International experiences with co-production and people centredness offer lessons for covid-19 responses

Turk, Eva; Durrance-Bagale, Anna; Han, Emeline; Bell, Sadie; Rajan, Selina; Lota, Maria Margarita M; Ochu, Chinwe Lucia; Porras, Maria Lazo; Mishra, Pallavi; Frumence, Gasto; McKee, Martin; Legido‐Quigley, Helena

doi:10.1136/bmj.m4752

Cited by 46 publications

(62 citation statements)

References 30 publications

(36 reference statements)

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“…The necessity of enhanced government and institutional support for at-risk groups is evident. As suggested in recent literature related to COVID-19 and health research globally, collaborative consultation with specific at-risk group, including through meaningful engagement in the design of programs and services, will be necessary to ensure that mental health care and psychosocial support will be relevant and accessible [ 157 – 158 ] .…”

Section: Discussionmentioning

confidence: 99%

Needs, gaps and opportunities for standard and e-mental health care among at-risk populations in the Asia Pacific in the context of COVID-19: a rapid scoping review

Murphy

Khan

Sun

et al. 2021

Int J Equity Health

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Background The COVID-19 pandemic is expected to have profound mental health impact, including in the Asia Pacific Economic Cooperation (APEC) region. Some populations might be at higher risk of experiencing negative mental health impacts and may encounter increased barriers to accessing mental health care. The pandemic and related restrictions have led to changes in care delivery, including a rapid shift to the use of e-mental health and digital technologies. It is therefore essential to consider needs and opportunities for equitable mental health care delivery to the most at-risk populations. This rapid scoping review: 1) identifies populations in the APEC region that are at higher risk of the negative mental health impacts of COVID-19, 2) identifies needs and gaps in access to standard and e-mental health care among these populations, and 3) explores the potential of e-mental health to address these needs. Methods We conducted a rapid scoping review following the PRISMA Extension for Scoping Reviews (PRISMA-ScR). We searched Medline, Embase and PsychInfo databases and Google Scholar using a search strategy developed in consultation with a biomedical librarian. We included records related to mental health or psychosocial risk factors and COVID-19 among at-risk groups; that referred to one or more APEC member economies or had a global, thus generalizable, scope; English language papers, and papers with full text available. Results A total of 132 records published between December 2019 and August 2020 were included in the final analysis. Several priority at-risk populations, risk factors, challenges and recommendations for standard and e-mental health care were identified. Results demonstrate that e-mental health care can be a viable option for care delivery but that specific accessibility and acceptability considerations must be considered. Options for in-person, hybrid or “low-tech” care must also remain available. Conclusions The COVID-19 pandemic has highlighted the urgent need for equitable standard and e-mental health care. It has also highlighted the persistent social and structural inequities that contribute to poor mental health. The APEC region is vast and diverse; findings from the region can guide policy and practice in the delivery of equitable mental health care in the region and beyond.

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Section: Discussionmentioning

confidence: 99%

Needs, gaps and opportunities for standard and e-mental health care among at-risk populations in the Asia Pacific in the context of COVID-19: a rapid scoping review

Murphy

Khan

Sun

et al. 2021

Int J Equity Health

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“…For example, production and consumption of date palm sap has been part of community life in Bangladesh for generations [ 62 ]. Communities may be understandably resistant to changing these behaviours, both because they are likely to have been preserved for many years as culturally significant and because those recommending such changes (e.g., politicians, national and foreign experts) may not be perceived as legitimate, e.g., not trusted or respected within communities, highlighting the importance of producing solutions with communities [ 107 ]. In terms of seeking healthcare, many communities are poor and may necessarily prioritise food and shelter over attending healthcare centres, even if these are available.…”

Section: Discussionmentioning

confidence: 99%

Drivers of zoonotic disease risk in the Indian subcontinent: A scoping review

et al. 2021

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Literature on potential anthropogenic drivers of zoonotic disease risk in the Indian subcontinent is sparse. We conducted a scoping review to identify primary sources, published 2000–2020, to clarify what research exists and on which areas future research should focus. We summarised findings thematically by disease. Of 80 sources included, 78 (98%) were original research articles and two were conference abstracts. Study designs and methods were not always clearly described, but 74 (93%) were quantitative (including one randomised trial), five (6%) were mixed-methods, and one was qualitative. Most sources reported research from India (39%) or Bangladesh (31%), followed by Pakistan (9%), Nepal (9%), Bhutan and Sri Lanka (6% each). Topically, most focused on rabies (18; 23%), Nipah virus (16; 20%) or leptospirosis (11; 14%), while 12 (15%) did not focus on a disease but instead on knowledge in communities. People generally did not seek post-exposure prophylaxis for rabies even when vaccination programmes were available and they understood that rabies was fatal, instead often relying on traditional medicines. Similarly, people did not take precautions to protect themselves from leptospirosis infection, even when they were aware of the link with rice cultivation. Nipah was correlated with presence of bats near human habitation. Official information on diseases, modes of transmission and prevention was lacking, or shared informally between friends, relatives, and neighbours. Behaviour did not correspond to disease knowledge. This review identifies various human behaviours which may drive zoonotic disease risk in the Indian subcontinent. Increasing community knowledge and awareness alone is unlikely to be sufficient to successfully change these behaviours. Further research, using interdisciplinary and participatory methods, would improve understanding of risks and risk perceptions and thus help in co-designing context-specific, relevant interventions.

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“…The effects of education, numeracy and ethnicity on understanding of residual risk were consistent with prior studies on risk communication 4, 27, 28 and suggest there are additional barriers to understanding in those with low education, low numeracy and Black and Mixed ethnicity. Future research should seek to identify and tackle them, to which end co-producing messages with these populations could be a useful approach 32, 33 . Finally, future research should evaluate the effectiveness of the messages that people receive after a positive LFD test result, in terms of encouraging self-isolation or following up with a PCR test.…”

Section: Discussionmentioning

confidence: 99%

Reducing false reassurance following negative results from asymptomatic coronavirus (Covid-19) testing: an online experiment

Batteux

Bonfield

Jones

et al. 2021

Preprint

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Objectives. Individuals who receive a negative lateral flow coronavirus (Covid-19) test result may misunderstand it as meaning no risk of infectiousness, giving false reassurance. This experiment tested the impact of adding information to negative test result messages about (a) residual risk and (b) need to continue protective behaviours. Design. 4 (residual risk) x 2 (post-test result behaviours) between-subjects design. Setting. Online. Participants. 1200 adults from a representative UK sample recruited via Prolific (12-15 March 2021). Interventions. Participants were randomly allocated to one of eight messages. Residual risk messages were: 1) 'Your coronavirus test result is negative' (control); 2) Message 1 plus 'It's likely you were not infectious when the test was done' (Current NHS Test and Trace); 3) Message 2 plus 'But there is still a chance you may be infectious' (Elaborated NHS Test and Trace); 4) Message 3 plus infographic depicting residual risk (Elaborated NHS Test and Trace + infographic). Each message contained either no additional information or information about behaviour, i.e. the need to continue following guidelines and protective behaviours. Outcome measures. (i) proportion understanding residual risk of infectiousness and (ii) likelihood of engaging in protective behaviours (score range 0-7). Results. The control message decreased understanding relative to the current NHS T&T message: 54% vs 71% (AOR=0.37 95% CI [0.22, 0.61], p<.001). Understanding increased with the elaborated NHS T&T (89%; AOR=3.27 95% CI [1.78, 6.02], p<.001) and elaborated NHS T&T + infographic (91%; AOR=4.03 95% CI [2.14, 7.58], p<.001) compared to current NHS T&T message. Likelihood of engaging in protective behaviours was unaffected by information (F(1,1192)=0.43, p=.513), being high (M=6.4, SD=0.9) across the sample. Conclusions. The addition of a single sentence ('But there is still a chance you may be infectious') to current NHS Test and Trace wording increased understanding of the residual risk of infection. Trial registration. Open Science Framework: https://osf.io/byfz3/

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International experiences with co-production and people centredness offer lessons for covid-19 responses

Abstract: and colleagues believe that there is much to learn from the experiences of low and middle income countries in co-producing knowledge and working with communities to find feasible and acceptable solutions to healthcare concerns on 21 February 2021 by guest. Protected by copyright.

Cited by 46 publications

References 30 publications

Needs, gaps and opportunities for standard and e-mental health care among at-risk populations in the Asia Pacific in the context of COVID-19: a rapid scoping review

Needs, gaps and opportunities for standard and e-mental health care among at-risk populations in the Asia Pacific in the context of COVID-19: a rapid scoping review

Drivers of zoonotic disease risk in the Indian subcontinent: A scoping review

Reducing false reassurance following negative results from asymptomatic coronavirus (Covid-19) testing: an online experiment

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