By Diane Wass, Managing Director

This week Deaf Awareness Week focuses on the theme of ‘inclusion’, highlighting the impact of hearing loss on everyday life and increasing visibility and inclusion of Deaf people, especially underrepresented groups such as immigrants, BMI and women. It also emphasises how people living with Deafness in education, health settings and the workplace are often overlooked and the impact this can have on mental health.

As a person with severe category hearing loss, who wears bilateral hearing aids, I am proud to be the Managing Director of the International Hub of a communications agency, as it challenges all the misconceptions and stigma the public can have about people living with hearing loss and their capabilities. It was probably because of my hearing loss that I always loved to write and think deeply- while growing up writing was my escape. However, living with hearing loss is not without challenges and creating a society where we ‘enable’ people to leverage their talents and live without fear & stigma is key.

What is it like living with Hearing Loss?

As I stood in a crowded Euston station last Tuesday evening, I heard that familiar beep beep beep of dying batteries that those of us who are dependant on bilateral hearing aids will all relate to. My world was suddenly enveloped with an indistinguishable muffle of very low-level noise, with speech no longer distinguishable. There can be something deeply calming about suddenly being absorbed in cotton wool, stepping away from that synthetic, sometimes squeaky noise hearing aids generate and all the commotion of a busy station. However, then the panic arises as I can no longer sense where I am amongst the crowd, I can’t hear that person about to bump into me from behind, people annoyed at me as I didn’t hear their ‘excuse me’ and you can literally be ‘knocked off balance’.

Then there is the fear of navigating the train station pharmacy to see if I can purchase batteries, knowing if the shop assistant asks me something, I won’t be able to hear them-no matter how hard I try- and I’ll end up eventually having to ‘fake it’, pretending I’ve heard as it is so awkward to ask them to repeat it again and I have no idea what I’ve just smiled and agreed to (and by the way this often happens when my hearing aids are working too, especially since everybody started wearing masks). It also reminds me of the time I was run down in a supermarket carpark because I didn’t hear someone start up their engine, or the sleepless nights with the baby monitor by my ear terrified I might not hear my newborn wake, even though she was sleeping in the same room. This is my ‘everyday’ and it is no surprise to me how without the right support and empathy that Deafness and hearing loss can be very isolating and leave people scared to leave the safety of their home.

What Can We Do?

The UK Council for Deafness have a whole host of tips and advice on how to support people living with Deafness and Hearing Impairment that you can read here. Here are my 5 top tips that I wish someone had told me, I had been confident enough to speak up about or wish my colleagues had known early on in my career:

1. Technology. I cannot emphasise enough the importance of assistive technology as an enabler. Don’t struggle on without exploring all the options out there. Don’t delay in getting hearing aids if these would be useful for you, they will be transformative-it is not until you get them you realise how much of your brain power was wasted just trying to decipher what people are saying. Amplified desk-phones and speaker phones in conference rooms can be very helpful too. You can also couple your hearing aids to a small microphone that you can place in proximity to a speaker at a conference table. I personally have downloaded a speech to text app. on my phone as back-up too. Assistive technology is evolving all the time, from vibrating fire alarms to auto-text software. Workplaces need to assess the individual need and support investing in technology to enable their staff with hearing impairment. If based in the UK, Access to Work can support companies in this assessment, provide grants and make suggestions on what technology and adjustments may be helpful.
2. Don’t Phone Me. You know what drives me mad, when companies have these huge cultural drives where they think it is cool to encourage people to ‘pick up the phone’. This might work for the majority of people, but not for those of us who are hard of hearing. Either stop by my desk so I can lip-read while you are talking to me or even Zoom me as I can still see your lips. And for very little extra cost did you know that you can purchase auto-text for Zoom calls that can be switched on or off by choice (thanks to Mike Dixon from the Healthcare Communications Association for that tip!). And if it is really important that I know all the detail, drop me an e-mail or if you want something more informal you can find me on WhatsApp. Or MSTeams.
3. Offer Up Your Seat. I am at a stage of life now where I feel comfortable being open about my hearing impairment and asking people to move so that I can take a position in the room where I can actually both hear better and see the lips of people. However, that wasn’t always the case. If we are at the side or back of a room then there really is no point in us being in the room at all. In round table meetings we need to be in a central seating position where we can see the lips of everyone around the whole table. If listening to a speaker, if we can’t see their lips we are unlikely to get the definition we need to hear, so we need to be near the front. Offer up your seat to your hearing-impaired colleague as it hard for them to ask you to move. And one more thing we cannot hear you if you all talk at once, take turns, it’s actually the polite thing to do anyway.
4. Repeat the Question Another tip is if you are giving a presentation and there are questions from the audience, repeat the question before you answer. Equally, if you are facilitating a panel or chairing a presentation session where you have someone with hearing-impairment participating, repeat the question from the audience for them.
5. Catch my Attention & Don’t Cover your Lips. Alert Alert Alert if you are behind me or I haven’t noticed you the chances are I can’t hear you. Tap me on the shoulder lightly, catch my attention or even better just come around the front of where I am so I can fully see you want to talk to me. And don’t cover your lips-I need to see them to distinguish those beginnings and ends of words. I had one colleague where every time I asked her to repeat what she had said she found yet another way of covering her lips- behind a briefcase, piece of paper, standing in a shadow or looking the other way, it was so frustrating as I always ended up just giving up asking her to repeat herself.

Finally, my one piece of advice I would give to anyone else out there is to remember it is not just about Deafness and Hearing Impairment ‘awareness’ but also about ‘inclusion & acceptance’. The person is not ‘disabled’ but the environment can be ‘disabling’ (ask yourself how well a hearing person would cope in a room full of people chatting away in sign language). If you are hearing impaired do not be afraid to ask for what you need in order to contribute fully in your job, follow your dreams and believe in yourself. For people supporting someone in the workplace, every person’s need is different, so ask the person with hearing impairment themselves what might help, understand the challenges they may be having in the workplace and co-create solutions to resolve these.

By Akeia Blue and Joel Lopez

Health equity has become a growing priority over the past 18 months in light of the COVID-19 pandemic. As more people seek to consider health equity in all aspects of their work, it will be increasingly important to understand the principles and components of what it really means to deliver equitable care. One aspect of health equity that is particularly critical for health communication efforts is cultural humility. Defined as an ongoing commitment to learning about other cultures, cultural humility is key to developing appropriate communication campaigns that incorporate the values of the target audiences.  

Two of JPA’s team members, Akeia Blue and Joel Lopez, talk about the role of cultural humility in their lives and in their work as health communicators.  

What is cultural humility to you, and why is it important?  

Akeia – Cultural humility is how we work to learn about cultures and people outside of ourselves to come to an empathetic understanding of their experiences and, in the context of health communications, how those experiences have affected their health and their ability to receive and act on health information. It is important to incorporate cultural humility in our work as health communicators to ensure that the campaigns that we are developing are in the best interest of, and are useful to, the audiences we are trying to reach.  

Joel – Cultural humility goes further than competency or acceptance. It is the act of humbling myself and putting aside any potential assumptions or biases I may have about how much I know about an individual, culture, or community. Cultural humility also means acknowledging that individuals, families, and communities are experts of their own lived experiences. They can share information about their traditions, culture, and history to help me better understand the nuances and their unique perspectives. 

As a communicator, cultural humility is important because it reminds me that I don’t know everything about the audiences I am trying to reach. Public health impacts individuals that span the full spectrum of demographics – including people from various geographical locations and different religions, as well as a wide range of racial and ethnic backgrounds. Cultural humility requires me to seek out my preconceived notions, humble myself by listening to and learning from the people I am trying to communicate with, and create a mutually respectful relationship. Then I apply the lessons learned to my communications practice.  

How can public health stakeholders build strong relationships with communities experiencing inequities? 

Akeia – When I think about cultural humility, I immediately think back to one of my professors who was fortunate enough to have deeply studied the Amish community. They allowed him to come in and live within their community so that he could learn about them, which is not common. He taught us that in order to build those types of relationships with communities outside of your own, you have to be authentic and humble. Public health stakeholders have to approach communities with open minds and listen to the leaders and members of the community, while allowing them to contribute to the project every step of the way. 

Joel – I’m often reminded of the popular health slogan “Nothing About Us, Without Us” when working in public health communications. Public health stakeholders must take the time to listen to and involve members of the public – especially those experiencing inequities – in their approach to solving health problems and promoting positive, healthy behaviors in society. When working with communities outside of my own, I approach relationship building with curiosity by asking questions that aim to help me understand my audience. I evaluate the impact of my work on the communities I’m trying to reach and adjust my approach based on the evidence. I also prioritize establishing and building trust with the community. Historically a lack of trust between patients and healthcare providers has led to negative public health impacts. Approaching health communications with a lens of cultural humility can help to work towards rebuilding the trust that was lost. 

As a person of color, why do you feel it is important that cultural humility is applied to public health and communications?  

Akeia – At a very young age, I remember learning about the Tuskegee Syphilis Study and how that affected the way I viewed the public health and healthcare systems. Additionally, I often heard my Nana express her distrust of the healthcare system and experienced firsthand the frustration of having healthcare providers offer inadequate communication to myself and my loved ones. As a health communicator now, I often look back and think about how different our experiences with the healthcare system could have been had we been asked questions for understanding. Taking the time to understand a person’s reasoning or fears can allow healthcare professionals to provide empathetic care without undermining the person’s concerns.  

Joel – Growing up in a Mexican household, I saw firsthand the implications of systemic distrust, poor health literacy and a lack of understanding of why health and healthy behaviors are important. My extended family – which consisted of dozens of aunts, uncles, cousins, and grandparents – would often consult one another on complex, important health conditions – and often this family advice received would supersede that of health professionals. Now working as a health communications professional, I understand the importance of having the balance of a support system in addition to having access to information based on the evidence, and healthcare professionals who can help you understand what it means for you and your specific needs.  

Looking ahead, what can health communicators do to develop campaigns that can contribute to discussion on health topics respectfully and inclusively?  

Akeia – Our role in developing campaigns should begin with understanding the concerns of the audience we are trying to reach. It is our job to be clear about how that population defines the problem or need so that we can address that rather than creating our own to address. We listen to people from the community who are trusted and then work with them to disseminate the messages in ways that are easily received. Truly practicing cultural humility requires you to take the ego out of your work and openly admit that you may not be the expert so that you can rely on those who are.  

Joel – As communicators, we can think about how our messages and campaigns contribute towards equitable health outcomes for all people. We can consult and collaborate with the communities we are trying to reach and ensure the inclusion of representatives or advocates from those communities in the process of crafting communications strategies and messages. We can approach our work with humility and the flexibility to take a different approach based on the needs and characteristics of the communities we serve. Most of all, we can embrace diversity by tailoring our messages for the different communities we are trying to reach, rather than taking a “one size fits all” approach to health communication. 

What’s one aspect of working at JPA that you appreciate most when it comes to cultural competency? 

Akeia – I love that at JPA we take the time to research and incorporate various types of research to help us deliver culturally appropriate campaigns. We are all willing to take a step back and recognize that we don’t always have the answers and reach out to the experts who can help us get them. We are a passionate group of people who strive hard to deliver beautiful, diverse and well thought out campaigns to improve the health of people.  

Joel – At JPA, I appreciate the variety of cultures, ethnicities, races, and religions that are represented throughout our organization’s staff. We embrace the diverse, intersectional nature of individuals and encourage members of the team to always consider the “why” behind our work. Our clients represent a broad spectrum of health areas that impact individuals and families across the globe. As communicators, we get to play a role in helping our clients convey accurate, compelling and meaningful information that ultimately aims to improve the lives of those we reach. 

Check out our Public Health Practice to learn more about our work in health equity. 

By Christina Zurla, SVP, Federal Government Practice

On the heels of the US Surgeon General’s advisory about the worsening state of youth mental health and CDC’s latest release of the 2020 provisional numbers and rates of suicide, Dr. John Draper, Executive Director of the National Suicide Prevention Lifeline, spoke with JPA’s Christina Zurla about emerging issues in suicide prevention and how health communications can make an impact.

How has the pandemic impacted the conversation around suicide prevention?

John: Talking about suicide prevention is more important now than ever. When COVID first hit, there was a sense that we were going through a shared pandemic experience.  But as things open back up, everyone will adjust differently. Some people will embrace it, while others may feel socially anxious or struggle due to grief, a job loss, or loss of contact with family or friends. During COVID, many people lost a sense of connection and community, which can lead to feelings that are associated with suicidality. Especially at this moment in the pandemic as we are rejoining activities and engagements at different speeds, we need to think about protecting people who feel despair or a lack of belonging.

Christina: Suicide rates have been rising for the past twenty years and in every state in the U.S.  The pandemic was a reminder of the critical importance of focusing attention on suicide prevention. The pandemic also reinforced just how integral mental health is to overall health. As public health communicators, it is our responsibility to make sure we are considering mental health as part of overall health campaigns, because it is a key factor for a person’s readiness to take up a health message or change behavior.

During the pandemic, connection shifted almost entirely to virtual communications, with many turning to social media.  How did that impact mental health?

John: Virtual connections are not the same as face-to-face encounters, and social media is not a substitute for connection. Particularly for young people, social connection with peers is critical to developing a sense of belonging and identity (“Who am I?” and “Who am I in relation to others?”). On social media, people say things they wouldn’t say in person and empathy can either be compromised or lost in translation. It’s also a comparison trap, insofar as what people post online are often their best moments and images, not the fuller experience of their lives; comparing one’s own life to a series of “perfect images” of others has been shown to reinforce symptoms of depression and anxiety, particularly in teenage girls. The pandemic disrupted connection and we need to focus now on fostering community and a sense of belonging and support, offline.

Christina: Social media use is at an all-time high, with more than 70% of the public using at least one social media platform. Part of our job is to “meet people where they are” when delivering health messages; and social media will no doubt continue to be at the forefront of our dissemination strategies.  That means harnessing the reach of social platforms but going a step further to find deeper connections with our audiences, such as by partnering with influencers they trust, sharing personal stories, and working with community-based organizations to offer on-the-ground and in-person support and follow-up about a specific health issue or topic.

What are some proven approaches for communicators to use when addressing suicide prevention and other mental health topics?

John: The best thing we can do is share stories about people who have overcome despair and suicidal thoughts. Not stories about suicide methods, but stories that can connect with someone while also showing a path through crisis. Research has shown that when people are exposed to stories of people who have found help, hope and/or healing through moments of suicidal despair, suicide rates decline in these exposed populations. We should also tell stories about navigating the challenges of finding help and share messages that are caring and promote acceptance. Those types of messages make a positive difference and can help reduce the stigma.

Christina: It’s also for communications efforts to acknowledge what people are experiencing, provide resources, and include loved ones as part of the process. For the Physicians Foundation, JPA developed Vital Signs to raise awareness about and prevent suicide among physicians. On National Physician Suicide Awareness Day this year, we expanded Vital Signs by creating NPSADay.org, serving as an online reminder and call to action for physicians, their loved ones, and their colleagues to learn the signs, start conversations, and share resources that can help those in distress seek mental health care. Within one month of the launch of NPSADay.org alone, we reached 83.2 million people and encouraged 26,000 positive actions to be taken online and in communities.

Are there things that every person can do to prevent suicide?

John: Suicide is preventable. People everywhere can take action to prevent suicide. The National Suicide Prevention Lifeline (800-273-8255) provides free confidential support for people in distress as well as prevention and crisis resources for loved ones. And in July of 2022, a national three-digit number (988) will be enabled so anyone anywhere in the U.S. and territories can quickly access help for themselves or a loved one, when in mental health or suicidal crisis. Also, our #BeThe1To campaign focuses on five steps for supporting a friend, colleague or loved one who may be suicidal. One of the most important steps is to be present; to listen and to let the person know that you care about them and that they’re not alone.

Christina: Also, check out other organizations that offer suicide prevention resources tailored to specific audiences, such as, the Suicide Prevention Resource Center the American Foundation of Suicide Prevention, Suicide Awareness Voices of Education (SAVE), The Trevor Project, and the Veterans Crisis Line.

By Karen Goldstein, Senior Vice President, Public Health

The media headlines about mental health have been widespread in recent weeks. And it doesn’t matter how old you are, where you live, your race or ethnicity or even your profession. It’s clear we are all experiencing a toll on our mental wellbeing.

For those of us who work in public health communications and navigate living with our own mental health conditions (I’m looking at you, Melissa’s anxiety and depression!), we have found our moment to shine and help others by sharing our experiences, emphasizing it’s okay to feel your feelings and reinforcing the power of getting mental health support. Effective storytelling, coupled with accessible resources to support action, is one of the most powerful ways communicators can help inspire others to feel they can avoid a negative consequence, expect a positive outcome and believe they can be successful in taking action.

This Mental Health Action Day, Thursday, May 20, join my JPA Health colleagues as we take action to support our mental health.

Here are four ideas, we hope you’ll select at least one:

1. CHECK IN WITH YOURSELF

Mental health is part of overall health, and just as there are actions we do to take care of our physical health, we need to do the same for our mental health. Do what feels right to you, whether that is journaling, meditation or connecting with a friend or family member. Check out Mental Health is Health for an easy, simple way to identify how you are doing and what can help improve your emotional health.

2. JOIN A SUPPORT GROUP

By Karen Goldstein, Senior Vice President, Public Health

This year’s National Public Health Week sparked robust, thoughtful conversations about the current state—and future—of public health. While the COVID-19 pandemic has been a harsh reminder about why public health matters (and why more investment is needed), it also has put a spotlight on the stark health inequities in underserved communities that have long been engrained in our health care system. These conversations matter, and this crisis may be creating a moment that moves us from complacency to action. We are excited about joining the discussion about what we can do next, together, to build the healthiest nation.

At JPA Health, we believe in the power of evidence-based, audience-centric and culturally appropriate communications to improve population health and promote health equity. Our Public Health Practice supports government agencies and organizations seeking to prevent disease, reduce health disparities, and improve the health and wellbeing of all people and communities. Since our founding, we have partnered with a spectrum of stakeholders to advance this mission through public health education, health care professional support, and community engagement. Many of us have worked for decades either alongside or within these organizations on critical public health issues, such as the social determinants of health (SDOH), chronic disease prevention, or the importance of vaccinations, and we are committed to continue supporting these efforts across our growing roster of clients.

If you haven’t worked with us yet, we invite you to learn more. Since we all love listicles, here’s my latest with the top reasons to work with JPA Health on public health communications:

1. Our team comes to work every day because of a genuine dedication to improving the public’s health, which includes a significant expertise and interest in both public health and health equity efforts. Plus, our agency focuses solely on health, meaning we can build on our breadth of experience and audience data to inform program development and outreach to support each client’s needs.
2. We were recently awarded a contract on the GSA Schedule for public relations, marketing and advertising. We are ready to grow our relationship with federal agencies on health communication efforts to share evidence-based information and drive behavior change. And, as a woman-owned small business, we are eager to partner with other agencies to join forces and support these important efforts.
3. JPA Health’s experience working with government agencies spans a decade, including current projects with NIH’s All of Us Research Program, the National Center for Complementary and Integrative Health and the South Carolina Department of Health and Environmental Control. In addition, many members of our team have worked within HHS, CMS, and the White House, while others have created and implemented varied communication initiatives on behalf of NIH, CDC, SAMHSA, HRSA, and others.
4. We also have long-standing relationships with nonprofit organizations, associations, and foundations, working to support public health communications as well as corporate communications needs. From public education campaigns on diabetes, thought leadership on access to birth control, or efforts to increase access to care for people with chronic kidney disease—which disproportionately impacts underserved communities of color, we collaborate with organizations large and small to create strategic, tailored communications initiatives. Further, with support from our International team, we’ve led a number of award-winning public health campaigns with global reach. Find examples of our work here.
5. Our approach to research stands out from the crowd. Our powerful research platform, GRETEL^®, helps us better understand audiences, create customized communications strategies and measure our impact by identifying the most influential voices for an audience or topic. GRETEL offers a large collection of real-world data on how to reach healthcare influencers, and it is dynamic – it continues to build and provide even greater value each time we use it.
6. We are a full-service, integrated agency. Our team of PR, marketing, and creative experts work together seamlessly—from traditional media outreach to paid advertising to the latest in digital influence. Plus, we leverage our deep industry experience—including understanding of the science and how to translate it into actionable messaging—to apply best practices in healthcare marketing to the public and nonprofit sector.
7. We know how and where to reach health professionals with evidence-based information and patient education resources, thanks to our in-house research team and from years of working with professional associations.
8. Last, but not least, we make a good partner. Many of our clients consider us part of their internal communications teams, and our client satisfaction scores remain high year after year. We are an independent agency that provides hands-on support to those who share our passion to helping others and contributing to the greater good.

Our team is passionate about and dedicated to public health communications, and we’re always looking for opportunities to continue this good work. If you’d like to learn more about JPA Health, get in touch with me at kgoldstein@jpa.com.  Let’s talk about how we can work together!

By Karen Goldstein, Senior Vice President, Public Health

Full disclosure: I am an optimist. I’m always looking for that silver lining and the bright side of a situation. Throughout the emotional turmoil and frustrations of the last year, I have forced myself to believe in brighter, kinder, healthier days ahead. I’ll be honest, though – it hasn’t been easy to watch events unfold, particularly from a public health perspective, and believe my own inner dialogue.

And yet, at the APHA virtual meeting this past year, speaking to thousands of public health practitioners, keynote speaker Bryan Stevenson said something that really resonated with me: “Hope is your superpower.” The public health community is charged with taking a population-level approach to tackling our biggest health challenges and coming up with solutions, on a global scale but also community by community. With long-term underfunding and political polarization creating unprecedented challenges, the individuals working so diligently to protect the public’s health keep forging ahead to do what’s needed to help others.

At this moment, I am starting to feel hopeful again. Here’s why:

There’s a vaccine for COVID-19 – and even more than one! Watching our frontline healthcare workers and senior population receive their vaccinations has been amazing, and more of an emotional salve than I had expected. There is still so much to be done to ensure widespread and equitable uptake, but the fact that we have effective vaccines within a year of the first known cases deserves its moment of recognition and awe.

In addition to a “wartime” strategy presented by the new Biden administration, I was heartened to see the first statement from new CDC Director Rochelle P. Walensky, MD, MPH, which reaffirms CDC’s commitment to update COVID-19 guidance using the latest evidence so that people can make informed decisions. Working with the CDC on public health education campaigns over the past two decades, I have found their employees to be dedicated public servants who rigorously support evidence-based programs and messaging. It’s reassuring to see them step back into their own shoes.

The collaborative, cross-sector approach to vaccine promotion by the COVID Collaborative and Ad Council to encourage vaccine uptake by health care providers and the general public alike is incredible. They recently shared their research, messaging guidance and initial health care practitioner resources (including these videos with Dr. Fauci), with more campaign materials to come in the next few months (and major brands lending support). The crux of their approach is a focus on understanding people’s concerns about vaccination, with additional emphasis on the messenger being as important as the message. (Here’s a great example by Dr. Eugenia South, a Black doctor who shared her story about questioning the vaccine but ultimately deciding to take it.)

And while not related to COVID-19, I was also interested to see that the Communications Network, as part of their Diversity, Equity & Inclusion Project, recently released a report called Race and Racism: Doing Good Better that provides a starting point to understanding how communicators are bringing the values of diversity, equity, and inclusion into social good communications work. The report takes an honest look at where we are falling short in these efforts, and provides clear, practical and actionable advice for communicators to promote and advance equity communications.

It hasn’t always been easy to be an optimist, especially this past year. And yes, I know we have a long way to go. But I am hopeful that we can be more effective working in partnership, with science and evidence driving our efforts. I am still hopeful we can figure out a way to communicate about COVID-19 preventive measures without stigma, racism or politics (case in point, always an optimist).

At JPA Health, we believe in the power of health communication to improve people’s lives. We are eager and ready to support HHS, nonprofit and private sector efforts to promote evidence-based guidance and support informed decision making for our employees, networks, families and communities. To learn more about our work, or if you’re an optimist looking to network with likeminded people, please feel free to contact me at kgoldstein@jpa.com.