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Trust and Public Health Emergency Events: A Mixed-Methods Systematic Review
Pradeep Sopory1, Julie M Novak1, Ashleigh M Day2
1Wayne State University, Detroit, MichiganUSA.
Disaster Medicine and Public Health Preparedness
|June 11, 2021
Summary
Building public trust during health emergencies is crucial. This review identifies key strategies for enhancing trust, recognizing it as a dynamic and complex factor in public health crisis response.
Area of Science:
- Public Health
- Health Communication
- Sociology of Health
Background:
- Trust is a critical component of effective public health emergency response.
- Previous research has not systematically synthesized evidence on trust during such events.
- Understanding trust dynamics is essential for improving crisis management and community engagement.
Purpose of the Study:
- To systematically review and synthesize findings on trust during public health emergency events.
- To identify factors and activities that enhance public trust in health authorities and interventions.
- To provide evidence-based recommendations for building and maintaining trust in crisis situations.
Main Methods:
- Systematic review of 38 English and 30 non-English primary studies (quantitative, qualitative, mixed-methods, case studies).
- Inclusion of field studies involving directly or potentially affected populations.
- Synthesis of findings first within methods, then across methods, with certainty/confidence evaluation.
Main Results:
- Identified 11 key findings synthesized across different study methodologies.
- Demonstrated that trust is a multi-faceted concept influenced by various factors.
- Highlighted a set of actionable activities proven to enhance trust during public health emergencies.
Conclusions:
- Trust is not static but a dynamic element that requires continuous effort to build and maintain.
- Implementing identified trust-enhancing activities can significantly improve public cooperation and response effectiveness.
- Findings offer valuable insights for policymakers, public health officials, and researchers involved in emergency preparedness and response.
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