Using Narrative Evidence to Convey Health Information on Social Media: The Case of COVID-19.

Using Narrative Evidence to Convey Health Information on Social Media: The Case of COVID-19.
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DOI:
10.2196/24948
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发表时间:
2021-03-15
影响因子:
7.4
通讯作者:
Gesser-Edelsburg A
Gesser-Edelsburg A
中科院分区:
医学2区
文献类型:
--
作者:
Gesser-Edelsburg A

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在疾病爆发或大流行期间,决策者必须为提供信息的目的向公众传达信息(例如发病率或死亡率)。他们还必须激励公众配合指导方针,特别是通过改变他们的日常行为。决策者传统上采取说教和形式主义的立场,向公众传达枯燥的、基于统计的卫生信息。他们还没有考虑以叙述证据的形式提供健康信息的替代方案,使用涉及认知和情感方面的故事。这篇观点论文的目的是向政策制定者介绍在疾病爆发或COVID-19等大流行期间使用叙事证据提供健康信息的优势。纵观人类历史,在疾病爆发或大流行期间,当局往往会采用启示录式的叙述。这篇观点论文提出了一种替代性的应对叙事,它包括以下组成部分:分段;障碍减少;榜样;同情和支持;加强自我效能感、社区效能感和应对工具;防止对高危人群的污名化;沟通不确定性。本文还讨论了使用叙事证据在社交媒体上产生有效传播活动的五个条件:(1)识别揭示不同子群体需求、个人经历和问题的叙事,以定制信息,产生有针对性的行为改变;(2)对社交网络上产生的每一个信息单元或理论进行单独、区别对待;(3)发现在新冠肺炎危机期间找到其他社区成员没有找到的创造性解决压力的积极越轨者;(4)创造不同的应对故事;(5)与人口子群体(例如,持怀疑态度和犹豫不决的群体)保持对话。本文最后提出了评价叙事效果的标准。
During disease outbreaks or pandemics, policy makers must convey information to the public for informative purposes (eg, morbidity or mortality rates). They must also motivate members of the public to cooperate with the guidelines, specifically by changing their usual behavior. Policy makers have traditionally adopted a didactic and formalistic stance by conveying dry, statistics-based health information to the public. They have not yet considered the alternative of providing health information in the form of narrative evidence, using stories that address both cognitive and emotional aspects. The aim of this viewpoint paper is to introduce policy makers to the advantages of using narrative evidence to provide health information during a disease outbreak or pandemic such as COVID-19. Throughout human history, authorities have tended to employ apocalyptic narratives during disease outbreaks or pandemics. This viewpoint paper proposes an alternative coping narrative that includes the following components: segmentation; barrier reduction; role models; empathy and support; strengthening self-efficacy, community efficacy, and coping tools; preventing stigmatization of at-risk populations; and communicating uncertainty. It also discusses five conditions for using narrative evidence to produce an effective communication campaign on social media: (1) identifying narratives that reveal the needs, personal experiences, and questions of different subgroups to tailor messaging to produce targeted behavioral change; (2) providing separate and distinct treatment of each information unit or theory that arises on social networks; (3) identifying positive deviants who found creative solutions for stress during the COVID-19 crisis not found by other members of the community; (4) creating different stories of coping; and (5) maintaining a dialogue with population subgroups (eg, skeptical and hesitant groups). The paper concludes by proposing criteria for evaluating the effectiveness of a narrative.
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