This practice insight focuses on lessons learned while completing a research project designed to compare the relative effectiveness of three communication strategies in rural communities relative to motivating citizens to take action on a public health issue, specifically Type 2 diabetes. Our main arguments are: 1) Engaging citizens in any type of communication related to public health or science action requires first assessing a community's readiness for that action; and 2) Community readiness — rather than communication methodology — is the better predictor of citizens' participation in collective or individual actions on public health and science issues.
The givens of "trust" and "credibility" are often glossed over in research concerning the efficacy of community-based approaches to health issues. This research focuses on one type of community intervention aimed at increasing citizens' interest in acting to address diabetes: a series of community discussions led by Certified Diabetes Educators (CDEs). We take a critical discourse analysis approach to answering several questions including: How does the discourse between CDEs and participants work to establish or hinder the CDEs' credibility?
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