"People with mental illness struggle to find connection and community due to a combination of stigma, social isolation, and adverse social experiences. Digital games, as an immersive and interactive media, can convey aspects of mental health experiences in thoughtful ways. I considered how players c
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onnect with characters in digital games about mental health. Combining social network theories and science and technology studies, this qualitative grounded theory study of 48 people who play video games and experience mental illness found that players perceive and form bonds with characters as experientially similar to themselves. Players engaged with different commercially-available games about mental health and felt less alone in their own experiences, identified new coping strategies, and envisioned alternate self-narratives. I put forward a concept, experientially simulated others, to define the specific ways that digital games’ interactivity and immersivity enhance the impacts of connecting with shared mental health experiences." (Abstract)
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"Internews designed “The Power of Trust” to strengthen intercultural health networks and provide information to build trust around COVID-19 vaccines. Over 11 months, Internews and local partners continuously listened to the information needs of the communities. In response, we developed forums i
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n conjunction with knowledgeable health professionals and promoted media coverage of topics based on feedback in partner meetings and reports. Partners maintained ongoing relationships with Indigenous, Afro-descendant, rural, last-mile, and marginalized communities with insufficient health care, building capacities of local media sources and communicators to increase access to COVID-19 information. Internews collaborated with local partners, community communicators and media sources to adapt project activities to priority community needs. As a result, co-created sessions actively centered participants, were in local languages, used cultural codes specific to each community, and focused on context-specific concerns. In addition, Internews helped facilitate discussion spaces for community members to build dialogue with health experts to bridge gaps across Western and traditional medicine in addressing COVID-19 and other health issues. As the pandemic evolved, Internews also identified changing health priorities among focus communities and adapted trainings to mitigate the perceived changes, allowing project participants within these communities to more effectively reduce the spread of rumors related to COVID, vaccines, and other emerging health crises. Weekly radio programs on platforms like local Indigenous radio Radio Waira in Putumayo, Colombia incorporated intercultural approaches to discussing health topics to build trust." (Executive summary)
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"This article examines the constructions of Africa in COVID-19-related stories that were produced by African news media. Dominant scholarship indicates that western media generally reproduce and perpetuate harmful stereotypes on Africa. Given that there is scant literature on how African media cover
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s Africa, this article uses the COVID-19 pandemic as an entry point to explore the disease narratives on Africa. Drawing on Afrokology as decolonial perspective, this article examines the discourses and narratives on Africa that were produced by African news organizations. Data were drawn from ten news organizations from Ghana, Tanzania, Zimbabwe, South Africa and Egypt. A quantitative corpus analysis and a qualitative critical discourse analysis were used to analyse the COVID-19- related stories. Findings demonstrate that harmful disease stereotypes about Africa as a place of danger, darkness, tragedy and human rights abuses were reproduced by the African media." (Abstract)
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"This guide does not require prior knowledge or experience in behavioral science. It will be relevant for you if you are an actor in a humanitarian setting look to: 1. Design a Theory of Change for a program aiming to change people’s beliefs or behaviors: This guide can be used by several actors.
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For instance, program managers seeking to increase the uptake of COVID-19 vaccinations by countering scientifically incorrect information can rely on the insights provided here. Or it can also be used by a humanitarian who is developing a Theory of Change for promoting preventive health behaviors. This guide offers practical entry points to take into account when identifying what factors will influence how your information might develop the impact you are hoping to have and ultimately achieve the change you are pursuing. 2. Design communication strategies or information campaigns: This guide can be used by anyone who is grappling with the question of how to make an information campaign more effective by outlining concrete steps that new or existing communication interventions can take to effectively change people’s perceptions, beliefs and behaviors, within humanitarian settings. 3. Think about how to contextualize behavioral insights to design better information campaigns: It is necessary to ask afresh in each situation how exactly context influences the behavioral insights that determine uptake or dismissal of information. This guide provides a checklist for how to contextualize behavioral insights to specific social, political and cultural situations of humanitarian settings. In program design phase, where feedback is gathered from communities for co-created solutions, this checklist can help with deeper and behaviorallyinformed contextualisation." (How to use this guide)
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"Despite increased academic attention’s focus on conspiracy theories on Telegram, existing research has two major limitations: (1) a lack of combined examination of the distribution and reception of conspiracy theories, and (2) insufficient understanding of the relationship between the reception o
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f conspiracy messages and political attitudes, conspiracy beliefs, or political engagement. To address these gaps, our study adopts a two-pronged approach, linking the distribution and reception of conspiracy theories and mobilization calls on Telegram while exploring the implications for recipients’ conspiracy beliefs and protest behavior. Our research design includes a manual content analysis of 3,162 Telegram posts from German conspiracy-related channels (Study 1), and a survey of 318 Telegram users in these channels and 320 traditional media users (Study 2). Our results reveal characteristics of Telegram fringe group users that make them susceptible to conspiratorial and mobilizing content, such as anti-system attitudes and a readiness for protest behavior. These findings have broader implications for understanding the role of digital media in the spread of conspiracy theories and the mobilization of resistance during crises, as well as the importance of continued research on the relationship between digital media use, political attitudes, and engagement to mitigate the negative impacts of conspiracy theories and preserve democratic values." (Abstract)
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"Comment la Covid-19 a-t-elle été saisie de manière à faire sens tant pour l’action publique que dans les espaces médiatiques ? Les contributions révèlent une production discursive de différente nature (prescriptive, anxiogène, critique), que s qu’en soient les acteurs : représentants
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de l’action publique, experts de la santé et de l’économie, journalistes et consultants des médias classiques, infl uenceurs et usagers des médias socionumériques…. La pluralité des discours témoigne ainsi de la fragmentation des espaces publics en Afrique. Dans ce contexte qui a vu abonder les fausses informations et autres discours complotistes, la question de l’expertise s’est retrouvée posée, tant dans les médias classiques que sur les réseaux socionumériques. L’analyse révèle par ailleurs des formes d’appropriation culturelle locale de la pandémie relevant de la résilience des populations." (Description de la maison d'édition)
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"Easy access to evidence-based information on COVID-19 within an infodemic has been a challenging task. Chatbots have been introduced in times of emergency, when human resources are stretched thin and individuals need a user-centered resource. The World Health Organization Regional Office for Europe
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and UNICEF (United Nations Children's Fund) Europe and Central Asia came together to build a chatbot, HealthBuddy+, to assist country populations in the region to access accurate COVID-19 information in the local languages, adapted to the country context. Working in close collaboration with thematic technical experts, colleagues and counterparts at the country level allowed the project to be tailored to a diverse range of subtopics. To ensure that HealthBuddy+ was relevant and useful in countries across the region, the 2 regional offices worked closely with their counterparts in country offices, which were essential in partnering with national authorities, engaging communities, promoting the tool, and identifying the most relevant communication channels in which to embed HealthBuddy+. Over the past 2 years, the project has expanded from a web-based chatbot in 7 languages to a multistream, multifunction chatbot available in 16 regional languages, and HealthBuddy+ continues to expand and adjust to meet emerging health emergency needs." (Abstract)
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"Background: Large-scale social and behavioral change communication (SBCC) approaches can be beneficial to achieve improvements in knowledge, attitudes, and practices (KAP). Addressing Stunting in Tanzania Early (ASTUTE) included a significant SBCC component and targeted precursors to stunting inclu
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ding KAP related to maternal and child health, antenatal care, WASH, childhood development, and male involvement. METHODS: Baseline, midline, and endline surveys were conducted for a total of 14,996 female caregivers and 6726 male heads of household in the Lake Zone region of Tanzania. Regression analyses were used to estimate differences in KAP from baseline to midline and endline. Results: Women’s knowledge of handwashing and infant/child feeding practices, and attitudes related to male involvement, consistently improved from baseline to midline and baseline to endline. Women’s practices related to antenatal care, breastfeeding, and early child development improved from baseline to midline and baseline to endline. Improvements in KAP among male heads of household were varied across indicators with consistent improvement in practices related to child feeding practices from baseline to midline and baseline to endline. Conclusion: Many changes in KAP were observed from baseline to midline and baseline to endline and corresponded with SBCC programming in the region. These results provide support for the value of large SBCC interventions. Public health efforts in settings such as Tanzania may benefit from adopting these approaches." (Abstract)
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"Using a two-level randomized experiment covering 5 million people in Burkina Faso, we examine the impact on family planning knowledge and behavior of both general exposure to mass media (800 women receive radios in status quo areas) and an intensive evidence-based family planning campaign (8 of 16
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radio stations receive the campaign and 800 women receive radios in campaign areas). Women receiving radios in status quo areas reduce contraception use by 5.2 percentage points. This negative effect is concentrated among those who wanted fewer children, consistent with mass media increasing social pressure to conform to the modal behavior in the media market. In contrast, receiving a radio in campaign areas increases contraception use by 5.8 percentage points. Comparing women in campaign vs noncampaign areas we find contraception use is 5.9 percentage points higher, births 10% lower, misperceptions about contraception lower, and reported welfare 0.27 standard deviations higher in campaign areas." (Abstract)
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"Social media platforms have a wide and influential reach, and as such provide anopportunity to increase vaccine uptake. To date, there is no large-scale, robust evidence on the offline effects of online messaging campaigns. We aimed to test whether pre-tested, persuasive messaging campaigns from UN
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ICEF, disseminated on Facebook, influenced COVID-19 vaccine uptake in Ukraine, India, and Pakistan. In Ukraine, we deployed a stepped-wedge randomized controlled trial (RCT). Half of the 24 oblasts (provinces) received five weeks of the intervention, the other half ten weeks of the intervention. In India, an RCT with an augmented synthetic control was conducted in five states (Bihar, Chhattisgarh, Jharkhand, Madhya Pradesh, Rajasthan), whereby 40 out of 174 districts were randomized to receive six weeks of intervention. In Pakistan we deployed a pre-post design, whereby 25 city districts received six weeks of the intervention. Weekly COVID-19 vaccination data was sourced through government databases. Using Poisson regression models, the association between the intervention and vaccine uptake was estimated. In Ukraine we conducted a survey among Facebook users at three time points during the RCT, to ascertain vaccination intentions and trust in vaccines. The campaigns reached more than 110 million Facebook users and garnered 2.9 million clicks. In Ukraine, we found that the intervention did not affect oblast-level vaccination coverage (Relative Risk (RR): 0.93, 95% Confidence Interval (CI) 0.86-1.01). Similarly, in India and Pakistan we found no effect of our intervention (India: RR 0.85, 95% CI 0.70-1.04; Pakistan: RR 0.64, 95% CI 0.01-29.9). The survey among Facebook users in Ukraine showed that trust in vaccines and information sources was an important predictor of vaccination status and intention to get vaccinated. Our campaigns on Facebook had a wide reach, which did not translate in shifting behaviours. Timing and external events may have limited the effectiveness of our interventions." (Abstract)
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"Innovative mobile health (mHealth) interventions can improve maternal knowledge, thereby supporting national efforts to reduce preventable maternal and child mortality in South Africa. Studies have documented a potential role for mobile video content to support perinatal health messaging, enhance m
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aternal satisfaction, and overcome literacy barriers. Short, animated storytelling (SAS) is an innovative, emerging approach to mHealth messaging. Objective: We aimed to measure the effect of SAS videos on maternal knowledge and user satisfaction for mothers enrolled in antenatal care programs at 2 public health facilities in the Tshwane District of South Africa. Methods: We used a randomized controlled trial with a nested evaluation of user satisfaction. Participants were randomized 1:1 into Standard-of-Care (SOC) Control, and SAS Intervention groups. The intervention videos were delivered through WhatsApp, and 1 month later, participants responded to telephone surveys assessing their knowledge. The intervention group then participated in a nested evaluation of user satisfaction [...] Conclusions: While the SAS videos resulted in high user satisfaction, measured knowledge gains were small within a participant population that was already receiving perinatal health messages through antenatal clinics. The higher knowledge scores observed in older participants with higher education levels suggest that boosting maternal knowledge in younger mothers with lower education levels should continue to be a public health priority in South Africa. Given the high maternal satisfaction among the SAS video-users in this study, policy makers should consider integrating similar approaches into existing, broad-reaching perinatal health programs, such as MomConnect, to boost satisfaction and potentially enhance maternal engagement. While previous studies have shown the promise of animated video health education, most of this research has been conducted in high-income countries. More research in underresourced settings is urgently needed, especially as access to mobile technology increases in the Global South. Future studies should explore the effect of SAS videos on maternal knowledge in hard-to-reach populations with limited access to antenatal care, although real-world logistical challenges persist when implementing studies in underresourced South African populations." (Abstract)
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"What does health misinformation look like, and what is its impact? We conducted a systematic review of 45 articles containing 64 randomized controlled trials (RCTs; N = 37,552) on the impact of health misinformation on behaviors and their psychological antecedents. We applied a planetary health per
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spective by framing environmental issues as human health issues and focusing on misinformation about diseases, vaccination, medication, nutrition, tobacco consumption, and climate change. We found that in 49% of the cases exposure to health misinformation damaged the psychological antecedents of behaviors such as knowledge, attitudes, or behavioral intentions. No RCTs evaluated the impact of exposure to misinformation on direct measures of health or pro-environmental behaviors (e.g., vaccination), and few studies explored the impact of misinformation on feelings, social norms, and trust. Most misinformation was based on logical fallacies, conspiracy theories, or fake experts. RCTs evaluating the impact of impossible expectations and cherry-picking are scarce. Most research focused on healthy adult US populations and used online samples. Future RCTs can build on our analysis and address the knowledge gaps we identified." (Abstract)
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"Adolescent girls and young women (AGYW), aged 15.24 years, are disproportionately affected by HIV and other sexual and reproductive health (SRH) risks due to varying social, cultural, and economic factors that affect their choices and shape their knowledge, understanding, and practices with regard
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to their health. Social Behavioral Change Communication (SBCC) interventions targeted at strengthening the capabilities of individuals and their networks have supported the demand and uptake of prevention services and participation in biomedical research. However, despite growing global recognition of the domain, high-quality evidence on the effectiveness of SBCC remains scattered. This evidence and gap map (EGM) report characterizes the evidence base on SBCC interventions for strengthening HIV Prevention and Research among AGYW in low- and middle-income countries (LMICs), identifying evidence gaps and outlining the scope of future research and program design." (Abstract)
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"The objective of this document is to help professional health communicators (PHCs) in the countries of the Region of the Americas improve their local and national communications on vaccine-related risks, to strengthen trust in immunization, and ultimately to increase uptake of new and routine vacci
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nes across the life course. It is meant for health communications professionals, especially those working in the ministries of health supporting the NIP." (Page viii)
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"This comprehensive guide has four sections taking you through preparations, planning, developing, and implementing to monitoring and evaluating your campaign. We do not expect you to read this document in one sitting, but rather use it as you develop your social media campaign." (How to use this gu
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ide)
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"The spread of disinformation has been a topic of heightened concern, particularly during the COVID-19 pandemic, as the response to a public health crisis relies on the ability for public officials to inform citizens. Using a representative two-wave panel of internet users in Brazil, we examine the
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relationship between pathways to information, WhatsApp use, and the persistence of misinformed beliefs about the pandemic. We find a strong relationship between presidential support, right-wing news sources, and participating in WhatsApp groups with strangers, and becoming more misinformed over time. Conversely, most media diets (traditional news media, social media and WhatsApp for news) had no effect. However, Bolsonaro supporters, using WhatsApp and Facebook for news was strongly associated with increasing and persistent misinformation. Our findings provide further evidence that political leaders undermine a country’s ability to respond to a pandemic insofar as they breed mistrust in other institutions by instrumentalizing public health measures to win political fights." (Abstract)
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