Janice L. Krieger and Jordan M. Neil
Strategic communication is an essential component in the science and practice of recruiting participants to clinical research studies. Unfortunately, many clinical research studies do not consider the role of communication in the recruitment process until efforts to enroll patients in a timely manner have failed. The field of communication is rich with theory and research that can inform the development of an effective recruitment plan from the inception of a clinical research study through informed consent. The recruitment context is distinct from many other health contexts in that there is often not a behavioral response that can be universally promoted to patients. The appropriateness of a clinical research study for an individual is based on a number of medical, psychological, and contextual factors, making it impossible to recommend that everyone who is eligible for a clinical research study enroll. Instead, clinical research study recruitment efforts must utilize strategic communication principles to ensure that messages promote awareness of clinical research, maximize personal relevance, minimize information overload, and facilitate informed choice. This can be accomplished through careful consideration of various aspects of the communication context described in this chapter, including audience segmentation, message content, message channels, and formative, process, and outcome evaluation, as well as the enrollment encounter.
This is an advance summary of a forthcoming article in the Oxford Research Encyclopedia of Communication. Please check back later for the full article.
The concept of media literacy has been circulating in the United States and Europe since the beginning of the 20th century as a means to acknowledge the set of knowledge, skills, and habits of mind required for full participation in a contemporary media-saturated society. The concept continues to morph and change as a result of rapid changes in digital media, mass media, social media, popular culture, and society. There are a number of competing approaches to media literacy in the United States and around the world. But the acquisition of digital and media literacy competences cannot be conceptualized merely as a set of technical and operative skills; rather, these competencies are embedded in a process of cultural change.
Empowerment and protection have long been identified as the two overarching themes in the media literacy education community, reflecting a dynamic and generally productive tension between those who see media literacy education as a means to address the harms, risks, and challenges of growing up in a media and technology-saturated cultural environment and those who see media literacy as a tool for personal, social, cultural, and political empowerment. Contributing to these distinctive perspectives is the rise of a community of scholars and practitioners who conceptualize media literacy as an expansion of literacy, which has traditionally been understood as the sharing of meaning through spoken and written language. Media literacy can also be understood as a form of advocacy or as a social movement, aimed in particular at young adults, children, and parents; many see it as a specialized academic field associated with either media studies or education. A set of key concepts and core principles have been developed as a result of increased contact among members of the media literacy community, through national and international conferences and increased publication in academic journals. These concepts emphasize the relationship between authors and audiences, messages and meanings, and representation and reality. Among educational practitioners and scholars, an interest in media literacy pedagogy has developed to explore how critical analyses of media texts, tools, and technologies are integrated into elementary, secondary, and higher education, as well as in libraries, museums, and other informal learning settings. As media literacy has entered the education and cultural system, a number of policy issues have emerged. The rise of media literacy in Europe, led by a mandate from the European Commission, has exacerbated an interest in examining policy issues that either support or limit the implementation of media literacy education in relation to economic development or the preservation of cultural heritage. Today, media literacy initiatives occurs in many nations; it is evident that differences in cultural values, press freedoms, media systems, education structures, education policy, and media technology all shape the specific direction, goals, implementation, and assessment of media literacy initiatives.