Research AppraisalSystematic Review

Community participation in responding to health misinformation

International journal for equity in healthNamata Kamoga, Regina Mariam, Pritam Singh, Ranjit Kaur, Andrews, Emma et al.9 Apr 2026DOI

Clinical Snapshot

50CEBM
Evidence: ModerateSystematic Review

PICO Framework

P — PopulationCommunities affected by health misinformation, particularly marginalized groups
I — InterventionCommunity participation and engagement strategies in health misinformation responses
C — ComparatorTraditional top-down health communication approaches or varying levels of community engagement
O — OutcomesTrust, engagement, intervention success, message credibility and reach

Bottom Line

This systematic review of 32 studies argues that meaningful community participation, rather than tokenistic engagement, is essential for effective health misinformation responses. The authors propose that sustained partnerships, shared decision-making, and local ownership enhance message credibility by embedding health information within trusted social contexts. While the review addresses an important gap in the literature, methodological details are limited in the available abstract. The focus on equity and marginalized populations is particularly relevant to Australian practice, where health misinformation disproportionately affects Indigenous and multicultural communities. The proposed framework of structured reporting tools centering power, trust, and co-production offers practical guidance for health services. However, clinicians should await full publication to assess the strength of evidence before implementing major practice changes. The work highlights the need to move beyond traditional top-down health communication approaches, particularly in contexts of low institutional trust.

Evidence: Moderate

Key Findings

  • P Value: Not applicable - qualitative review

  • Effect Size: Not quantified - qualitative synthesis

  • Primary Outcome: Community participation depth and quality shape intervention success

  • Nnt Or Sensitivity: Not applicable - proposes design principles rather than treatment effects

  • Confidence Interval: Not reported

Clinical Application

Requires investment in community engagement infrastructure and training in co-production methods Highly relevant to Australian multicultural health policy and Indigenous health frameworks. Aligns with NHMRC guidelines on community engagement and RACGP cultural safety principles Australian communities experiencing health misinformation, particularly Indigenous Australians and culturally diverse populations

Abstract

Responses to health misinformation increasingly emphasize the importance of community engagement, yet the role of participation and power sharing remains under-theorized and inconsistently described in the peer-reviewed literature. Drawing on findings from the systematic review Overcoming Health Misinformation in Marginalized Groups, which examined 32 studies evaluating approaches to tackling health misinformation, we reflect on how the depth and quality of community participation shape trust, engagement, and intervention success. We argue that sustained partnership, shared decision-making, and local ownership enhance message credibility and reach by embedding health information within trusted social contexts. We propose strengthening equity-focused responses through structured reporting tools that center power, trust, and co-production as practical design principles rather than implementation add-ons. Making participation visible is critical if community engagement is to move beyond rhetoric and contribute meaningfully to addressing health misinformation in contexts of low institutional trust.

References

  1. 1.Kamoga, N., Mariam, R., Singh, P., Kaur, R., Andrews, E., & Snow, S. (2026). Community participation in responding to health misinformation. International Journal for Equity in Health. https://doi.org/10.1136/bmjqs-2015-004839
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