Navigating the post-pandemic infodemic: Digital media, health communication, and pathways to empowerment
Keywords:
digital health literacy; infodemic management; algorithmic transparency; community engagement; social trust; participatory governance; post-pandemic resilience; empowerment pathwayAbstract
Abstract: The COVID-19 pandemic exposed a parallel crisis of information, where the viral spread of rumours and distrust undermined evidence-based public-health action. This PRISMA 2020-compliant systematic review synthesizes evidence from fifteen peer-reviewed and institutional studies published between 2008 and 2024 to examine how societies can transition from misinformation to empowerment in digital health communication. Drawing on Lewicki and Bunker’s trust-development model, Habermas’s theory of communicative action, and the World Health Organization’s infodemic-management framework, the review integrates multidisciplinary findings across psychology, communication, technology, and governance. Four interlocking pillars emerged: (1) digital literacy as cognitive immunization against misinformation, (2) platform accountability through algorithmic transparency and co-regulation, (3) community-based communication that transforms compliance into dialogue, and (4) institutional transparency and governance as the foundation of digital resilience. Synthesizing these dimensions produced the Digital Trust Empowerment Pathway, a cyclical model in which information quality, literacy, transparency, engagement, and governance reinforce one another to rebuild social trust. The findings highlight that sustainable infodemic management requires human-centred literacy programs, transparent algorithmic policies, participatory communication, and open governance mechanisms that collectively advance Sustainable Development Goals 3 (Good Health and Well-Being), 10 (Reduced Inequalities), and 16 (Peace, Justice and Strong Institutions). Trust is thus reframed not as a by-product of communication but as essential infrastructure for equitable, resilient, and ethically governed digital-health systems.
References
1. Kisa S, Kisa A. A comprehensive analysis of COVID-19 misinformation, public health impacts, and communication strategies: Scoping review. Journal of Medical Internet Research. 2024; 26: e56931. doi: 10.2196/56931
2. Gentili A, Fantini MP, Reno C, et al. Strategies and bottlenecks to tackle infodemic in public health: A scoping review. Frontiers in Public Health. 2024; 12: 1438981. doi: 10.3389/fpubh.2024.1438981
3. Hargittai E, Hinnant A. Digital inequality: Differences in young adults’ use of the internet. Communication Research. 2008; 35(5): 602–621. doi: 10.1177/0093650208321782
4. Cinelli M, Quattrociocchi W, Galeazzi A, et al. The COVID-19 social media infodemic. Scientific Reports. 2020; 10: 16598. doi: 10.1038/s41598-020-73510-5
5. Abuhaloob L, Purnat TD, Tabche C, et al. Management of infodemics in outbreaks or health crises: A systematic review. Frontiers in Public Health. 2024; 12: 1343902. doi: 10.3389/fpubh.2024.1343902
6. Gorwa R. The platform governance triangle: Conceptualising the informal regulation of online content. Internet Policy Review. 2019; 8(2): 1–22. doi: 10.14763/2019.2.1407
7. Matsushima M, Tsuno K, Okawa S, et al. Trust and well-being of postpartum women during the COVID-19 crisis: Depression and fear of COVID-19. SSM – Population Health. 2021; 15: 100903. doi: 10.1016/j.ssmph.2021.100903
8. Gray L, MacDonald C, Mackie B, et al. Community responses to communication campaigns for influenza A (H1N1): A focus group study. BMC Public Health. 2012; 12: 205. doi: 10.1186/1471-2458-12-205
9. Dedema M, Rosenbaum H. Socio-technical issues in the platform-mediated gig economy: A systematic literature review. Journal of the Association for Information Science and Technology. 2024; 75(3): 344–374. doi: 10.1002/asi.24868
10. Eysenbach G. How to fight an infodemic: The four pillars of infodemic management. Journal of Medical Internet Research. 2020; 22(6): e21820. doi: 10.2196/21820
11. Tangcharoensathien V, Calleja N, Nguyen T, et al. Framework for managing the COVID-19 infodemic: Methods and results of an online, crowdsourced WHO technical consultation. Journal of Medical Internet Research. 2020; 22(6): e19659. doi: 10.2196/19659
12. Abdeen MAR, Hamed AA, Wu X. Fighting the COVID-19 infodemic in news articles and false publications: The NeoNet text classifier. Applied Sciences. 2021; 11(16): 7265. doi: 10.3390/app11167265
13. Cinelli M, Gesualdo F. Infodemic versus viral information spread: Key differences and open challenges. JMIR Infodemiology. 2025; 5: e57455. doi: 10.2196/57455
14. Zarocostas J. How to fight an infodemic. The Lancet. 2020; 395(10225): 676. doi: 10.1016/S0140-6736(20)30461-X
15. Vosoughi S, Roy D, Aral S. The spread of true and false news online. Science. 2018; 359(6380): 1146–1151. doi: 10.1126/science.aap9559
16. Sentell T, Vamos S, Okan O. Interdisciplinary perspectives on health literacy research around the world: More important than ever in a time of COVID-19. International Journal of Environmental Research and Public Health. 2020; 17(9): 3010. doi: 10.3390/ijerph17093010
17. Vraga EK, Bode L. Addressing COVID-19 misinformation on social media preemptively and responsively. Emerging Infectious Diseases. 2021; 27(2): 396–403. doi: 10.3201/eid2702.203139
18. van der Vaart R, Drossaert C. Development of the digital health literacy instrument. Journal of Medical Internet Research. 2017; 19(1): e27. doi: 10.2196/jmir.6709
19. Ahmed W, Vidal-Alaball J, Downing J, López Seguí F. COVID-19 and the 5G conspiracy theory: Social network analysis of Twitter data. Journal of Medical Internet Research. 2020; 22(5): e19458. doi: 10.2196/19458
20. Choukou MA, Sanchez-Ramirez DC, Pol M, et al. COVID-19 infodemic and digital health literacy in vulnerable populations: A scoping review. Digital Health. 2022; 8: 20552076221076927. doi: 10.1177/20552076221076927
21. Pluviano S, Watt C, Della Sala S. Misinformation lingers in memory: Failure of three pro-vaccination strategies. PLOS ONE. 2017; 12(7): e0181640. doi: 10.1371/journal.pone.0181640
22. Pennycook G, McPhetres J, Zhang Y, et al. Fighting COVID-19 misinformation on social media. Psychological Science. 2020; 31(7): 770–780. doi: 10.1177/0956797620939054
23. Nyeko Oloya J, Atuhumuza E, Highfield L, et al. Trusted sources of information on COVID-19 vaccine in Uganda. BMC Medical Informatics and Decision Making. 2024; 24(1): 132. doi: 10.1186/s12911-024-02536-w
24. Bode L, Vraga EK. See something, say something: Correction of global health misinformation on social media. Health Communication. 2018; 33(9): 1131–1140. doi: 10.1080/10410236.2017.1331312
25. Charbonneau DH, Vardell E. The impact of COVID-19 on reference services. Journal of the Medical Library Association. 2022; 110(1): 47–56. doi: 10.5195/jmla.2022.1322
26. UNESCO. Guidelines for the Governance of Digital Platforms: Safeguarding Freedom of Expression and Access to Information through a Multistakeholder Approach. Paris: UNESCO; 2023.
27. Adebesin F, Smuts H, Mawela T, et al. The role of social media in health misinformation and disinformation during the COVID-19 pandemic. JMIR Infodemiology. 2023; 3(1): e48620. doi: 10.2196/48620
28. Goldstein JA, Sastry G, Musser M, et al. Generative language models and automated influence operations: Emerging threats and potential mitigations. ArXiv. 2023. doi: 10.48550/arXiv.2301.04246
29. Tang L, Bie B, Park SE, Zhi D. Social media and outbreaks of emerging infectious diseases. American Journal of Infection Control. 2018; 46(9): 962–972. doi: 10.1016/j.ajic.2018.02.010
30. Freeman D, Waite F, Rosebrock L, et al. Coronavirus conspiracy beliefs, mistrust, and compliance. Psychological Medicine. 2022; 52(2): 251–263. doi: 10.1017/S0033291720001890
31. Angawi K, Albugmi M. The impact of social media on risk perceptions during COVID-19 in Saudi Arabia. Frontiers in Public Health. 2022; 10: 898041. doi: 10.3389/fpubh.2022.898041
32. Gaysynsky A, Everson NS, Heley K, Chou WYS. Perceptions of health misinformation on social media. JMIR Infodemiology. 2024; 4: e51127. doi: 10.2196/51127
33. Olteanu A, Rabitz F, Nalivaikė A. A semiotic comparison of mass media representations of the swine flu and COVID-19 pandemics. Punctum: International Journal of Semiotics. 2021; 7(1): 45–65. doi: 10.18680/hss.2021.0004
34. Wells JS, Scheibein F. Global pandemics, conflict and networks. Journal of Research in Nursing. 2022; 27(3): 291–300. doi: 10.1177/17449871221090778
35. Janssen M, Charalabidis Y, Zuiderwijk A. Benefits, adoption barriers and myths of open data and open government. Information Systems Management. 2012; 29(4): 258–268. doi: 10.1080/10580530.2012.716740
36. Bin Naeem S, Bhatti R, Khan A. An exploration of how fake news is taking over social media and putting public health at risk. Health Information and Libraries Journal. 2021; 38(2): 143–149. doi: 10.1111/hir.12320
37. Ahmed MH, Guadie HA, Ngusie HS, et al. Digital health literacy during the COVID-19 pandemic. JMIR Nursing. 2022; 5(1): e39866. doi: 10.2196/39866
38. Islam MS, Sarkar T, Khan SH, et al. COVID-19-related infodemic and its impact on public health: A global social media analysis. American Journal of Tropical Medicine and Hygiene. 2020; 103(4): 1621–1629. doi: 10.4269/ajtmh.20-0812
39. Habermas J. The theory of communicative action. Volume 1: Reason and the rationalization of society. Beacon Press; 1984.
40. Lewicki RJ, Bunker BB. Developing and maintaining trust in work relationships. In: Kramer RM, Tyler TR, editors. Trust in organizations. Sage; 1996. pp. 114–139.
41. World Health Organization. An ad hoc WHO technical consultation managing the COVID-19 infodemic: Call for action. WHO; 2020.
42. Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement. BMJ. 2021; 372: n71. doi: 10.1136/bmj.n71
43. UNESCO. Guidelines for the Governance of Digital Platforms: Safeguarding Freedom of Expression and Access to Information through a Multistakeholder Approach. Paris: UNESCO; 2023.
44. European Commission. The Digital Services Act Package. Brussels: European Commission; 2022.
45. World Health Organization. Infodemic management: An overview of infodemic management during COVID-19, January 2020–May 2021. Geneva: World Health Organization; 2021.
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