Exploring the role of community-based knowledge brokers in public health communication through the lens of self-determination theory: a qualitative study.
4 affiliations
- 1, Bath, England, UK.
- 2Department for Health, Centre for Motivation and Behaviour Change, University of Bath, Bath, England, UK. [email protected].
- 3Public Health, Bath & North East Somerset Council, Bath, England, UK.
- 4Department of Psychology, University of Bath, Bath, England, UK.
Abstract
Background
Encouraging people to change their behaviour through public health messaging is challenging, and during the COVID-19 pandemic, many communities reported barriers adhering to government regulations and guidance due to the accessibility, understanding or mistrust of information. Stakeholders within community organisations have been recognised as potential brokers between Public Health authorities and communities. This study took a theory-informed approach to explore the ways in which brokering may work, through the example of the communication of health protection messaging during the COVID-19 pandemic.Methods
We adopted a qualitative cross-sectional study design using semi-structured interviews with key informants from the voluntary, community, faith and social enterprise sector (VCFSE), local private sector, schools and parish councils in the South West of England. Interviews were conducted online, and interview transcripts analysed using inductive thematic analysis. Themes were then interpreted through the lens of Self-Determination Theory (SDT), identifying factors consistent with providing support for basic psychological needs (autonomy, competence and relatedness).Results
Three themes were developed to describe community organisation actions in communicating public health messages to their communities; i) the emergence of a brokering function as a response to mistrust and misinformation; ii) tailoring information according to hyper-local community needs and differences, and iii) a perceived need for power to be delegated to the local level.Conclusions
Community-brokers play a vital role in public health communication during crises. Applying a lens of self-determination theory provided a framework for organising the aims and techniques used by stakeholders to promote behavioural adherence within their communities. The descriptions stakeholders gave of their actions aligned with recommended techniques for supporting autonomy (e.g. providing choice, a tailored rationale, and recognising barriers), competence (e.g. tailoring instructions, providing support) and relatedness (e.g. emphasis of shared values and benefits). Policy frameworks and preparedness for future public health emergencies should acknowledge the role of community-brokers and include appropriate mechanisms to enable enhanced support of their communities.
Related
- Exploring nursing students' communication experiences with artificial intelligence-supported virtual patients: a qualitative study.
- Exploring SUDI knowledge and practices among Samoan, Tongan, Cook Island Māori, and Niue mothers and grandmothers in Aotearoa New Zealand: a qualitative study
- Exploring menstrual health knowledge, attitude, and experiences among adolescent girls in public schools in Georgia: a qualitative study.
- Exploring the knowledge of community health workers about behavioral risk factors contributing to NCDs in Bushbuckridge, Ehlanzeni District, Mpumalanga Province, South Africa
- “What happens at the doctor’s?”: a qualitative study exploring social representations and experiential knowledge of medical consultation in 5–6 year-olds
BibTeX
@article{clabburn2026exploring,
title = {{Exploring the role of community-based knowledge brokers in public health communication through the lens of self-determination theory: a qualitative study.}},
author = {Oliver Clabburn and Fiona Gillison and Imogen Coningsby and Paul Scott and Ottilie Kuehne and Julie Barnett},
journal = {BMC public health},
year = {2026},
month = aug,
doi = {10.1186/s12889-026-28665-7},
url = {https://europepmc.org/article/MED/42972324},
note = {CC BY},
}
RIS
TY - JOUR
TI - Exploring the role of community-based knowledge brokers in public health communication through the lens of self-determination theory: a qualitative study.
AU - Oliver Clabburn
AU - Fiona Gillison
AU - Imogen Coningsby
AU - Paul Scott
AU - Ottilie Kuehne
AU - Julie Barnett
PY - 2026
DA - 2026/08/06
JO - BMC public health
DO - 10.1186/s12889-026-28665-7
UR - https://europepmc.org/article/MED/42972324
AB - Background Encouraging people to change their behaviour through public health messaging is challenging, and during the COVID-19 pandemic, many communities reported barriers adhering to government regulations and guidance due to the accessibility, understanding or mistrust of information. Stakeholders within community organisations have been recognised as potential brokers between Public Health authorities and communities. This study took a theory-informed approach to explore the ways in which brokering may work, through the example of the communication of health protection messaging during the COVID-19 pandemic.Methods We adopted a qualitative cross-sectional study design using semi-structured interviews with key informants from the voluntary, community, faith and social enterprise sector (VCFSE), local private sector, schools and parish councils in the South West of England. Interviews were conducted online, and interview transcripts analysed using inductive thematic analysis. Themes were then interpreted through the lens of Self-Determination Theory (SDT), identifying factors consistent with providing support for basic psychological needs (autonomy, competence and relatedness).Results Three themes were developed to describe community organisation actions in communicating public health messages to their communities; i) the emergence of a brokering function as a response to mistrust and misinformation; ii) tailoring information according to hyper-local community needs and differences, and iii) a perceived need for power to be delegated to the local level.Conclusions Community-brokers play a vital role in public health communication during crises. Applying a lens of self-determination theory provided a framework for organising the aims and techniques used by stakeholders to promote behavioural adherence within their communities. The descriptions stakeholders gave of their actions aligned with recommended techniques for supporting autonomy (e.g. providing choice, a tailored rationale, and recognising barriers), competence (e.g. tailoring instructions, providing support) and relatedness (e.g. emphasis of shared values and benefits). Policy frameworks and preparedness for future public health emergencies should acknowledge the role of community-brokers and include appropriate mechanisms to enable enhanced support of their communities.
SN - 1471-2458
ER -