Lewis Megan A, Uhrig Jennifer D, Poehlman Jon A, Southwell Brian G
Center for Communication Science, RTI International, Durham, NC, USA.
Implement Res Pract. 2021 Feb 10;2:2633489520988265. doi: 10.1177/2633489520988265. eCollection 2021 Jan-Dec.
The COVID-19 pandemic has highlighted existing crises and introduced new stressors for various populations. We suggest that a multilevel ecological perspective, one that researchers and practitioners have used to address some of public health's most intransigent challenges, will be necessary to address emotional distress and mental health problems resulting from the COVID-19 pandemic. Multiple levels of influence (individual, interpersonal, organizational, community, and policy) each contribute (individually and in combination) to population health and individual well-being. We use the convergence strategy to illustrate how multilevel communication strategies designed to raise awareness, educate, or motivate informed decision-making or behavior change can address various sources of information surrounding a person to synergistically affect mental health outcomes. Looking ahead, dissemination and implementation researchers and practitioners will likely need to coordinate organizations and networks to speak in complementary and resonant ways to enhance understanding of complex information related to the pandemic, mitigate unnecessary anxiety, and motivate healthy behavior to support population mental health.
The current COVID-19 pandemic has threatened the mental health and well-being of various populations. The pandemic also has compounded health disparities experienced by communities of color and magnified the vast treatment gaps they experience related to behavioral health and substance use treatment access. A multilevel approach to future communication interventions focused on mental health likely will be useful, as we need to know about and address interactions with health care professionals, mass media information sources, social networks, and community influences rather than solely trying to reach people with carefully crafted videos or advertisements. Implementation researchers and practitioners likely will need to coordinate organizations and networks to speak in complementary and resonant ways to support population mental health.
新冠疫情凸显了现存危机，并给不同人群带来了新的压力源。我们认为，多层次生态视角对于应对新冠疫情导致的情绪困扰和心理健康问题是必要的，研究人员和从业者曾运用这一视角来应对公共卫生领域一些最棘手的挑战。多个影响层面（个人、人际、组织、社区和政策）各自（单独或共同）对人群健康和个人福祉做出贡献。我们运用融合策略来说明，旨在提高认识、开展教育或促使明智决策或行为改变的多层次沟通策略如何能够处理围绕一个人的各种信息来源，从而协同影响心理健康结果。展望未来，传播与实施研究人员及从业者可能需要协调组织和网络，以互补且共鸣的方式发声，以增进对与疫情相关的复杂信息的理解，减轻不必要的焦虑，并激发健康行为以支持人群心理健康。
当前的新冠疫情威胁着不同人群的心理健康和福祉。疫情还加剧了有色人种社区所经历的健康差距，并扩大了他们在行为健康和物质使用治疗获取方面存在的巨大治疗差距。未来针对心理健康的沟通干预采取多层次方法可能会很有用，因为我们需要了解并应对与医疗保健专业人员、大众媒体信息源、社交网络和社区影响的相互作用，而不是仅仅试图通过精心制作的视频或广告去接触人们。实施研究人员和从业者可能需要协调组织和网络，以互补且共鸣的方式发声，以支持人群心理健康。
