Community responses to communication campaigns for influenza A (H1N1): a focus group study.
Community responses to communication campaigns for influenza A (H1N1): a focus group study.
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DOI：
10.1186/1471-2458-12-205
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发表时间：
2012-03-19
影响因子：
4.5
通讯作者：
Baker MG
中科院分区：
文献类型：
--
作者：
Gray L;MacDonald C;Mackie B;Paton D;Johnston D;Baker MG
这项研究是新西兰健康研究委员会和卫生部为应对 2009 年甲型流感大流行而发起的有争议的快速反应计划的一部分。其目的是为新西兰卫生当局提供基于证据的实用信息，以指导针对 H1N1 流感和其他卫生活动制定和提供有效的卫生信息。这项研究通过提供有关社区对 2009 年和 2010 年 H1N1 流感活动中关键健康信息的反应、信息对行为改变的影响以及对新西兰弱势群体的不同影响的定性数据，为该倡议做出了贡献。收集了关于 2009 年和 2010 年卫生部 H1N1 运动中社区对关键健康信息的反应、信息对行为的影响以及对弱势群体的不同影响的定性数据。 2010 年冬季举行了八次焦点小组会议，共有 80 名参与者参加，他们来自卫生部确定的 H1N1 病毒易感人群，如慢性病患者、孕妇、儿童、太平洋岛民和毛利人。由于这项研究是快速反应计划的一部分，因此选择焦点小组作为现有时间内最有效的数据收集手段。对于毛利人来说，焦点小组讨论 (hui) 是一种适合文化的方法。数据的主题分析确定了四个主要主题：个人和社区风险、制定社区策略、责任和信息来源。人们希望了解他们可以采取哪些具体行动来保护自己和家人并减轻任何后果。他们希望进行透明和真实的沟通，让他们可以信任的人传达好消息和坏消息。所有团体的回应都认可需要进行基于社区的风险管理，包括信息传播。与社区合作对于促进防范和增强社区对未来大流行事件的抵御能力至关重要。这项研究说明了人们如何理解和应对与 H1N1 大流行相关的健康信息的复杂性。分析中发现的差异的重要性并不在于差异本身，而是突显了“一刀切”的流行病预警策略的问题。
This research was a part of a contestable rapid response initiative launched by the Health Research Council of New Zealand and the Ministry of Health in response to the 2009 influenza A pandemic. The aim was to provide health authorities in New Zealand with evidence-based practical information to guide the development and delivery of effective health messages for H1N1 and other health campaigns. This study contributed to the initiative by providing qualitative data about community responses to key health messages in the 2009 and 2010 H1N1 campaigns, the impact of messages on behavioural change and the differential impact on vulnerable groups in New Zealand. Qualitative data were collected on community responses to key health messages in the 2009 and 2010 Ministry of Health H1N1 campaigns, the impact of messages on behaviour and the differential impact on vulnerable groups. Eight focus groups were held in the winter of 2010 with 80 participants from groups identified by the Ministry of Health as vulnerable to the H1N1 virus, such as people with chronic health conditions, pregnant women, children, Pacific Peoples and Māori. Because this study was part of a rapid response initiative, focus groups were selected as the most efficient means of data collection in the time available. For Māori, focus group discussion (hui) is a culturally appropriate methodology. Thematic analysis of data identified four major themes: personal and community risk, building community strategies, responsibility and information sources. People wanted messages about specific actions that they could take to protect themselves and their families and to mitigate any consequences. They wanted transparent and factual communication where both good and bad news is conveyed by people who they could trust. The responses from all groups endorsed the need for community based risk management including information dissemination. Engaging with communities will be essential to facilitate preparedness and build community resilience to future pandemic events. This research provides an illustration of the complexities of how people understand and respond to health messages related to the H1N1 pandemic. The importance of the differences identified in the analysis is not the differences per se but highlight problems with a "one size fits all" pandemic warning strategy.
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