Health communication: a discussion of North American and European views on sustainable health in the digital age

Following the United Nations’ Sustainable Development Goals, the UN’s third goal is meant to “ensure health lives and promote well-being for all at all ages” (UN 2017). Thus health is closely linked to sustainability. While progress has been made over the past decades, which have seen an increase in life expectancy and a success in combatting several diseases (e.g., children’s diseases such as measles or adult diseases such as HIV and malaria), new health issues have emerged and need to be addressed. In this context, communication is of uttermost relevance. Broadly speaking, health communication refers to “any type of human communication whose content is concerned with health” (Rogers, J Health Commun 1:15–23, 1996) and can be directed at both individuals and organizations with the goal of preventing illness and fostering health (Thompson et al., The Routledge handbook of health communication, 2nd edn. Routledge, New York, 2011). As a multifaceted and multidisciplinary approach, health communication draws from and combines influences from different theoretical backgrounds and disciplines, such as education, sociology, (mass) communication, anthropology, psychology, and social sciences (WHO, Health and sustainable development. Key health trends. Available via WHO. http://www.who.int/mediacentre/events/HSD_Plaq_02.2_Gb_def1.pdf. Accessed 20 Dec 2017, 2003; Institute of Medicine, Health literacy: a prescription to end confusion. Available via The National Academies of Sciences Engineering Medicine. http://www.nap.edu/openbook.php?record_id=10883. Accessed 11 Apr 2016, 2003; Bernhardt, Am J Public Health 94:2051–2053, 2004). Health communication – regardless of the form it takes (e.g., policies, patient-provider interactions, community projects, public service announcements, or advertising) – is concerned with “influencing, engaging and supporting individuals, communities, health professionals, special groups, policy makers and the public to champion, introduce, adopt, or sustain a behavior, practice or policy that will ultimately improve health outcomes” (Schiavo, Health communication: from theory to practice. Wiley, San Francisco, 2007). As such, it needs to be perceived as “a part of everyday life” (du Pré, Communicating about health: current issues and perspectives. Mayfield Publishing Company, Mountain View, 2000). Since health communication occurs in the health communication environment (Schiavo, Health communication: from theory to practice, 2nd edn. Jossey-Bass, San Francisco, 2014), which is composed of four main domains, namely: (1) health audience; (2) recommended health behavior, service, or product; (3) social environment; and (4) political environment, it takes place on various levels (societal, institutional, and individual) which need to be studied in order to provide a comprehensible and complete picture of the subject area. The present contribution seeks to highlight the contribution of the different disciplines to effective health communication, outline changes in the health communication environment, as well as carve out future challenges that are brought about by changes in demographics, disease treatment, and communication patterns. A special focus will be put on gender-specific and digital health communication. In conclusion, limitations and directions for future research are addressed

Recommendations for Providers on Person-Centered Approaches to Assess and Improve Medication Adherence

Medication non-adherence is a significant clinical challenge that adversely affects psychosocial factors, costs, and outcomes that are shared by patients, family members, providers, healthcare systems, payers, and society. Patient-centered care (i.e., involving patients and their families in planning their health care) is increasingly emphasized as a promising approach for improving medication adherence, but clinician education around what this might look like in a busy primary care environment is lacking. We use a case study to demonstrate key skills such as motivational interviewing, counseling, and shared decision-making for clinicians interested in providing patient-centered care in efforts to improve medication adherence. Such patient-centered approaches hold considerable promise for addressing the high rates of non-adherence to medications for chronic conditions