
Methodology
To inform this toolkit, the de Beaumont Foundation conducted qualitative and quantitative research over 12 months with a diverse mix of more than 1,600 U.S. adults. Research activities included:
- Qualitative message testing with 100 English-speaking U.S. adults
- Interviews with 19 public health professionals in different roles and contexts
- Follow-up qualitative message testing with 17 English-speaking U.S. adults
- A nationally representative online survey with 1,503 respondents
Most survey respondents and other participants demonstrated a limited understanding of public health. Among the knowledge gaps:
- Nearly all participants had a hard time describing what public health is and what public health professionals do.
- Many participants believed that public health and health care are the same — or that individual health care is the main focus of public health.
- Many participants conflated public health with public insurance programs like Medicare and Medicaid.
- Most participants had limited familiarity with the functions of public health departments, especially at the state and local levels.
- For many participants, the COVID-19 pandemic was their only frame of reference for public health.
The talking points and guidance in this toolkit were designed to address these knowledge gaps and to empower public health professionals to build understanding in their communities.
Trust begins with understanding
In the United States, trust in public health and government organizations is declining. There are many reasons people distrust these organizations and the guidance they share, including:
- Information overload. When there’s a constant flood of information to take in — mixed with plenty of mis- and disinformation — it can be hard to separate fact from fiction. (Misinformation is any information that’s false or misleading. Disinformation is when people spread information that they know is false.)
- Shifting public health guidance. Research shows that people often get confused or frustrated when scientific knowledge and health guidance changes over time, as it did during the COVID-19 pandemic.
- Political polarization. Like many other topics, public health has become politicized as our country’s political environment has become more and more polarized. Politically driven rhetoric influences how people think about public health and government organizations, often in misleading ways.
- Experiences of harm in public health or health care systems. Many communities distrust public health organizations because of very real harms — past and present — that community members have experienced in the U.S. public health and health care systems. To learn more about how systemic injustice may impact community members’ perceptions of public health, refer to Understand how systemic issues may shape your audience’s perspective.
- Perceptions of corruption. Some people have a sense that institutions aren’t designed to serve them and that leaders are motivated by self-interest rather than a desire to help the community.
By consistently sharing accurate information in language that’s easy to understand, you can help people sift through the information overload they encounter every day and filter out mis- and disinformation. Communicating clearly, consistently, and compellingly is vital to earning the trust of community members and partners.
The research that informed this toolkit shows that understanding is an important building block of trust. However, many people have a limited understanding of public health. If people don’t have a baseline understanding of what public health institutions do, public health professionals cannot expect to meaningfully build trust. For that reason, this toolkit focuses on increasing the public’s understanding of public health institutions as a foundational step in the hard work of rebuilding trust.
As a public health professional, you have opportunities to build public health literacy in your community — to help people understand what public health is, what public health professionals do, and how that work affects their everyday lives and the lives of people they care about. In this toolkit, you’ll learn practical ways to build understanding of public health as you interact with community members in person or online.
All public health professionals are communicators
If you work in public health, chances are you communicate with the people you serve. For example, depending on your role, you might interact with community members by:
- Chatting with attendees at a health fair or other local event
- Answering questions during testing or vaccination appointments
- Posting on your organization’s social media accounts
- Creating formal communication campaigns about health topics
- Forming partnerships with community stakeholders and organizations
This toolkit can help you take advantage of those opportunities by communicating more effectively to build understanding.
Consistent messaging helps maximize impact
While public health is a diverse field with many different areas of expertise, public health professionals share common goals, like preventing illness and injury and giving everyone an equal chance to be as healthy as possible. Currently, there’s no shared language that public health professionals across specialties can use to define public health and explain the work they do. This has created challenges in helping the public understand this work. But using the same language consistently can help to reinforce ideas so that people are more likely to remember them.
This toolkit was designed to fill this gap by providing research-tested talking points and examples that support public health literacy. The de Beaumont Foundation developed these talking points and examples using best practices of clear communication and refined them based on research with a diverse group of adults from across the country. (For more on these research findings, refer to Promising talking points backed by research.) In addition to the talking points and examples, at the end of the toolkit you’ll find guidance and resources that you can use to tailor communications to your community’s needs and your professional role.
