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Enhancing rural risk communication for future health crises through the PHERCC framework

Bibliographic Data

ID22070549
AuthorsAbimbola Leslie (0000-0002-0236-7602, University of Vermont), Elizabeth K Woods (University of Vermont, corresponding author), Eline Van Den Broek-Altenburg (0000-0002-4831-9083, University of Vermont), Eline M van den Broek-Altenburg, Gary S Stein (0000-0001-8762-5422, University of Vermont), Jan K Carney (0000-0002-3822-0303, University of Vermont)
Year2025
Volume13
Pages1594833-1594833
Publication date2025-06-03
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2025.1594833
PMID40538684
OpenAlexW4411062124
LanguageEN
References cited57

Introduction: Public health emergencies, such as the COVID-19 pandemic, highlight the critical role of effective risk communication in managing crises. The Public Health Emergency Risk and Crisis Communication framework (PHERCC) provides a structured approach to crafting, delivering, and refining public health messages to build trust, promote compliance, and enhance societal resilience. Methods: This qualitative study examined COVID-19 risk communication strategies in rural Northern New England using the PHERCC framework. Data were collected through seventeen stakeholder interviews, seven focus groups, and a pilot study conducted between November 2022 and March 2023. Stakeholders represented state and local organizations, while focus group participants included rural residents. A thematic analysis using NVivo software aligned findings with the six PHERCC domains: Evidence, Initiator, Channel, Publics, Message, and Feedback. Results: Stakeholders emphasized transparency in public health messaging, adapting to evolving evidence while maintaining consistency. Trusted local sources and traditional media were essential for reaching vulnerable populations, particularly older adults in rural areas. Public feedback highlighted barriers such as misinformation, translation challenges, and limited internet access. The pilot study confirmed that community collaboration and tailored messaging increased understanding and trust among rural residents. Simplified accessible core messages and consistent updates further enhanced public engagement. Conclusion: This study shows the importance of evidence-based, adaptive, and population subgroup sensitive communication during public health emergencies. The PHERCC framework proved instrumental in addressing challenges, promoting trust, and refining strategies. Investing in inclusive communication systems and leveraging community partnerships are important for effective responses to future health crises

Business · Focus group · Health communication · Political science · Public health · Public relations · Qualitative research · Sociology · Stakeholder · Thematic analysis · Disaster Management and Resilience · Disaster Response and Management · Medicine · Nursing · Public Health Policies and Education · Marketing

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