Faculty of Education, Western University, London, Ontario, Canada.
College of Nursing, University of South Carolina, Columbia, South Carolina, USA.
BMJ Open. 2024 Aug 12;14(8):e085630. doi: 10.1136/bmjopen-2024-085630.
The COVID-19 pandemic has had devastating worldwide impact but most prominent was its effect on marginalised, underserved and equity-deserving populations. Social media arose as an important platform from which health organisations could rapidly disseminate information to equity-deserving populations about COVID-19 risks and events, provide instructions on how to mitigate those risks, motivate compliance with health directives, address false information, provide the opportunity for engagement and immediate feedback. The objective of this scoping review was to synthesise the academic and grey literature on equity-informed social media risk communication strategies developed during the pandemic.
The review followed the Arksey and O'Malley framework and focused on the research question: What are the promising principles, processes, and practices for producing equity-informed social media risk communications?
CINAHL Complete, MEDLINE (OVID), Business Source Complete, EMBASE database OVID, Scopus and PubMed's curated COVID-19 literature hub: LitCovid, PsycINFO OVID were searched using terms related to access to health services, social media, risk communication, misinformation, community engagement, infectious disease, pandemics and marginalisation, supplemented by grey literature from relevant health organisations.
Studies were eligible if the population of interest was an equity-deserving population, the concept discussed was COVID-19 risk communication and the article was published in English between January 2019 and December 2022.
COVIDENCE facilitated screening and extraction. Charted data were thematically analysed following Braun and Clarke's phased process. Preliminary findings were collaboratively discussed with representatives from health agencies and community organisations focused on serving equity-deserving groups.
12 studies were included. In terms of principles and process, studies emphasised the need to collaboratively create plans for message construction and targeted dissemination using a risk communication framework, capitalise on access to community resources and pre-established communication mediums and be considerate of population-specific needs and concerns. Practice entails careful consideration of communication mediums, language usage, communication frequency and evaluation.
This scoping review provides valuable insights for health agencies and community organisations in developing principles, processes and practices to equitably communicate risk information through social media. Engagement with stakeholders further refined and confirmed the findings, offering insights for future crisis communication strategies.
COVID-19 大流行在全球范围内造成了毁灭性的影响，但最突出的是它对边缘化、服务不足和公平权益人群的影响。社交媒体成为卫生组织向公平权益人群快速传播有关 COVID-19 风险和事件信息的重要平台，提供如何减轻这些风险的指导，激励遵守卫生指令，解决虚假信息，提供参与和即时反馈的机会。本范围综述的目的是综合大流行期间制定的以公平为导向的社交媒体风险沟通策略的学术和灰色文献。
该综述遵循 Arksey 和 O'Malley 框架，重点研究以下研究问题：产生以公平为导向的社交媒体风险沟通的有前途的原则、过程和实践是什么？
CINAHL Complete、MEDLINE（OVID）、Business Source Complete、EMBASE 数据库 OVID、Scopus 和 PubMed 的 COVID-19 文献中心：LitCovid、PsycINFO OVID 使用与获得卫生服务、社交媒体、风险沟通、错误信息、社区参与、传染病、大流行和边缘化相关的术语进行搜索，辅之以来自相关卫生组织的灰色文献。
如果目标人群是公平权益人群，讨论的概念是 COVID-19 风险沟通，并且文章在 2019 年 1 月至 2022 年 12 月期间以英文发表，则研究符合条件。
COVIDENCE 促进了筛选和提取。根据 Braun 和 Clarke 的分阶段过程对图表数据进行了主题分析。初步发现与专注于服务公平权益群体的卫生机构和社区组织的代表进行了协作讨论。
共纳入 12 项研究。在原则和过程方面，研究强调需要协作制定使用风险沟通框架构建信息和有针对性传播的计划，利用社区资源和预先建立的沟通媒介的优势，并考虑特定人群的需求和关注点。实践需要仔细考虑沟通媒介、语言使用、沟通频率和评估。
本范围综述为卫生机构和社区组织通过社交媒体公平沟通风险信息提供了有价值的见解。与利益相关者的互动进一步完善和证实了研究结果，为未来的危机沟通策略提供了见解。
