key: cord-0838191-jy71jdu1 authors: Kamencic, Belma; Acharibasam, Jeremiah Wezenamo; Premkumar, Kalyani; Ripplinger, Christopher; D’Eon, Marcel; Sanchez, Ana title: Evaluating the use of media on perceptions and behaviour during the COVID-19 pandemic date: 2020-12-07 journal: Can Med Educ J DOI: 10.36834/cmej.70278 sha: 784688fd1816fd7ef87d1d89c8c62ec852080154 doc_id: 838191 cord_uid: jy71jdu1 nan Amidst the current COVID-19 pandemic, many Canadians are facing a large amount of uncertainty regarding the current status and future directions of the pandemic. The vast variability and fast flow of media information regarding COVID-19 may be overwhelming and contribute to increased levels of anxiety. Previous studies on media use during outbreaks such as H1N1 and SARS serve as important comparisons to guide our understanding of media consumption during times of crisis. 1,2 With respect to H1N1, researchers found that self-reported levels of anxiety mediated the likelihood that respondents would engage in protective behaviours. 1 For SARS, a study performed a few months after the outbreak found that Canadian undergraduate students found the media coverage on the outbreak excessive and they had little anxiety about acquiring the virus. 2 Yet, nearly 70% of participants failed a SARS-specific knowledge section of the questionnaire. 2 In comparison to those previous outbreaks, our media access and available platforms during the COVID-19 pandemic have increased greatly, making it even more critical to understand how individuals get their information and the way it affects their psyche. While mass media campaigns can produce positive changes in health-related behaviours across large populations, excessive use, both in terms of duration and number of platforms has been linked to mental health issues. 3, 4, 5 Preliminary studies during the pandemic have already found dramatic decreases in the mental health status of Canadians. 6 Medical schools and medical students will benefit from recognizing and understanding the public's use of media as a means to improve knowledge dissemination and encourage protective behaviours while minimizing levels of excessive, potentially harmful anxiety. The goal of this project is to investigate how residents of Saskatchewan, Canada use media during the COVID-19 pandemic and how media use may impact feelings of anxiety and engagement in recommended health practices. We aim to understand what platforms are primarily used and whether there is a relationship between particular platforms and perceived anxiety regarding COVID-19. These findings will help researchers to understand and make recommendations to inform best practice media consumption. This study has received full research ethics board approval from the University of Saskatchewan. We employed an internet-based cross-sectional survey starting April 7, 2020. The survey was designed based on previous studies regarding SARS and H1N1. 1,2 It included questions regarding participants' media use, anxiety levels, and protective behaviours (ie. wearing a mask). The survey has been administered to a voluntary sample of University of Saskatchewan students and members of the general public in Saskatchewan via PAWS, Facebook, Twitter, Instagram, and email. Snowball recruitment has been used to expand the sample size. The survey has been programmed and administered by the Social Science Research Laboratories using the survey programming platform called Voxco. Voxco is a Canadian-owned company with servers located in Canada [https://www.voxco.com/privacy-policy/]. We are currently open to collaboration with other sites to further expand the participant demographic outside of Saskatchewan. Catering to household media consumption appears to be the most effective way to distribute large amounts of information regarding the dynamic nature of the current COVID-19 pandemic. The main goal of this project is to identify best-practice media use to provide information that is accurate, effective, and minimizes the emotional/psychological effects on the public's well-being during this pandemic. A crosssectional survey has been designed and distributed via snowball recruitment to Saskatchewan residents. The results of this study may help physicians, medical learners, other health professionals and the public health sector at-large deliver information in an effective way to minimize anxiety, confusion, and misconceptions all while promoting appropriate protective measures. With implementing bestpractice media use, there may be implications at a larger level to improve adherence to health guidelines, increase knowledge about the virus and ultimately, reduce hospitalizations as a means to help flatten the curve. Early assessment of anxiety and behavioral response to novel swine-origin influenza A(H1N1) Media effects on students during SARS outbreak. Emerg Infect Dis Use of mass media campaigns to change health behavior Use of multiple social media platforms and symptoms of depression and anxiety: A nationally-representative study among U.S. young adults Online social media fatigue and psychological wellbeing-A study of compulsive use, fear of missing out, fatigue, anxiety and depression Canadians are feeling unprecedented levels of anxiety, according to Mental Health Index