Vandrevala Tushna, Morrow Elizabeth, Coates Tracey, Boulton Richard, Crawshaw Alison F, O'Dwyer Emma, Heitmeyer Carrie
Centre for Applied, Health and Social Care Research, Faculty of Health, Science, Social Care and Education, Kingston University, Kingston Upon Thames, UK.
Independent Researcher & Expert in Residence Inclusive Research and Cultures, Kingston University, Kingston Upon Thames, UK.
BMC Glob Public Health. 2024 Nov 27;2(1):79. doi: 10.1186/s44263-024-00112-y.
Community resilience and health emergency communication are both crucial in promoting a community's ability to endure crises and recover from emergency events. Yet, a notable gap in theory and evidence exists in the relationship between them. We aim to explore the relationship between community resilience and health emergency communication and to identify strategies and interventions to strengthen their usefulness to each other. Based on the results, a secondary aim was to develop a model of community-centred resilience and health emergency communication.
A systematic review of literature published between January 1990 and February 2024 was undertaken following Joanna Briggs Institute guidelines. Electronic databases (Web of Science, Social Science Citation Index, PubMed/MEDLINE) were searched using key terms. Eligibility criteria were developed from the literature and the knowledge of the multidisciplinary team. Inductive thematic analysis generated key themes. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were applied to present the findings.
The searches identified 300 articles, of which 86 met the inclusion criteria. Two main themes were identified from the literature: (i) the relationship between emergency communication and community resilience, including subthemes: building trust and collaboration within communities, identifying resources and their distribution, tailoring communication strategies, considering inclusion and equity, and community engagement and feedback and (ii) strategies and interventions, including subthemes: facilitating community structures as channels for communication, respecting personal and private boundaries in health communication, targeting outreach for effective crisis communication, building resilience through training and communication initiatives, and demonstrating commitment to equity and inclusion.
There is a small, yet valuable, body of evidence to demonstrate the value of bolstering community-centred resilience for emergency preparedness, response and recovery. The model of community-centred resilience and health emergency communication developed can inform policy, research and practice. Further research is required to develop and test community-centred approaches to enhance inclusive risk communication and equitable recovery.
社区复原力和卫生应急通信对于提升社区应对危机及从突发事件中恢复的能力都至关重要。然而，它们之间的关系在理论和证据方面存在显著差距。我们旨在探讨社区复原力与卫生应急通信之间的关系，并确定增强彼此效用的策略和干预措施。基于研究结果，第二个目标是构建一个以社区为中心的复原力和卫生应急通信模型。
按照乔安娜·布里格斯研究所的指南，对1990年1月至2024年2月发表的文献进行系统综述。使用关键词检索电子数据库（科学网、社会科学引文索引、PubMed/医学期刊数据库）。根据文献和多学科团队的知识制定纳入标准。采用归纳主题分析法得出关键主题。运用系统评价和荟萃分析的首选报告项目（PRISMA）指南呈现研究结果。
检索到300篇文章，其中86篇符合纳入标准。从文献中确定了两个主要主题：（i）应急通信与社区复原力之间的关系，包括子主题：在社区内建立信任与合作、确定资源及其分配、调整通信策略、考虑包容性和平等性，以及社区参与和反馈；（ii）策略和干预措施，包括子主题：促进社区结构作为通信渠道、在卫生通信中尊重个人和私人边界、针对有效危机通信进行外展、通过培训和通信举措建设复原力，以及展现对公平和平等的承诺。
有少量但有价值的证据表明，加强以社区为中心的复原力对应急准备、应对和恢复具有重要意义。所构建的以社区为中心的复原力和卫生应急通信模型可为政策制定、研究和实践提供参考。需要进一步开展研究，以开发和测试以社区为中心的方法，加强包容性风险沟通和公平恢复。
