from the initial announcement of COVID-19 to the end of the first wave were examined, and key themes identified. The analysis was framed using the CDC’s Crisis and Emergency Risk Communication lifecycle model, allowing for a structured comparison across different phases of the crisis. The findings were examined through the broader socio-political context of their communication. Similar themes were present in both leaders’ speeches, this included a focus on national identity; national strategy; health situation and social solidarity. However, they did so in markedly different ways. Merkel’s consistent, evidence-based communication strategy was more closely aligned with risk communication best practice compared to Johnson’s initial populist approach, which ultimately required a significant mid-crisis adjustment. Their different approaches also reflect their personas as political figures. Key messages • The consistent, science-based communication strategies exemplified by Merkel closely followed risk communication best practice and is likely enhanced public compliance and trust during the crisis. • These finding demonstrate the importance of incorporating a political lens to understand leaders approaches to risk communication and in public health research more broadly.

Pearls of Wisdom from Teaching Rounds: Reconceptualizing “See One, Do One” as Social Learning

Abstract Background Experiential education is paramount to clinical instruction in medicine. During teaching rounds, faculty can assess medical knowledge and clinical reasoning while modeling evidence-based patient care and effective communication. This study aimed to describe observed traits common across faculty who contribute to favorable learning environments. Design Students completed an Internal Medicine (IM) Student Chief elective at a midwestern United States Academic Tertiary Care Center in which M4s aided Clerkship leadership in near-peer teaching and communicating with students. Chiefs participated in rounds for experiential learning in clinical teaching. For this qualitative, descriptive study, M4s were asked to provide at least three “pearls of wisdom,” on observations about teaching and learning in reflective essays during two consecutive academic years. Twenty-nine M4s participated in the elective and submitted 238 pearls. The research team undertook document review and qualitatively analyzed content of Chiefs’ reflective essays. Detailed codes were organized into primary and secondary themes by each author, and then re-evaluated until they reached consensus. Through thematic analysis, we identified faculty traits students found conducive to learning. Results Three primary themes emerged: Attributes, Autonomy, and Achieving Engagement. Conclusion Experiential educational encounters are transformative to developing new physicians. Chiefs highlighted positive aspects of teaching rounds described previously including providing clear expectations, promoting goal setting, engagement, and instilling confidence. They also valued humor, recognizing cognitive overload, displaying humility, listening skills, and mentorship. While one attending cannot replicate all described effective techniques simultaneously, faculty development that promotes refining these approaches may improve the clinical learning environment for all learners.

"I'm worth saving"- A Qualitative Study of People with Alzheimer's Disease Considering Lecanemab Treatment.

People with Alzheimer's disease (AD) now have access to disease-modifying treatment with anti-amyloid monoclonal antibodies (mAbs). Their perception of risks and benefits and approach to treatment decisions remain unknown. To understand how people with early AD consider benefits and costs of anti-amyloid mAbs and make decisions about treatment. Qualitative semi-structured interviews. Memory care clinics at two academic medical centers. People with biomarker or imaging-confirmed early AD referred for evaluation for treatment with anti-amyloid mAbs. Themes identified through content analysis. Among 22 participants, mean age was 70 years, 8 (36%) were women, 22 (100%) were White, 8 (36%) had less than a college degree, 11 (50%) had annual income less than $100,000, and 6 (27%) lived in a rural area. The analysis revealed 3 major themes and associated subthemes: 1) People with AD sought and obtained information from different sources-advocacy organizations, the Internet, and clinicians; 2) hopes, expected benefits, and the existential threat of dementia drove willingness and readiness to start lecanemab-hopes included more time feeling like themselves and doing enjoyable activities; expected benefits included stalling progression, reversing cognitive decline or cure; 3) individual traits and preferences, family factors, and degree of trust in expertise influenced how people balanced risks and benefits- some would accept treatment at any cost; others carefully weighed risks and burdens carefully, but were motivated to pursue treatment by supportive families, insurance coverage, and trust in expertise; for a few, costs decidedly outweighed their personal benefits. People with AD desired more individualized information on risks and benefits and wanted to hear more from patients who took the medication. Results from this qualitative analysis inform clinician, health system and policy efforts to promote individualized treatment decisions for anti-amyloid mAb treatment through multimodal education and outreach, evidence-based communication skills, and adaptation of similar care models. Question: How do people with Alzheimer's disease (AD) decide on treatment with newly available anti-amyloid monoclonal antibodies?Findings: In this qualitative analysis, people with AD considering treatment relied on multiple information sources; were motivated by hope to delay cognitive decline and preserve independence; and worried side effects would impair quality of life. Personality traits, family support, and trust in expertise determined how they balanced these tradeoffs. People with AD wanted more personalized information and to hear from others who had taken the medications.Meaning: As access to treatment expands, these findings inform how clinicians can help people with AD make individualized treatment decisions.

Public health communication during the COVID-19 health crisis: sustainable pathways to improve health information access and reach among underserved communities

This study aims to explore the perspectives of community leaders (CL) on trusted sources of health information, examine their roles, challenges, and needs in disseminating COVID-19 health information, and identify opportunities to improve public health reach and access for underserved communities. This qualitative study included seven focus groups conducted via online video conferencing from April-June 2021. The participants (n = 9) were CL recruited from the Texas Community Engagement Alliance (CEAL) for their experience working with underserved communities in Dallas, Texas. Data were coded deductively and analyzed thematically. The analysis resulted in three themes: (1) Information fatigue, mistrust, and desensitization were experienced by community members and leaders; (2) CL were expected to process, verify, and share accurate and timely COVID-19 health information; (3) CL identified potential strategies to improve COVID-19 health info access and reach. CLs were critical in addressing mis/disinformation and fostering trust in public health communication, particularly in underserved communities. They acted as vital intermediaries for health information, striving to debunk mis/disinformation and disseminate accurate health information. Public health strategies could benefit from prioritizing the integration of CL in communicating health information during crises and rebuilding trust within historically and racially marginalized and underserved communities. Supporting CLs, for example, through resources and training programs to counter misinformation and provide access to culturally and linguistically tailored health resources, may significantly enhance the access and reach of evidence-based health communication during health crises.

Contributions and Impact of Health Communication Research to Vaccination Efforts and Acceptance

ABSTRACT Vaccines (a medical product) and vaccination recommendations (expert advice on who should receive, when, and how often) have grown in importance and prominence in the past 15 years, including because of a recent COVID-19 pandemic. This essay highlights contributions from vaccine and vaccination-related health communication research since 2010. This research has had significant impacts – that is, visible and discernible positive effects – on the ways health communication is undertaken broadly (e.g. at the campaign level) and at the health care provider-patient level (e.g. conversations with parents and patients regarding vaccine benefits, risks, and safety). As this essay illustrates, health communication research has resulted in greater use of formative research to guide vaccination campaign and education efforts, better identification and understanding of the factors behind vaccination delay and declination, and greater recognition that communication efforts can fail to achieve desired outcomes or generate unintended consequences. Health communication research has also documented the powerful influence of healthcare provider communication on parent and patient understanding and compliance with immunization recommendations. Importantly, this research has also shown the characteristics of provider-patient communication matter much. Healthcare providers must have or establish a high degree of trust, be well-versed in vaccine efficacy and safety, and be adept at using their personal experiences, information tailoring/personalization, and evidence-based communication strategies to increase the likelihood of success.

The Role of Print Media in Shaping Public Health Outcomes: A Comprehensive Review

This theoretical study investigates how health-related material in print media affects public health by synthesising current data to grasp its influence in determining public health results. Even with the digital revolution, print media including newspapers, periodicals, and pamphlets remains a major source of information. Key topics include the spread of health information, the way health concerns are framed, and the impact on public perspective and behaviour are underlined in the review. Research show that print media may influence health policy debate, increase knowledge of health concerns, and encourage good practices. Still, these results are much influenced by the accuracy, bias, and depth of the material. Print media's health-related material reflects more general social, economic, and political settings, therefore impacting its presentation and reception. Moreover, the different degrees of media literacy among the people help to control the influence of such material. The evaluation also covers ethical obligations of print media in health communication as well as the possibility of false information. This study offers a complete framework for comprehending the intricate interaction between print media and public health by combining theoretical viewpoints from psychology, public health, and communication studies. The results underline the importance of planned, evidence-based health communication in print media to improve its favourable influence on public health outcomes.

Evaluating surgeon communication of pancreatic cancer prognosis using the VitalTalk ADAPT framework.

Few data exist to guide optimal communication practices for surgical oncologists. VitalTalk, an evidence-based communication skills training model for clinicians, offers the five-step ADAPT tool for discussing prognosis. This study aimed to characterize surgeon communication of pancreatic cancer prognosis using VitalTalk's ADAPT framework. Contemporaneous audio recordings from 12 initial surgeon-patient encounters for borderline resectable pancreatic cancer were transcribed. Directed qualitative content analysis based on ADAPT (Ask, Discover, Anticipate, Provide, and Track) was used to deductively code transcripts. All encounters contained at least one ADAPT step while only one (8%) incorporated four or five steps. Surgeons provided prognostic information (Provide) in all but one encounter (92%); most was qualitative and clustered into themes: serious illness, surgical candidacy, prognostic ambiguity, and cancer recurrence. Surgeons elicited understanding (Ask), requested information preferences (Discover), anticipated ambivalence (Anticipate), and responded to emotion (Track) in a minority of encounters (25%-42%); of 15 patient emotional cues, six were not addressed by surgeons. During an initial encounter for pancreatic cancer, surgeons focus heavily on providing information but omit critical prognostic communication steps. Future studies are needed to investigate if surgeon training in palliative care-based communicationis feasible and impacts patient-perceived quality of communication.

From vaccine hesitancy to vaccine motivation: A motivational interviewing based approach to vaccine counselling.

The COVID-19 pandemic highlighted Vaccine Hesitancy (VH) as an accelerating global phenomenon that must be addressed. According to the WHO, thirty to fifty percent of the world's population are VH. Motivational Interviewing (MI) is an evidence-based communication style demonstrated to significantly reduce VH. MI guides people toward change through the expression of empathy and by respecting an individual's autonomy. Healthcare providers (HCPs) are the primary implementors of vaccine policies and the most trusted advisors and influencers of vaccination intention at the individual patient level. Training HCPs in MI is one of the most effective strategies to overcome VH. Many countries are currently implementing HCP training programs and population-based MI interventions to improve vaccine uptake. MI conversations are 'the heart' of vaccine decision-making processes. Understanding individual patient-level drivers of hesitancy allows clinicians to efficiently provide tailored, accurate information that reinforces a person's own motivation and confidence in their own decision. This paper describes a 4-step practical framework designed to support HCPs in their dialogue with vaccine-hesitant patients. (1) Engaging to establish a trustful relationship and safety to freely express opinions, beliefs, and knowledge gaps; (2) Understanding what matters most to the individual; (3) Offering Information to co-build accurate knowledge in order to guide the individual toward vaccine intention (4) Clarifying and Accepting to validate an individual's decision-making autonomy. We believe that our pragmatic approach can contribute to greater acceptability of COVID-19 and other vaccines, and enable rapid deployment of practical MI skills across care systems.

Norm Setting in Times of Crisis: A Time-Series Analysis of the Dynamics Between Media Reporting and Perceived Norms in the Context of the COVID-19 Vaccination Roll-Out

ABSTRACT Social norms have great potential for mitigating crisis as people align their prevention behavior with the norms they perceive. However, there is insufficient knowledge of how normative perceptions are formed to exploit this potential. Drawing from agenda-setting theory, the present study examined norm-setting processes of media reporting on perceptions of vaccination norms during the COVID-19 pandemic. It combined data of a continuous content analysis of the salience and valence of the vaccination issue and a weekly repeated cross-sectional survey on perceived descriptive (i.e. perceived prevalence of willingness to get vaccinated) and injunctive vaccination norms (i.e. perceived approval of getting vaccinated) in the Swiss population, from February 2021 to February 2022. Time-series-based regression modeling did not support the hypothesized first-level norm setting—the transfer from issue salience in media to perceived descriptive norms in the population. However, we found evidence for second-level norm setting: Changes in issue valence predicted changes in perceived injunctive norms in the Swiss population. The findings provide unique insights into norm-setting processes and highlight the relevance of monitoring media reporting and public perceptions as a basis for evidence-based crisis communication.

Mpox 1b: Upstanders for Science in Western and Chinese Social Media

At the beginning of the COVID-19 pandemic, scientific literature published research about the presence of hoaxes and evidence in diverse social media, with a huge scientific and social impact. The main results showed that while in Western social media like X there was more false information and less scientific evidence than in the Chinese platform Weibo, but scientific evidence was more retweeted than hoaxes. This research allowed the identification of social activists for science in the social media, who multiplied their impact when scientists provided them with evidence. Third, thanks to the very intense and dialogic work of a diversity of researchers. Mpox clade 1b outbreak, which has now been declared a global public health emergency by WHO, requires a fast reaction from science, already taking place. This article analyzes information disseminated in X and Weibo about mpox. 3089 messages published between 12 and 16 of August 2024 have been analyzed. The results show that while hoaxes around mpox are prevalent in social media, posts containing scientific evidence do receive more interaction. Such findings contribute to the understanding of the health crisis and underscore the need for health authorities to join efforts with citizens to co-create evidence-based communication strategies.

Stop the Line: Interventions to Prevent Retained Surgical Items.

The surgical team works collaboratively to prevent the occurrence of retained surgical items (RSIs). The purpose of this quality improvement project was to increase compliance with facility policies and improve teamwork skills to prevent the occurrence of RSIs. The project team implemented an evidence-based communication protocol, updated hospital network policies, introduced just-in-time job aids, and facilitated leader support through a daily huddle to address identified practice gaps. The TeamSTEPPS Teamwork Attitudes Questionnaire was used to measure the change in staff members' attitudes about teamwork before and after project implementation. Additional process and outcome measures included the number of near misses and actual RSIs, compliance with the daily huddle, and completion of the communication training. Results included improved perceived teamwork attitude scores and zero reports of actual RSI events over 7.5weeks.

Toward cleaner air and better health: Current state, challenges, and priorities.

The most up-to-date estimate of the global burden of disease indicates that ambient air pollution, including fine particulate matter and ozone, contributes to an estimated 5.2 million deaths each year. In this review, we highlight the challenges in estimating population exposure to air pollution and attributable health risks, particularly in low- and middle-income countries and among vulnerable populations. To protect public health, the evidence so far confirms urgent needs to prioritize interdisciplinary research on air pollution exposure and risk assessment and to develop evidence-based intervention policies and risk communication strategies. Here, we synthesize the emerging evidence supporting the monitoring and evaluation of the progress in implementation of the Global Air Quality Guidelines prepared by the World Health Organization.

Exploring Climate Change Communication in Afghanistan on the X Platform over the Last Six Months of 2024

Social media has emerged as an accessible communication tool for mass audiences worldwide. These new platforms are widely used in Afghanistan for various purposes. Given Afghanistan's high vulnerability to climate change impacts, the country requires effective public awareness and communication strategies across both traditional and new media. To inform policymaking for collective climate action, there is a need to analyze the content of social media discourse on climate change. The primary aim of this study is to explore climate change communication on the X platform to develop effective policies and strategies for leveraging social media, particularly the X platform, to communicate about climate change impacts in Afghanistan. The study employed a descriptive research design combined with a content analysis approach. The results indicate that the social media discourse revolved around key themes, including climate change impacts, Afghanistan's vulnerability to droughts, flash floods, monsoon rains, and unexpected snowfall, the lack of funding for climate change communication and mitigation efforts, and the disproportionate impact on women. The analysis also found that the total user engagement during the five-month study period reached 424,522 interactions, including reposts, replies, likes, and views. The findings of this study can inform the development of targeted, evidence-based communication strategies and policies to raise public awareness and catalyze collective action on climate change in Afghanistan, leveraging the reach and engagement potential of social media platforms.

Urology HEIRS: A Feasibility and Acceptability Study for Video-Based Research on Physician-Family Communication in Pediatric Urology Visits.

Patient- and family-centered communication is essential to health care equity. However, less is known about how urologists implement evidence-based communication and dynamics involved in caring for diverse pediatric patients and caregivers. We sought to evaluate the feasibility and acceptability using video-based research to characterize physician-family communication in pediatric urology. We assembled a multidisciplinary team to conduct a multiphase learning health systems project and establish the Urology HEIRS (Health Experiences and Interactions in Real-Time Studies) corpus for research and interventions. This paper reports the first phase, evaluating feasibility and acceptability based on consent rate, patient diversity, and qualitative identification of verbal and paraverbal features of physician-family communication. We used applied conversation analysis methodology to identify salient practices across 8 pediatric urologists. We recruited 111 families at 2 clinic sites; of these 82 families (N = 85 patients, ages 0-20 years) participated in the study with a consent rate of 73.9%. The racial/ethnic composition of the sample was 45.9% non-Hispanic White, 30.6% any race of Hispanic origin, 16.5% non-Hispanic Black/African American, 4.7% any ethnicity of Asian/Asian American, and 2.3% some other race/ethnicity; 24.7% of families used interpreters. We identified 11 verbal and paraverbal communication practices that impacted physician-family dynamics, including unique challenges with technology-mediated interpreters. Video-based research is feasible and acceptable with diverse families in pediatric urology settings. The Urology HEIRS corpus will enable future systematic studies of physician-family communication in pediatric urology and provides an empirical basis for specialty-specific training in patient- and family-centered communication.

Doctors’ voices generate support for abortion care: Results from a nationally representative survey

ObjectiveWe tested abortion messaging to develop evidence-based communication recommendations for doctors who provide abortion care. Study DesignWe conducted an on-line survey in a nationally representative sample of 1,215 people, using NORC’s Amerispeak® Panel. We surveyed participants before and after viewing two brief videos featuring doctors who provide abortion care speaking about their work. Doctors’ comments were grounded in strategic communications and applied psychology research and emphasized caregiving roles, avoided political-sounding punditry, and acknowledged abortion’s complexities. We assessed participants’ characterizations of doctors who provide abortion care, how these characterizations impact support for abortion restrictions and overall views on abortion legality. We analyzed pre-post data using descriptive statistics, t-tests and multivariable regression. ResultsPost-messaging more participants endorsed positive descriptors of doctors who provide abortion care (p<0.001,t=8.99); fewer endorsed negative descriptors (p<0.001,t=10.32). Increased post-messaging endorsement of positive descriptors predicted declines in support for abortion restrictions (AOR = 1.69,p<0.01); decreased endorsement of negative descriptors did not. After messaging, 37% of respondents said their views of doctors who provide abortion care made them less likely to support abortion restrictions, compared to 14% before (p<0.001,t=-6.9). After messaging there was more overall support for legal, accessible abortion and less for abortion being mostly illegal (46%→48% and 24%→22%,p<0.001;t=-4.11). ConclusionsWhen doctors who provide abortion care use messaging recommendations that include speaking about abortion’s complexities and avoiding political-sounding punditry, they generate more support for legal abortion and less for restrictions. ImplicationsThe voices of doctors who provide abortion care shape abortion public opinion. When doctors speak from caregiving perspectives, avoid punditry, and acknowledge abortion’s complexities they generate more support for legal abortion and less for restrictions. However, audiences may not be aware a priori that ideas of doctors shape their views.