Communication in Neglected Tropical Diseases' elimination: A scoping review and call for action.
Communication in Neglected Tropical Diseases' elimination: A scoping review and call for action.
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DOI：
10.1371/journal.pntd.0009774
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发表时间：
2022-10
影响因子：
3.8
通讯作者：
中科院分区：
文献类型：
--
作者：
虽然沟通的做法，经常被要求干预和参与受NTD影响的社区时，健康传播研究的学科框架在很大程度上已经从NTD战略缺席。为了说明在传播领域内概念化和发展的实践如何应用于消除NTD的背景下，我们进行了一次范围审查，重点是WHO目前针对消除的两种疾病：淋巴丝虫病和恰加斯病。我们检查了2012年至2020年在五个电子数据库中发表的研究。所选文章必须（i）在摘要、标题或关键词中明确提及传播;（ii）在文章正文中进一步阐述检索词（传播、信息、媒体、参与和健康教育）;（iii）充分描述与这些词相关的传播活动。使用C-Change社会和行为改变沟通的社会生态模型作为参考，文章进行了分析，以确定沟通活动，理论框架，和/或其设计中涉及的理由，以及他们的预期影响水平（个人，人际，社区或有利的环境）。共分析了43篇文章。大多数干预措施将沟通概念化为一套支持工具或补充活动，提供信息和放大预定义的信息，旨在增加知识，鼓励社区参与，促进个人行为改变，或确保拟议战略在一定程度上的可接受性。虽然确定了进一步探索沟通能力的重要尝试，特别是在基于参与的战略中，但对于大多数研究而言，沟通是一种欠发达和理论化不足的方法。我们认为，一个更复杂的了解卫生传播领域提供的能力，可以帮助实现生物医学和社会正义的目标提出的NTD消除战略。健康传播领域可以进一步加强NTD工作的三种方式是：以理论为基础的框架为干预措施提供信息，探索特定背景下社区参与的政治复杂性，并确定干预措施设计中隐含的文化概念。这篇文章呼吁人们在研究、设计或实施NTD干预措施时，考虑卫生传播领域提供的资源。传播往往被视为消除NTD战略的核心工具。然而，传播研究的学科框架很少被考虑在干预措施的设计。为了了解传播行动是如何构思和实践的，我们进行了一次范围审查，重点是目前要消除的两种疾病：淋巴丝虫病和恰加斯病。我们检查了2012年至2020年间发表的43项研究，以确定沟通实践、指导沟通行动的理论框架以及预期影响力的水平。社区参与是通过宣传行动最普遍追求的目标，在基层基金和社区发展战略中都是如此;确定了扩大这一做法的范围和影响的重要尝试。然而，我们的研究结果表明，虽然健康传播领域已经获得了复杂的公共卫生干预措施的通信生态的性质的理解，NTD的研究一直保持着肤浅的健康传播理论和科学的参与。这篇文章是一个行动的呼吁，以考虑由健康传播领域提供的资源，研究，设计，或实施NTD干预措施，以提高实施环境中的沟通行动的可能性。
Although the practice of communication is often called upon when intervening and involving communities affected by NTDs, the disciplinary framework of health communication research has been largely absent from NTD strategies. To illustrate how practices conceptualized and developed within the communication field have been applied in the context of NTD elimination, we conducted a scoping review focusing on two diseases currently targeted for elimination by the WHO: lymphatic filariasis and Chagas disease. We examined studies published between 2012 and 2020 in five electronic databases. Selected articles were required to (i) have explicit references to communication in either the abstract, title, or key words; (ii) further elaborate on the search terms (communication, message, media, participation and health education) in the body of the article; and (iii) sufficiently describe communication actions associated to those terms. Using the C-Change Socio-Ecological Model for Social and Behavior Change Communication as a reference, the articles were analysed to identify communication activities, theoretical frameworks, and/or rationales involved in their design, as well as their intended level of influence (individual, interpersonal, community, or enabling environment). A total of 43 articles were analysed. Most interventions conceptualized communication as a set of support tools or supplemental activities delivering information and amplifying pre-defined messages aimed at increasing knowledge, encouraging community involvement, promoting individual behavior change, or securing some degree of acceptability of proposed strategies. Although important attempts at further exploring communication capabilities were identified, particularly in participation-based strategies, for most studies, communication consisted of an underdeveloped and under-theorized approach. We contend that a more complex understanding of the capacities offered by the health communication field could help attain the biomedical and social justice goals proposed in NTD elimination strategies. Three ways in which the field of health communication could further enhance NTD efforts are presented: informing interventions with theory-based frameworks, exploring the political complexity of community participation in specific contexts, and identifying conceptualizations of culture implied in interventions’ design. This article is a call to action to consider the resources offered by the health communication field when researching, designing, or implementing NTD interventions. Communication is often seen as a central tool in NTD elimination strategies. However, the disciplinary framework of communication research is rarely considered in interventions’ design. To understand how communication action is conceived and practiced, we conducted a scoping review with a focus on two diseases currently targeted for elimination: lymphatic filariasis and Chagas disease. We examined 43 studies published between 2012 and 2020 to identify communication practices, theoretical frameworks informing communication action and levels of intended influence. Community participation was the goal most commonly pursued through communication action, both in LF and CD strategies; important attempts at expanding the scope and reach of this practice were identified. However, our results indicate that while the field of health communication has gained complexity in the understanding of the nature of communication ecologies in public health interventions, NTD research has maintained a superficial involvement with health communication theory and science. This article is a call to action to consider the resources offered by the health communication field when researching, designing, or implementing NTD interventions to enhance the possibilities of communication action in implementation settings.
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影响因子：
3.8
作者：
Agbo, Ines Elvire;Johnson, Roch Christian;Nichter, Mark
通讯作者：
Nichter, Mark
影响因子：
4.5
作者：
Buttenheim, Alison M.;Levy, Michael Z.;Paz-Soldan, Valerie A.
通讯作者：
Paz-Soldan, Valerie A.
影响因子：
2.7
作者：
Carlota Monroy, Maria;Penados, Daniel;Chuit, Roberto
通讯作者：
Chuit, Roberto
影响因子：
6.3
作者：
Buttenheim AM;Paz-Soldan V;Barbu C;Skovira C;Quintanilla Calderón J;Mollesaca Riveros LM;Cornejo JO;Small DS;Bicchieri C;Naquira C;Levy MZ
通讯作者：
Levy MZ
DOI：
10.5216/rpt.v47i2.54215
发表时间：
2018-04-01
期刊：
Revista de Patologia Tropical
影响因子：
--
作者：
Bianchi, Tanise Freitas;dos Santos, Cibele Velleda;Villela, Marcos Marreiro
通讯作者：
Villela, Marcos Marreiro