{"doi":"10.1017/dmp.2025.36","title":"COVID-19 Risk and Crisis Communication Challenges and Opportunities: Qualitative Insights from Rural Wastewater Surveillance Partners","abstract":"OBJECTIVES: Understand perceptions of COVID-19 messages and information sources among rural wastewater treatment plant operators to inform context-specific communication strategies for implementing wastewater surveillance methodologies locally. METHODS: Eight employees from 7 Eastern Kentucky facilities involved in SARS-CoV-2 wastewater surveillance participated in semi-structured interviews. Respondents shared perceptions of traditional and social media COVID-19 information channels in their communities, as well as factors influencing trustworthiness of sources. Using the U.S. Centers for Disease Control and Prevention's Crisis and Emergency Risk Communication (CERC) framework, 3 investigators conducted iterative, thematic coding of interview transcripts. RESULTS: Respondents' statements most frequently related to \"Be Credible,\" \"Be Right,\" and \"Promote Action\" CERC constructs, while mixed messages, high volumes of information, and numerous sources undermined trust in COVID-19 information. CONCLUSIONS: Understanding the relative importance of CERC constructs and their distractors may improve future risk communication to advance infectious disease surveillance strategies in rural contexts.","journal":"Disaster Medicine and Public Health Preparedness","year":2025,"id":562216,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9371,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":667759,"name":"Beverly May","orcid":"0000-0002-3927-1364","position":1,"is_corresponding":false},{"id":1070593,"name":"Matthew Liversedge","orcid":"0000-0001-9967-9663","position":2,"is_corresponding":false},{"id":242433,"name":"Scott Berry","orcid":"0000-0002-3541-0443","position":3,"is_corresponding":false},{"id":375691,"name":"James W. Keck","orcid":"0000-0001-7193-065X","position":4,"is_corresponding":false},{"id":1098857,"name":"Anna Hoover","orcid":"0000-0002-3996-3571","position":5,"is_corresponding":false},{"id":1464591,"name":"Savannah G. Tucker","orcid":"0009-0001-7170-3358","position":0,"is_corresponding":true}],"reference_count":7,"raw_metadata":null,"created_at":"2026-07-19T02:56:05.550545Z","pmid":"39965879","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}