Risk Communication Strategies Research Articles

Improved adherence to statin treatment and differences in results between men and women after pictorial risk communication-a sub-study of the VIPVIZA RCT.

People with intermediate CVD risk constitute most of the population. Within this group, the proportion of events is lower compared to the high-risk group, but they contribute with the largest absolute number of events. Atherosclerosis is a dynamic process and progression can be slowed or even reversed with medication and lifestyle changes, but adherence to prescribed treatment is crucial. To investigate the long-term effects of interventions with pictorial risk communication of cardiovascular (CVD) risk on average adherence in a group of statin users. Compare response in adherence over time between men and women after intervention. Participants on active statin treatment were followed up to 5 years after being randomly assigned to an intervention program aimed at raising CVD risk awareness among participants and their physicians. Merging prescribed medication databases with VIPVIZA study to study adherence over time. A moving average adherence was used to compare groups. Generally, the average adherence to statins among the 512 participants was high. Men had a higher average adherence over time, while women had a sharper increase in adherence in conjuncture with the intervention program. Both men and women were receptive to pictorial information regarding CVD risk, but the intervention effect was more pronounced in women. Sex differences are important when considering risk communication strategies. Periodically repeating the intervention was beneficial for maintaining the intervention effect over time. The VIPVIZA study is registered with ClinicalTrials.gov , May 8, 2013, number NCT01849575.

Learning from COVID-19: A roadmap for integrated risk assessment and management across shocks of pandemics, biodiversity loss, and climate change

The COVID-19 pandemic demonstrated the fragility of international, national, regional, and local risk management systems. It revealed an urgent need to improve risk planning, preparedness, and communication strategies. In parallel, it created an opportunity to drastically re-think and transform societal processes and policies to prevent future shocks originating not only from health, but also combined with those related to climate change and biodiversity loss. In this perspective, we examine how to improve integrated risk assessment and management (IRAM) capacities to address interconnected shocks. We present the results from a series of workshops within the framework of the University of Zurich and University of Geneva. Initiative "Shaping Resilient Societies: A Multi-Stakeholder Approach to Create a Responsive Society". This initiative gathered experts from multiple disciplines to discuss their perspectives on resilience; here we present the key messages of the "Pandemics, Climate and Sustainability” thinking group. We identify a roadmap and selected research areas concerning the improvement of IRAM analysis capacities, practices, policies. We recommend the development of robust data systems and science-policy advice systems to address combined shocks emerging from health, biodiversity loss and climate change. We posit that further developing the IRAM framework to include these recommendations will improve societal preparedness and response capacity and will provide more empirical evidence supporting decision-making and the selection of strategies and measures for integrated risk reduction.

Orthodontic Risk Perspectives among Orthodontists during Treatment: A Descriptive Pilot Study in Greece and Slovakia.

This study explores orthodontists' perspectives on risks associated with orthodontic treatment, as described by Greek and Slovak orthodontists. Informed by the foundational importance of effective communication of risk perspectives in health sciences, particularly in facilitating valid consent and shared decision-making, this research addresses gaps identified in the literature concerning the consistent communication of potential treatment risks based on demographic and cultural characteristics. This study identifies 15 potential critical risks during orthodontic treatment. These risks include root resorption; temporary undesired changes to the occlusion; sleep difficulties; not achieving an ideal result; development of black triangles between teeth; taking additional X-rays; speech difficulties; using a protective splint during sports; duration of treatment; number of visits; transmission of infectious diseases; and swallowing orthodontic appliances. A questionnaire, distributed electronically to orthodontists in Greece (N1 = 570) and Slovakia (N2 = 210) from September 2022 to December 2022, aimed to assess risk communication practices, taking into consideration socio-demographic factors, such as country, gender, age, and academic-degree-related variations. A total of 168 valid questionnaires (91 from Slovakia and 77 from Greece) were obtained, indicating significant disparities in the risks emphasized and preferred forms of consent. The Greek orthodontists focused more on the risks involved, such as relapse, root resorption, temporal occlusal changes, and failure of desired movement, while the Slovak practitioners tended to be more interested in sleeping difficulties, temporal occlusal changes, and not achieving an ideal result. They also obtained written or digital consent from patients or their parents/guardians more frequently than the Greek team. Male orthodontists discussed specific risks more frequently, including relapse and extractions, whereas females preferred written or digital consent. PhD-trained orthodontists prioritized certain risks, indicating the need for tailored approaches. This study underscores the dynamic nature of risk assessment in orthodontic practice, emphasizing its ethical and strategic dimensions. The findings advocate for tailored risk communication strategies that recognize individual, contextual, and cultural factors, and the need for an orthodontic informed consent protocol for a tailored communication approach for patients to elevate the standard of care in European orthodontics. The reliance on digital tools reflects contemporary trends in enhancing patient understanding, thereby supporting ongoing innovation in orthodontic practices.

Mapping the landscape: a bibliometric analysis of ISO 31000

PurposeThis study aims to evaluate performance and map the science of research on International Organization for Standardization (ISO) 31000 standard through published articles. Specifically, this study determines the current state of the art, identifies research gaps and guides future studies related to ISO 31000.Design/methodology/approachThis work investigates and examines the research papers acquired from the Scopus and Web of Science databases. Inclusion and exclusion criteria were applied to obtain relevant papers. Bibliometric analysis using Biblioshiny was conducted to answer the research objectives.FindingsThe results show growing interest in ISO 31000 research but limited interconnectivity among articles. Influential journals have emerged, highlighting key research trends in risk management's (RM) practical application and its significance in organizational decision-making. Key research areas include risk assessment (RA) methods, enterprise RM and system integration, endorsing ISO 31000 as a valuable tool. Future research should prioritize longitudinal studies to track ISO 31000's impact, study effective risk communication strategies, explore sector-specific RM practices and assess ISO 31000's application in emerging technologies.Research limitations/implicationsThis research reveals key themes and diverse methods that aid practitioners in customizing industry risk strategies, adapting to emerging trends, engaging global collaboration and improving risk communication. Nevertheless, the study might overlook non-English contributions, urging broader language inclusion for ISO 31000's profundity.Originality/valueThis paper's originality lies in its comprehensive bibliometric analysis of ISO 31000 research, providing valuable insights into the standard's growing significance and global impact. The study identifies key research themes and influential authors, guiding future research and improving RM practices.

Smoke on the horizon: leveling up citizen and social science to motivate health protective responses during wildfires

Climate change factors and expanded population growth in the Wildland Urban Interface (transition zone between human structures and undeveloped wildland) contribute to a projected increase in wildfire frequency and smoke exposure. As an unregulated source of air pollution, reducing smoke exposure represents a difficult challenge for health risk communicators. The target audience is broad with unpredictable health impacts due to spatial and temporal variability in exposure. Beyond providing information, agencies face challenges reaching affected populations, motivating behavior change, and overcoming barriers between intentions and actions (recommended health protection). The Smoke Sense citizen science project developed a smartphone app to provide an engagement, learning, and information-sharing platform. Here we draw upon previous trends in behavioral patterns and propose a synergistic approach of citizen and behavioral science that can be applied to increase understanding of health risk and motivate new habits to reduce exposure among impacted individuals. Presentation of the approach proceeds as follows: (1) we identify several core factors that contribute to an intention-action gap, (2) identify applicable social and behavioral science principles that can bridge the gap, (3) propose explicit examples focused on theoretical principles, (4) describe small-scale user preliminary feedback and examples for monitoring and evaluating impact, and (5) provide a look to the future for collaborative citizen engagement. Current health risk communication strategies often lack consideration of behavioral factors that may enhance motivation and encourage behavior change. The proposed approach aims to leverage the strengths of citizen and social science and seeks to encourage a focused ‘digital community’ to implement new habits in the face of unpredictable and dynamic environmental threats.

Individual heat adaptation: Analyzing risk communication, warnings, heat risk perception, and protective behavior in three German cities.

Extreme heat poses severe health threats, as the increased numbers of hospitalizations and fatalities during heat waves show, though little is known about adaptive behavior toward heat. We conducted a household survey on individual perceptions of heat stress and individual heat protection in the summer and autumn of 2019. In total, 1417 people from three medium-sized German cities participated via telephone or online. Based on the Protective Action Decision Model (PADM), which we adapted to heat stress, we analyzed links between risk perception, environmental and demographic factors, perceptions of stakeholders, different heat warning messages, as well as actual and intended adaptive behavior. Overall, the PADM constructs explained around 16% of the variance in protection motivation, 19% in protective response, and 23% in emotion-focused coping. Context factors (i.e., temperature, risk communication, gender, age, and homeownership) were significant predictors of the addressed outcome variables as were psychological factors (i.e., perceived personal vulnerability, response efficacy, response costs, preparedness, and perceived external responsibility). We further explored the effect of different warning messages on situational knowledge and intended behavioral adaptation in an experimental setting. Results showed that respondents felt significantly better informed after receiving a warning with action recommendations and reported more intended specific behaviors. Our research gives insights into individual protective action decision-making processes. Based on our findings, we recommend tailoring risk communication strategies and combining heat warnings with action recommendations whenever possible to increase understanding and individual adaptation.

Understanding spatiotemporal patterns of COVID-19 incidence in Portugal: A functional data analysis from August 2020 to March 2022.

During the SARS-CoV-2 pandemic, governments and public health authorities collected massive amounts of data on daily confirmed positive cases and incidence rates. These data sets provide relevant information to develop a scientific understanding of the pandemic's spatiotemporal dynamics. At the same time, there is a lack of comprehensive approaches to describe and classify patterns underlying the dynamics of COVID-19 incidence across regions over time. This seriously constrains the potential benefits for public health authorities to understand spatiotemporal patterns of disease incidence that would allow for better risk communication strategies and improved assessment of mitigation policies efficacy. Within this context, we propose an exploratory statistical tool that combines functional data analysis with unsupervised learning algorithms to extract meaningful information about the main spatiotemporal patterns underlying COVID-19 incidence on mainland Portugal. We focus on the timeframe spanning from August 2020 to March 2022, considering data at the municipality level. First, we describe the temporal evolution of confirmed daily COVID-19 cases by municipality as a function of time, and outline the main temporal patterns of variability using a functional principal component analysis. Then, municipalities are classified according to their spatiotemporal similarities through hierarchical clustering adapted to spatially correlated functional data. Our findings reveal disparities in disease dynamics between northern and coastal municipalities versus those in the southern and hinterland. We also distinguish effects occurring during the 2020-2021 period from those in the 2021-2022 autumn-winter seasons. The results provide proof-of-concept that the proposed approach can be used to detect the main spatiotemporal patterns of disease incidence. The novel approach expands and enhances existing exploratory tools for spatiotemporal analysis of public health data.

From risk communication about asymptomatic atherosclerosis to cognitive and emotional reactions and lifestyle modification

BackgroundNon-adherence in the general population to preventive guidelines on cardiovascular disease calls for an interdisciplinary approach acknowledging psychological factors of relevance for risk communication and lifestyle modification. Evidence is building up regarding the advantage of sharing arterial imaging evidence of subclinical atherosclerosis with asymptomatic individuals, but there is limited understanding of how this relates to mechanisms of importance for behavioural change. Longitudinal studies on associations between patients’ reactions and lifestyle modification are missing. The population-based randomized controlled trial VIPVIZA investigates the impact of pictorial information about subclinical atherosclerosis, added to traditional risk factor-based communication. The intervention includes a personalized, colour-coded and age-related risk communication strategy and a motivational conversation, and has been shown to reduce cardiovascular disease risk.MethodsIn the present study we assessed cognitive and emotional reactions to the intervention, and how these reactions are associated to lifestyle modification. The participants’ evaluation of the risk communication was assessed in the intervention group (n = 1749). Lifestyle modification was assessed with a lifestyle index based on physical activity, diet, smoking and alcohol consumption at baseline and after 3 years. Associations between cognitive and emotional response and lifestyle modification were tested with analyses of covariance in a subset of participants (n = 714–857).ResultsThe intervention increased understanding of personal CVD risk, the possibility to influence the risk, and how to influence the risk. Severity of atherosclerosis was associated with emotional reactions, but emotions of strong negative valence were uncommon. Cognitive response and emotional arousal evoked by the intervention were positively associated with lifestyle modification, whereas negative emotions in isolation were not. High level of cognitive response in combination with high level of emotional arousal was found to be most beneficial for lifestyle modification.ConclusionsThe results demonstrate the potential of communicating asymptomatic atherosclerosis with a pictorial, colour-coded and age-related strategy, also including a motivational conversation. Furthermore, the results show the importance of CVD risk communication evoking engagement, and that an interaction between cognitive and emotional reactions might be central for sustained lifestyle modification. Our results also indicate that, in an asymptomatic population, atherosclerosis screening may strengthen disease prevention and health promotion.Trial registrationClinicalTrials.gov identifier: NCT01849575. Registration date 08/05/2013.

Cardiovascular disease risk communication and prevention: a meta-analysis.

Knowledge of quantifiable cardiovascular disease (CVD) risk may improve health outcomes and trigger behavioural change in patients or clinicians. This review aimed to investigate the impact of CVD risk communication on patient-perceived CVD risk and changes in CVD risk factors. PubMed, Embase, and PsycINFO databases were searched from inception to 6 June 2023, supplemented by citation analysis. Randomized trials that compared any CVD risk communication strategy versus usual care were included. Paired reviewers independently screened the identified records and extracted the data; disagreements were resolved by a third author. The primary outcome was the accuracy of risk perception. Secondary outcomes were clinician-reported changes in CVD risk, psychological responses, intention to modify lifestyle, and self-reported changes in risk factors and clinician prescribing of preventive medicines. Sixty-two trials were included. Accuracy of risk perception was higher among intervention participants (odds ratio = 2.31, 95% confidence interval = 1.63 to 3.27). A statistically significant improvement in overall CVD risk scores was found at 6-12 months (mean difference = -0.27, 95% confidence interval = -0.45 to -0.09). For primary prevention, risk communication significantly increased self-reported dietary modification (odds ratio = 1.50, 95% confidence interval = 1.21 to 1.86) with no increase in intention or actual changes in smoking cessation or physical activity. A significant impact on patients' intention to start preventive medication was found for primary and secondary prevention, with changes at follow-up for the primary prevention group. In this systematic review and meta-analysis, communicating CVD risk information, regardless of the method, reduced the overall risk factors and enhanced patients' self-perceived risk. Communication of CVD risk to patients should be considered in routine consultations.

Risk communication: lessons from an ethnographic, pragmatic, and Canadian regulatory perspective

In a regulatory context, it is important to understand how effective risk communication fits into the overall risk assessment, management, and decision-making process. This includes recognizing the intersections between risk analysis and the 3Ps: policy, politics, and publics, and understanding the barriers to effective communication. Risk communication is especially challenging when it requires the audience to follow and act on authoritative information or advice. Risk communicators must factor attributes such as risk perception, tolerance, and behaviors, and tailor the delivery of messages to diverse audiences. This paper captures the discourse from an intradepartmental workshop on risk communication with participants from Health Canada and the Public Health Agency of Canada. The workshop provided an opportunity to discuss and share references to existing frameworks, pertinent documents, and examples of effective risk communication strategies based on the authors' ethnographic and pragmatic experiences. The workshop aimed to strengthen risk communication by better understanding the value in collaborating with interdisciplinary teams, applying a systems thinking lens, and finding opportunities to experiment and evaluate risk communication strategies for regulatory purposes.

A closer look at the international health regulations capacities in Lebanon: a mixed method study

BackgroundLebanon ratified the International Health Regulations (IHR) (2005) in 2007, and since then, it has been facing complex political deadlocks, financial deterioration, and infectious disease emergencies. We aimed to understand the IHR capacities’ scores of Lebanon in comparison to other countries, the IHR milestones and activities in Lebanon, the challenges of maintaining the IHR capacities, the refugee crisis's impact on the development of these capacities; and the possible recommendations to support the IHR performance in Lebanon.MethodsWe used a mixed-method design. The study combined the use of secondary data analysis of the 2020 State Party Self-Assessment Annual Report (SPAR) submissions and qualitative design using semi-structured interviews with key informants. Semi-structured interviews were conducted with nine key informants. The analysis of the data generated was based on inductive thematic analysis.ResultsAccording to SPAR, Lebanon had levels of 4 out of 5 (≤ 80%) in 2020 in the prevention, detection, response, enabling functions, and operational readiness capacities, pertaining that the country was functionally capable of dealing with various events at the national and subnational levels. Lebanon scored more than its neighboring countries, Syria, and Jordan, which have similar contexts of economic crises, emergencies, and refugee waves. Despite this high level of commitment to meeting IHR capacities, the qualitative findings demonstrated several gaps in IHR performance as resource shortage, governance, and political challenges. The study also showed contradictory results regarding the impact of refugees on IHR capacities. Some key informants agreed that the Syrian crisis had a positive impact, while others suggested the opposite. Whether refugees interfere with IHR development is still an area that needs further investigation.ConclusionThe study shows that urgent interventions are needed to strengthen the implementation of the IHR capacities in Lebanon. The study recommends 1) reconsidering the weight given to IHR capacities; 2) promoting governance to strengthen IHR compliance; 3) strengthening the multisectoral coordination mechanisms; 4) reinforcing risk communication strategies constantly; 5) mobilizing and advancing human resources at the central and sub-national levels; 6) ensuring sustainable financing; 7) integrating refugees and displaced persons in IHR framework and its assessment tools; 8) acknowledging risk mapping as a pre-requisite to a successful response; and 9) strengthening research on IHR capacities in Lebanon.

Risk communication and community engagement in the context of COVID-19 response in Bangladesh: a qualitative study.

The global COVID-19 pandemic profoundly impacted nations worldwide, and Bangladesh was no exception. In response, the government of Bangladesh implemented community awareness initiatives aimed at containing the spread of the virus, aligned with international guidelines and recommendations. Despite these efforts, a lack of comprehensive community awareness programs played an essential role during the pandemic, not the preventive measures. A qualitative study employing framing theory was conducted to gain a deeper insight into how the social context influenced risk communication and community response throughout the COVID-19 pandemic in Bangladesh. The study was conducted in four selected districts of Bangladesh from February to May 2022 using complementary data collection methods, including key informant interviews, in-depth interviews, and focus group discussions with purposely selected participants. Data were analyzed thematically by following six steps of the thematic analysis process. Codes were developed based on the data and summarized into themes and sub-themes grounded on the codes. The findings indicate that the government of Bangladesh, along with development partners and non-government organizations, made a significant effort to raise awareness about COVID-19 in the community. However, there were certain limitations to this effort. These include a lack of social science and public health approaches to understanding the pandemic; inadequate coordination among the authorities for COVID-19 prevention and control; technological and geographical barriers for disseminating messages; the living conditions and lack of facilities; socio-cultural norms in understanding the COVID-19 health messages, and the gendered understanding of the messages. The findings also revealed that the awareness activities remained a one-way approach to inform the people and faced challenges to actively engage and create ownership of the community in the pandemic response. The study identified gaps in implementing risk communication and community engagement strategies in Bangladesh during the COVID-19 pandemic. Increasing focus on public health and prioritizing community ownership is essential to designing a more effective community awareness campaign. This approach will help ensure that health messages are communicated effectively and tailored to different communities' needs.

Public's perspective on COVID-19 adenovirus vector vaccines after thrombosis with thrombocytopenia syndrome (TTS) reports and associated regulatory actions – A cross-sectional study in six EU member states

ObjectiveIn 2021, thrombosis with thrombocytopenia syndrome (TTS) was confirmed by the European Medicines Agency (EMA) as a rare side effect of the COVID-19 adenovirus vector vaccines Vaxzevria® and Jcovden®. This study aimed to describe the public’s knowledge of TTS and how it affected the willingness to be vaccinated with COVID-19 vaccines and other vaccines in six European countries. MethodsFrom June to October of 2022, a multi-country cross-sectional online survey was conducted in Denmark, Greece, Latvia, Netherlands, Portugal, and Slovenia. The minimum target of participants to be recruited was based on the size of the country’s population. The results were analysed descriptively. ResultsIn total, 3794 respondents were included in the analysis; across the six countries, 33.3 %–68.3 % reported being familiar with signs and symptoms of TTS, although 3.1–61.4 % of those were able to identify the symptoms correctly. The reported changes in willingness to be vaccinated against COVID-19 and with other vaccines varied per country. The largest reported change in the willingness to be vaccinated with Vaxzevria® and Jcovden® was observed in Denmark (61.2 %), while the willingness to be vaccinated with other COVID-19 vaccines changed most in Slovenia (30.4 %). The smallest decrease in willingness towards future vaccination against COVID-19 was reported in the Netherlands (20.9 %) contrasting with the largest decrease observed in Latvia (69.1 %). ConclusionKnowledge about TTS seemed to have influenced the public’s opinion in Europe resulting in less willingness to be vaccinated with Vaxzevria® and Jcovden®. Willingness for vaccination against COVID-19 with other vaccines and widespread use of vaccines to prevent other diseases also differed and seemed to be determined by the approaches taken by national health authorities when reacting to and communicating about COVID-19 vaccination risks. Further investigation of optimal risk communication strategies is warranted.

Community Health Risk Awareness and Knowledge of Air Pollution in Annadale, Polokwane Local Municipality, Limpopo Province, South Africa.

Exposure to air pollution has detrimental effects on the elderly, women, people with pre-existing medical conditions, people living in poverty and children. The aim of the study was to investigate the extent of community awareness and knowledge on the health risks associated with exposure to air pollution. The study was conducted at Annadale residential area locally known as Ladanna surrounded by industrial areas and located in Polokwane Local Municipality under Capricorn District Municipality in Limpopo Province, South Africa. A cross-sectional study design was used for the study, using self-administered questionnaires. The questionnaire was pre-tested on 10 respondents at Emdo Park (Extension 29) in Polokwane from 02 to 06 February 2021 and another fifteen respondents were pre-tested at Lesedi Park. A simple random sampling technique was used to select 376 respondents. Systematic sampling method was applied to select the households. SPSS version 26 was used to analyze data. Data was presented in the form of frequencies and percentages. Spearman rank correlation was used to measure the degree of association between 2 variables. A Chi-square test was used to compare the groups between the categorical variables. Multivariate Logistic Regression Model was used to assess associations of knowledge/awareness outcomes and sociodemographic characteristics with odds ratios (ORs) and 95% confidence intervals (Cls) presented. Of 376 respondents, 221 (59%) were males and 154 (41%) females. The majority 113 (70%) of respondents were those between the age group 23 and 47 years and 353 (94%) were aware that if they don't protect themselves against polluted air, they may get sick, with age and educational status associated with their awareness (P < .05). About 361 (96%) knew what air pollution is and 188 (50%) think the air they breathe in Annadale is moderate. A total number of 278 (74%) said they feel sick/uncomfortable when the quality of air is bad. About 293 (78%) knew that people are exposed to air pollution by breathing contaminated air and 237 (63%) identified sewage smell as the main cause of air pollution. Internet 199 (53%) and television 177 (47%) were identified as the main source of information Those who were not aware of actions implemented to reduce air pollution were 180 (48%). Based on the results of the study, respondents' level of knowledge in Annadale was poor (71%) and their awareness was good (87%). It is crucial that air pollution risk communication strategies be implemented to empower residents and improve the level of knowledge on the dangers of exposure to polluted air.

Fight COVID Milwaukee protective behaviors and risk communications associated with the COVID-19 pandemic

The COVID-19 pandemic has had a major impact on society, causing significant disruptions to everyday life. Risk communication strategies can play an important role in risk management as they allow individuals to prepare for and respond to public health emergencies appropriately. The aim of this study is to investigate public risk behaviors, perceptions of risk and risk communication, and experiences with COVID-19 to better understand the impact of COVID-19 on our community and to better inform public health decisions about communicating and reducing personal risk. Nine virtual focus groups were conducted with 79 residents of Milwaukee County. Audio transcripts of focus group recordings were qualitatively analyzed using MAXQDA. Predominant themes identified include public risk protective behaviors, the emotional toll associated with lockdown measures, and risk communication. Our findings provide a better understanding of how adults, African American and Hispanic groups in particular, viewed the risk communications and protective behaviors associated with COVID-19, how their lives were impacted by the pandemic, and how to effectively communicate public information about personal risk. These findings can help guide risk communication efforts and public health policy interventions for potential infection outbreaks in the future.

The key role of risk perception in preparedness for oil pipeline accidents in urban areas: A sequential mediation analysis

Effective disaster risk reduction requires conducting research within communities that gave recognized natural or technological risks, to foster the development of more resilient societies. However, limited information is available regarding risk perception and preparedness for technological hazards in disaster-prone urban areas of South America. The aim of this study is to investigate the factors that influence public risk perception regarding the Trans-Ecuadorian Oil Pipeline System and its relationship with household preparedness for a potential accident in the Metropolitan District of Quito (Ecuador). We assess the link among knowledge, trust in authorities, risk perception, intention to prepare, and preparedness. Results from a sequential mediation analysis reveal that risk perception partially and positively mediates the relationship between knowledge and preparedness and acts as a negative full mediator between the latter and trust. These findings provide valuable information for future risk governance and communication strategies, aimed at enhancing risk perception and improving individual preparedness of individuals, as well as risk mitigation procedures.

Digital Voices in Early Days: Analysing Local Government Social Media Approaches to Risk Communication during the Initial Stages of the COVID-19 Pandemic in Indonesia

This study evaluates the communication strategies utilised by local governmental bodies in Indonesia concerning the risk communication associated with the COVID-19 pandemic. Furthermore, an analysis is conducted on the impact of these communication approaches in promoting public engagement. In this study, we collected a dataset consisting of 1,577 tweets that originated from five different local governments in Indonesia. This dataset was obtained using web crawling techniques and was intended to be used for content analysis purposes. The findings of this study demonstrate that local governments employ a diverse range of risk communication strategies. This encompasses the distribution of medical knowledge, protocols for maintaining health, frequent reports on the COVID-19 status in different areas, governmental measures, initiatives for public education, community engagement endeavours, information about accessible assistance, enforcement of regulations, provision of emotional assistance, and promotion of collaborative efforts. The findings of this research demonstrate that some forms of content, such as narratives or testimonies from individuals who have recovered from COVID-19 or medical experts, public awareness campaigns related to COVID-19, and interactive quizzes or activities, have a significant coefficient of determination. This discovery implies that the material above has generated substantial attention and involvement from the general public. Keywords: COVID-19, risk communication, social media, Indonesia, communication strategies.

The FLOODLABEL as a social innovation in flood risk management to increase homeowners' resilience

AbstractIn flood risk management awareness has been growing that the responsibility for coping with a flood cannot be assumed by the government alone. Homeowners need to be actively involved in flood risk management by taking responsibility; for this, they need empowerment and support to take adequate precautions. If homeowners implement precautionary measures, they can mitigate damage caused by floods and thus increase their resilience. This requires an appropriate risk communication strategy with the population. The FLOODLABEL in Germany informs and prompts homeowners to take precautionary measures. The Flood Competence Center developed the FLOODLABEL. This study employs the analytical framework of social innovation as the FLOODLABEL has some characteristics of social innovation. This study first explores the FLOODLABEL, which constitutes social innovation in flood risk management, and therefore characterizes the five development phases and their successes and challenges as social innovation. Second, it tries to understand and reflect upon the current stage of the FLOODLABEL as a social innovation in Germany and seeks to learn from this tool about the potential drivers associated with the process of implementation. Third, there is potential to gather a better understanding of other social innovations in flood risk management.

COVID-19 risk communication gaps, needs, and strategies related to pandemic preparedness plans among vulnerable, Black American subgroups: A qualitative study

ObjectiveImproving current and future risk communication plans is critical mitigate the COVID-19 pandemic and begin to prepare for future pandemics. Minority groups, particularly African Americans, have been limited in engagement to prepare these plans which has been demonstrated to disadvantageous. We report findings from a qualitative study that describes gaps, needs, and strategies to improve communication among vulnerable, Black American subgroups during the COVID-19 pandemic. MethodsSixty-two Black Americans in uniquely, vulnerable subgroups participated in qualitative, semi-structured interviews from May to September 2020. Thematic analyses were used to identify themes. ResultsParticipants were 16 essential workers, 16 parents, 15 young adults, and 15 individuals with underlying medical conditions. Emerging themes were: (1) Poor communication and miscommunication fueled fear and confusion; (2) Information sources and channels: How do I choose one?; (3) Communication needs were simple yet complex; (4) All information sources are not trusted information sources; (5) Preferred yet trusted channels and types of information; and (6) Dissemination of COVID Research: Why and How. Subgroups varied in information sources and processes for choosing the source, communication needs, and channels and types of information needed. They shared why they did and did not trust certain sources along with the importance of COVID research dissemination to promote informed decision-making throughout the pandemic. DiscussionThis study found that Black American subgroups had diverse, yet trusted and non-trusted messages, messengers, and strategies for communication and wanted research results disseminated. We describe multi-level stakeholders and strategies to help improve risk communication for pandemics, and potentially preparedness and health outcomes.

The application of biosecurity practices for preventing avian influenza in North-Eastern Italy turkey farms: An analysis of the point of view and perception of farmers

IntroductionItalian and international outbreaks of highly pathogenic avian influenza (HPAI), particularly in densely populated poultry areas (DPPAs), have increased over the past few decades. These emerging risks, which endanger both human and animal health and the entire poultry industry, can be effectively limited by biosecurity measures implemented at human-animal food chain interfaces. Some problems, however, persist in the application of these measures on the part of poultry farmers, prompting the need to explore those aspects and causes that limit their implementation. Material and methodsA qualitative approach was selected for the study and a semi-structured interview technique was applied to collect data among turkey farmers (n = 29) working in the north-east of Italy. The aim of this technique was to gather data on farms in order to understand the biosecurity practices adopted and the reasons for and impediments to farmer implementation, or lack thereof. This article presents and discusses the main data collected. ResultsThe study revealed that farmers were familiar with the biosecurity measures necessary to contain avian influenza (AI) and other poultry diseases; personal disinfection and animal isolation practices were particularly prominent. Based on the reported procedures, managerial, economic, and psychosocial factors were among the barriers behind the failure to implement biosecurity measures. These obstacles were variously intertwined and associated with the different action settings. In particular management factors, such as lack of time to apply the rules and difficulties contingent on the farm’s structural characteristics, mediate the application of biosecurity measures. In terms of communication channels, the company, particularly its technicians, proved to be the primary source of information for farmers in case of emergencies, as well as the primary source of information on the application of biosecurity measures. However, other sources of information were indicated, such as word of mouth among farmers or other non-institutional figures (relatives and acquaintances). ConclusionsWhat emerged, was the need to improve not only the biosecurity management skills, but also to implement forms of cooperation among the various key stakeholders in the poultry sector. The information presented in this pilot study needs to be discussed among competent authorities, public and company veterinarians, company technicians, and farmers. Furthermore, this information will help in participatory co-planning of risk prevention and communication strategies to implement a long-term, sustainable, effective approach to address future epidemic emergencies.