PMID- 24649867
OWN - NLM
STAT- MEDLINE
DCOM- 20141208
LR  - 20240321
IS  - 2047-7732 (Electronic)
IS  - 2047-7724 (Print)
IS  - 2047-7724 (Linking)
VI  - 108
IP  - 2
DP  - 2014 Mar
TI  - Communicating risk and promoting disease mitigation measures in epidemics and 
      emerging disease settings.
PG  - 76-94
LID - 10.1179/2047773214Y.0000000127 [doi]
AB  - OBJECTIVE: This review aims to identify and assess evidence on interventions to 
      communicate risk and promote disease mitigation measures in epidemics and 
      emerging disease outbreak settings. The study focuses on data that are relevant 
      to low and middle-income country (LMIC) settings. METHODS: We conducted a 
      comprehensive literature search using five major electronic databases (Pubmed 
      Medline, Biomed Central, EMBASE, Science of Citation Index, and Cochrane Library) 
      and other sources to identify relevant studies published from January 2002 to 
      July 2013. The review was guided by the socio-ecological model/perspective of 
      public health and the ideation theory and focused on interventions at the 
      community, healthcare, and multi-sectoral settings, which also reflect key 
      intervention levels of the Ottawa Charter for Health Promotion. Eligible 
      quantitative studies were selected according to specific study criteria and 
      assessed using the Critical Appraisal Skills Program (CASP) framework. 
      Conversely, qualitative studies, reviews, case studies, and editorials were not 
      included. Studies were selected by two independent reviewers. RESULTS: 
      Twenty-nine relevant studies from 16 countries were included. Most studies 
      focused on a single intervention or intervention level, rather than 
      multi-sectoral interventions. The majority of the evidence relates to programs 
      aimed at behavioral and social results (or relevant intermediate steps) within a 
      specific population group. Two studies included implications for improvements in 
      health service delivery, two studies examined the intervention's impact on health 
      systems-related outcomes, and three had also implications for environmental 
      health outcomes. Cost- and health equity-related implications for select evidence 
      were also discussed. CONCLUSIONS: The paucity of well-designed quantitative 
      evaluations of interventions to communicate health risk and promote disease 
      control measures in LMICs does not allow for any definitive conclusions. Yet, the 
      review identified several promising interventions and areas for future 
      investigation. Among them, community-based and participatory interventions seemed 
      to be central within epidemic and emerging disease settings, particularly in 
      low-resource settings. Yet, evidence on their effectiveness is not conclusive and 
      needs to be explored by future studies. Other promising areas for future 
      investigation include multi-component and multi-sectoral approaches to 
      intervention design. Major research gaps referred to any evaluation of the impact 
      of these kinds of interventions on health policy adoption and/or implementation, 
      and social determinants of health. Research on cost-effectiveness also needs to 
      be strengthened. This review identified several research gaps and questions, and 
      discusses potential future directions for increasing capacity for future and more 
      rigorous assessments.
FAU - Schiavo, Renata
AU  - Schiavo R
FAU - May Leung, May
AU  - May Leung M
FAU - Brown, Mason
AU  - Brown M
LA  - eng
PT  - Journal Article
PT  - Review
PL  - England
TA  - Pathog Glob Health
JT  - Pathogens and global health
JID - 101583421
SB  - IM
MH  - Communicable Diseases, Emerging/epidemiology/*prevention & control
MH  - *Communication
MH  - Developing Countries
MH  - *Epidemics
MH  - Female
MH  - Health Promotion
MH  - Humans
MH  - Male
MH  - *Public Health
MH  - Risk Reduction Behavior
PMC - PMC4005587
OTO - NOTNLM
OT  - Behavior change communication,
OT  - Communication preparedness,
OT  - Cost,
OT  - Development communication,
OT  - Emerging diseases,
OT  - Epidemics,
OT  - Global health,
OT  - Health communication,
OT  - Health equity,
OT  - Health promotion,
OT  - Health service delivery,
OT  - Health systems,
OT  - Low and middle-income countries (LMICs),
OT  - Outbreak control,
OT  - Public health,
OT  - Risk communication,
OT  - Social change communication,
OT  - Vulnerable and underserved populations
EDAT- 2014/03/22 06:00
MHDA- 2014/12/15 06:00
PMCR- 2015/03/01
CRDT- 2014/03/22 06:00
PHST- 2014/03/22 06:00 [entrez]
PHST- 2014/03/22 06:00 [pubmed]
PHST- 2014/12/15 06:00 [medline]
PHST- 2015/03/01 00:00 [pmc-release]
AID - 218 [pii]
AID - 10.1179/2047773214Y.0000000127 [doi]
PST - ppublish
SO  - Pathog Glob Health. 2014 Mar;108(2):76-94. doi: 10.1179/2047773214Y.0000000127.