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世界卫生组织对有糖尿病生活经历者进行的关键信息提供者语言调查:媒体误解、基于价值观的信息传递、耻辱感、框架构建及传播考量

A WHO key informant language survey of people with lived experiences of diabetes: Media misconceptions, values-based messaging, stigma, framings and communications considerations.

作者信息

Hunt Daniel, Lamb Krista, Elliott James, Hemmingsen Bianca, Slama Slim, Scibilia Renza, Whitney Daniels Kristen, Mikkelsen Bente

机构信息

Department for Noncommunicable Diseases, World Health Organization, Av. Appia 20, 1211 Geneva, Switzerland.

Krista Lamb Communications, Toronto, Canada.

出版信息

Diabetes Res Clin Pract. 2022 Nov;193:110109. doi: 10.1016/j.diabres.2022.110109. Epub 2022 Sep 29.

Abstract

AIMS

This study aimed to learn from people with lived experiences of diabetes to raise the quality of diabetes communications.

METHODS

An online key informant survey for people (18+) with a direct and/or adjacent (caregiver, friend, family-member etc.,) lived experience of diabetes. Through thematic analysis, we gathered insights on perceptions of media reporting on diabetes and communicating with accuracy, impact and without stigma. Descriptive analysis also investigated effective values for WHO to communicate diabetes with key audiences of policy-makers, funding partners and the general public.

RESULTS

918 respondents in 58 WHO Member States were analysed. Participants identified five key themes requiring more appropriate consideration in the media: accurately defining diabetes types, over-emphasis on sugar and lifestyle, negative impacts of diabetes stigma, burden of costs (financial, personal and interpersonal) and mental health. Irrespective of audience, key values-based messages identified as important for WHO to convey included: 'urgency', 'preventing suffering', 'improving wellbeing' and 'meaningful engagement' of people with lived experience.

CONCLUSION

Learning from people with lived experience of diabetes identifies key diabetes communication considerations. Continued meaningful engagement of this group, including in WHO's work and the multistakeholder diffusion of this methodology to local contexts, could improve public discourse on diabetes and related policies.

摘要

目的

本研究旨在向有糖尿病亲身经历的人群学习,以提高糖尿病相关沟通的质量。

方法

针对有糖尿病直接和/或间接(照顾者、朋友、家庭成员等)亲身经历的18岁及以上人群开展了一项在线关键信息提供者调查。通过主题分析,我们收集了有关对糖尿病媒体报道的看法以及准确、有影响力且无污名化沟通方面的见解。描述性分析还调查了世卫组织与政策制定者、资助伙伴和公众等关键受众就糖尿病进行沟通的有效价值观。

结果

对58个世卫组织成员国的918名受访者进行了分析。参与者确定了媒体需要更适当考虑的五个关键主题:准确界定糖尿病类型、过度强调糖分和生活方式、糖尿病污名化的负面影响、成本负担(经济、个人和人际方面)以及心理健康。无论受众如何,被确定为世卫组织传达信息时重要的基于关键价值观的信息包括:“紧迫性”、“预防痛苦”、“改善福祉”以及让有亲身经历的人“有意义地参与”。

结论

向有糖尿病亲身经历的人群学习可确定糖尿病沟通的关键考虑因素。持续让这一群体进行有意义的参与,包括参与世卫组织的工作以及将这种方法多利益相关方推广到当地情况,可能会改善关于糖尿病及相关政策的公众讨论。

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