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How to Craft Evidence-Based Messaging for the Prevention of Adverse Childhood Experiences

ACEs,

How to Craft Evidence-Based Messaging for the Prevention of Adverse Childhood Experiences How to Craft Messaging for ACEs Prevention Learn how to craft effective, evidence-based messaging to prevent ACEs — with steps and examples to guide your work. Getting Started When it comes to developing strategic messages, public health professionals must first identify the problem they are working to solve. Often, we think about problems in big, broad terms — this can make it hard to know what specific action(s) to take to solve them, especially when working to address complex problems like adverse childhood experiences (ACEs). Consider a common public health challenge: lack of coordinated and aligned prevention efforts among like-minded organizations in a community. While everyone is working toward similar goals, limited time and resources mean this lack of coordination can reduce overall impact. Simply naming “lack of coordination of prevention” as the problem, however, isn’t very helpful — your colleagues may not know what you’re asking them to do differently. To move from a vague concern to an actionable solution, you must narrow the problem. To do this, you might explain that organizations aren’t consistently communicating about what prevention programs they offer or approaches they implement. Digging further, the issue becomes not just misalignment but the lack of a regular, structured process for sharing updates. That clarity leads to a concrete ask: “We’d like to set up a monthly call where we each share program updates so we can coordinate efforts and maximize impact.” This final framing is strong because it identifies a specific, practical solution and serves as a clear foundation for effective messaging, plus next steps. Once you identify the actions to solve the problem at hand, you’re ready to think about the overall strategy. This resource walks you through several easy steps to outline your approach. Your Turn 1 - Resource - How to Craft Messaging for ACEs Prevention Using a Simple, Successful Formula The formula for a successful message is simple and helps you get to the core of your message: Name the problem or issue to be addressed. Talk about why it matters. Tell people what should be done and who should do it. Bonus: Use data to drive your message home. Put it all together. Step 1: Name the Problem You need to clearly state your concern: what the problem is and how you see it affecting people — but keep it short. Resist the urge to say everything. Instead, focus on the aspect of the problem that your proposed solution will address. Establish a general understanding of the issue and its impacts as they relate to ACEs. Example Consider, under the umbrella of ACEs prevention, the topic of reducing the cost of child care. Let’s name the problem: The high costs of child care contribute to economic pressures and stress for caregivers, leaving children at risk of experiencing maltreatment. Your Turn 2 - Resource - How to Craft Messaging for ACEs Prevention Step 2: Explain Why It Matters Using shared values in your messaging to describe why you care can help you make the case for your solution and connect with your target audience. Remember, values statements should indicate why you — and, ideally, your target — should address the problem at hand. What happens if nothing is done? And why does that matter? Example With our example, in working to reduce the cost of child care, this explanation might be: We must take action to support families because their well-being (mental, financial, etc.) as well as their children’s well-being are at stake. Your Turn 3 - Resource - How to Craft Messaging for ACEs Prevention Step 3: Emphasize the Solution Drawing from your overall strategy, keep your focus on the solution or the change you want to see, and name the person, group, or entity that needs to implement this change. It’s best to answer with a specific, feasible solution that is usually an incremental step toward the larger goal or vision. And it’s especially important to name who needs to take action, so that they are aware of what is expected of them. Name the solution you want to see. Example Continuing with our example, a solution to reducing the cost of child care might be: Our state legislature is currently considering a bill to subsidize child care cost in our area. Subsidized child care for families can reduce caregiver stress and increase their ability to provide financially for their families and spend time with their developing children. Your Turn 4 - Resource - How to Craft Messaging for ACEs Prevention Step 4: Drive Your Message Home with Data “Social math” is the practice of translating statistics and other data so that they become interesting, meaningful, and understandable by most people— unlike infographics, which use visuals (e.g., charts and graphics) to present data. Consider social math that can help you make your case. Example In our ongoing example, the following data and social math can help relay importance and meaning: Estimates show the annual national average price of care for one child in 2019 being between $9,200 and $9,600. In other words, families spend on average about $800 every month for child care — similar to a second rent payment. Your Turn 5 - Resource - How to Craft Messaging for ACEs Prevention Step 5: Bring It All Together as One Cohesive Message You can think of the final message as an answer to the question, “How does reducing ACEs lead to healthier outcomes and thriving communities?” Example The final message for our example could be: One of the greatest costs to young families is child care, with the estimated annual national average price of care for one child in 2019 between $9,200 and $9,600. In other words, one family will spend on average about $800 every month for child care — similar to a second rent payment. And these costs increase for every additional child in the household. Child care subsidies can reduce caregiver stress and lower the risk of child maltreatment by minimizing persistent concerns about child care, providing a source of emergency child care when needed, and improving the economic lives of families. We can support children and families by reducing the financial burden of child care, opening up opportunities to remain employed and receive other community or medical support they need. Your Turn 6 - Resource - How to Craft Messaging for ACEs Prevention Additional Resources ASTHO Strategic Public Health Messaging Drives Change Public Health & Crisis Communications Resource Hub State/Territorial Policy Considerations for Preventing Adverse Childhood Experiences CDC Beyond the Headlines: Media Communications Training Berkeley Media Studies Group Worksheet: Message Development (PDF) Media Advocacy Worksheet: Overall Strategy Layers of Strategy (PDF) Using Social Math to Support your Policy Issue ACEs in the News: How Can Advocates Communicate More Effectively About Childhood Trauma? 5 Ways to Create Compelling Messages About Childhood Trauma Using Data Issue 24: Adverse Childhood Experiences in the News: Successes and Opportunities in Coverage of Childhood Trauma Frameworks Institute Impact Spotlight: Framing Child Wellbeing CA Surgeon General's Campaign Brings Attention to Toxic Stress and Adverse Childhood Experiences (ACEs) Changing the Narrative Together: Three Effective Strategies for Talking about Youth Mental Health Moving from Crisis Toward Opportunity: Framing Social Media and Youth Mental Health Toolkit The Impact of Strategic Framing on Early Childhood Advocacy Efforts in Colorado Framing Fundamentals: What is Framing? #FastFrames Series Reviewed by - Maffey article yes

Media Relations Toolkit for Health Departments

Media Relations Toolkit for Health Departments Discover expert media relations insights and actionable guidance tailored for health departments in this ASTHO toolkit. Integrating media relations strategies into operational frameworks is crucial for fostering meaningful community connections. ASTHO’s Media Relations Toolkit helps health departments craft effective communication strategies and navigate the landscape of media engagement to cultivate a resilient public image among the public, media, policymakers, funders, and stakeholders. This toolkit is a foundational resource for establishing robust media relations practices and offers a step-by-step roadmap for successful media engagement and strategic planning. It reflects the latest insights and trends in media relations, ensuring health departments stay ahead in effectively communicating their messages to their audiences. Get the Resource (PDF) website yes

Branding Resource Guide for Health Departments

Branding Resource Guide for Health Departments A step-by-step guide for moving through the branding or rebranding process for health departments. ASTHO's Branding Resource Guide helps health departments as they embark on strategic planning, quality improvement, and exploring how best to position their agency. A robust brand enhances visibility in the community and can greatly impact how the public, policymakers, funders, and other key stakeholders view the agency. This guide introduces the basic facets of brand development, outlining the path to fortifying a more resilient health department brand. It breaks down the brand enhancement journey into understandable and manageable steps. This guide will be continuously updated to reflect new information as it becomes available. Get the Resource (PDF) website yes

Public Health Communications for Impact: Approaches to Strengthening Infrastructure

Public Health Communications for Impact: Approaches to Strengthening Infrastructure Effective communication is not just about messaging. It depends on strong systems, resourcing, and coordination behind the scenes. As health departments face increasing demands to demonstrate impact, communicate value, and navigate complex environments, communications stands as a foundational public health capability. This webinar explores how public health agencies can strengthen their communications infrastructure to improve reach, effectiveness, and sustainability. The Public Health Communications Collaborative's newly published Overcoming Challenges & Leveraging Strengths: Action Guide for Communicators at Public Health Agencies, which outlines evidence‑based strategies for organizing and operating effective public health communications functions. Health department panelists share real‑world examples of how these approaches show up in practice by highlighting systems, roles, and processes that support clear communication about public health programs and investments. Together, the session will reinforce communications as intentional, resourced work that underpins successful public health practice. Speakers Amanda Kwong, MPH: Director, Public Health Communications Collaborative, de Beaumont Foundation Christina Floyd, MPH: Deputy Director of Public Health, Detroit Health Department Maura Fitzgerald, MPA, MSOL: Chief Marketing Officer, Connecticut Department of Health Luisa Hansen, MPH: Public Information Officer, Utah Department of Health and Human Services Resources Slide Deck (PDF) Overcoming Challenges & Leveraging Strengths | Public Health Communications Collaborative Transcript - Video - Public Health Communications for Impact: Approaches to Strengthening Infrastructure OE22-2203 PHIG article yes

Advanced Accessibility Training

Advanced Accessibility Training Advanced Digital Accessibility Training Take a deeper dive into digital accessibility with members of ASTHO's Graphic Design and Web teams. This session will build on skills from the October 2025 training by covering the legal requirements and landscape, basic document remediation strategies, and the overlap between web and document accessibility. After this session, attendees should be able to: Understand the ADA Title II Web Rule requirements. How to communicate the importance of embracing accessibility. Be familiar with common document remediation strategies. Understand the commonalities between website and document accessibility. Speakers Emily Lapayowker, Assistant Director, Web Content, ASTHO Christopher Preheim, Manager, Graphic Design, ASTHO Heidi Satter, Director, Web & Data Solutions, ASTHO Resources Slide Deck (PDF) Fact Sheet: New Rule on the Accessibility of Web Content and Mobile Apps Provided by State and Local Governments Transcript - Video - Advanced Accessibility Training article yes

Accessibility Pillars in Web and Design

Accessibility Pillars in Web and Design Learn the core principles of accessible web and document design in public health, aligned with ADA guidelines, to ensure resources are usable by all communities. Accessibility in web and document design ensures that digital content is usable by everyone. This presentation introduces the core principles of accessibility, aligned with Americans with Disabilities Act (ADA) guidelines, and empowers you to recognize and implement accessible design practices. By the end of this webinar, participants will be able to: Identify visual elements in a document as accessible or inaccessible without external guidance. Understand the importance of inclusive design and its impact on users with disabilities. Apply accessibility principles to everyday digital products and workflows. Recognize the legal and ethical standards required for compliance. Resource Slide Deck (PDF) Speakers Emily Lapayowker, Assistant Director, Web Content, ASTHO Christopher Preheim, Manager, Graphic Design, ASTHO Heidi Satter, Director, Web & Data Solutions, ASTHO Transcript - Video - Accessibility Pillars in Web and Design OE22-2203 PHIG article yes

Don't Panic! A Panel on How to be an Effective Crisis Communicator

Don't Panic! A Panel on How to be an Effective Crisis Communicator This ASTHO webinar explored strategies for strengthening jurisdictional capacity for public health risk communication. The panel discussion featured insights from the subject matter experts, state health department representatives, and public health leaders listed below. The session showcased best practices for communicating about trending public health threats, innovative resources for applying the latest risk communications research, and an overview of practical tools to help public health communicators effectively address crises and emergencies across diverse jurisdictions. Speakers Amanda Kwong, MPH: Director, Public Health Communications Collaborative Kelley Richardson, MPH, CHES: Communications Supervisor, Division of Public Health, North Carolina Department of Health and Human Services Ann Rowe: Executive Board President and Member-at-Large, National Public Health Information Coalition Kasisomayajula Viswanath, PhD: Lee Kum Kee Professor of Health Communication, Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health Moderator Susan Kansagra, MD, MBA (Alum-NC): Chief Medical Officer, ASTHO article yes

Leading Through a Pandemic: Teamwork and Crisis Communication

Leading Through a Pandemic: Teamwork and Crisis Communication Hear former and current State Health Officers and their Public Information Officers reflect on working together during the COVID-19 pandemic. 1/4 bottom Speakers Lee A. Norman, MD, MHS, MBA: Alum-KS John Wiesman, DrPH, MPH: Alum-WA Jessica Baggett, MPH: Former Public Information Officer (WA) Ashley Jones-Wisner: Former Public Information Officer (KS) Arundi Venkayya: Current Public Information Officer (OH) website yes

Inclusive Communication: A Lunch and Learn Conversation with Susan Laird

Inclusive Communication: A Lunch and Learn Conversation with Susan Laird Susan Laird focuses on the application of the CDC’s Health Equity Guiding Principles for Inclusive Communication including the importance of addressing all people inclusively and respectfully. Watch the Video on Vimeo Speaker Susan K. Laird, DNP, MSN, RN Resources Inclusive Communication: A Lunch and Learn Conversation with Susan Laird (Audio Module) Health Equity Guiding Principles for Inclusive Communication (Podcast) Health Equity Guiding Principles for Inclusive Communication Health Equity Guiding Principles for Inclusive Communication – Making It Stick website yes

Infodemic Management

Infodemic Management This training covers the process that CDC uses to assess social listening and other data for the State of Vaccine Confidence Insights Reports and how you can adopt a similar process to inform action. Speakers Claire Wardle, PhD Elisabeth Wilhelm, MA Resources Infodemic Management: An Interview with Elisabeth Wilhelm and Claire Wardle (Audio Module) A Limiting Lens: How Vaccine Misinformation Has Influenced Hispanic Conversations Online Building Confidence in COVID-19 Vaccines: Vaccinate with Confidence Center for Climate Change Communication Debunking Handbook Toolkit for Addressing Health Misinformation from the Office of U.S. Surgeon General Vaccine Misinformation Management Field Guide WHO Infodemic Website website yes

Applied Principles of Strategic Risk and Crisis Communications

Applied Principles of Strategic Risk and Crisis Communications In this session, participants will learn meaningful ways to engage with communities in their jurisdiction and repair and/or build trust with hard-to-reach populations. Speaker Kellee Waters Resources Applied Principles of Strategic Risk and Crisis Communications: An Interview with Kellee Waters (Audio Module) Crisis & Emergency Risk Communication (CERC) Website website yes

ASTHO Communications Trainings

ASTHO Communications Trainings ASTHO has collaborated with a former New York Times journalist with over two decades of experience to offer three media training videos that can be viewed at your convenience. The 12-minute recordings cover media interview best practices, space preparation and interview tactics, and digital strategies and best practices. Reach out to media@astho.org with any questions. website no

Improving Public Health Through Data and Communication

Improving Public Health Through Data and Communication This video focuses on the effective use of data in public health communication. The panelists in the piece have shared their communication experiences, successes, and challenges throughout the COVID-19 pandemic, as well as lessons learned and best practices for communicating complex public health topics. Speakers Gillian Steelfisher, PhD, MSc: Director of Global Polling, Harvard Opinion Research Program Mark Levine, MD: Commissioner, Vermont Department of Health Nancy Erickson: Public Health Communications and Policy Advisor, Vermont Department of Health article yes

Driving Organizational and Community Change: Social Mobilization and Managing Up

Driving Organizational and Community Change: Social Mobilization and Managing Up Learn how to build those relationships and how to engage diverse partners and community groups, including faith-based organizations, in ongoing organizational improvement, as well as the importance of connecting with communities and constituents as part of the decision-making process. Speaker Steve Flores, PhD Resources Driving Organizational and Community Change:Social Mobilization and Managing Up An Interview with Steve Flores, PhD. (Audio Module) CDC’s Principles of Community Engagement National Academy of Medicine: Assessing Community Engagement website yes

Behavior Change and Public Health Communication

Behavior Change and Public Health Communication In this session, you will understand the drivers of vaccine demand and how to work with your immunization programs to develop and implement a comprehensive vaccine confidence and demand strategy. Speaker Noel Brewer, PhD Resources How to Respond to Vocal Vaccine Deniers in Public (PDF) Increasing Vaccination: Putting Psychological Science Into Action (PDF) website yes

Communicating About Disease Forecasting

Communicating About Disease Forecasting Effectively Communicating About Disease Forecasting Clearly communicating about disease forecasting helps policymakers, the media, and the public make informed decisions in public health emergencies. Communicating effectively about disease forecasting data is essential for the public to understand the associated risks, implications, and recommended actions. It’s also critical for policymakers who can use the data to determine effective, equitable strategies for outbreak response. In turn, the public can make informed decisions to keep safe. Each audience, including the media, will likely need tailored messages about the indications and limitations of a given forecast. Approaches for communicating about disease forecasts/models with policymakers and the public align with many of the key tenets of public health communications more broadly. Public health practitioners should consider integrating Crisis and Emergency Risk Communication (CERC) principles, which suggest that communications be first, right, credible, empathetic, actionable, and respectful to help the public make informed decisions during challenging circumstances. Communicating with Policymakers Policymakers—public health or elected—have important decision-making and rule-making authority; additional considerations may be needed when communicating with them about disease forecasting. Interactions frequently occur through staffers, who may have limited knowledge and/or time. In addition to CERC principles, communications should also be: Relevant. Tailor communications to policymakers’ priorities to emphasize potential impacts on resource allocation, public health outcomes, local or regional policies, and public sentiment. Collaborative. Foster relationships with policymakers and offer subject matter expertise on forecasting to inform policy decisions. Timely. Provide frequent updates, allowing for proactive collaboration, decision-making, and communication with the public. Concise. Develop briefs that summarize forecasts and their implications for constituents. Consistent. Build trust with policymakers and their staff between emergencies to highlight disease forecasting as a useful tool whose methodologies, data sources, and limitations are clear. Communicating with the Public In addition to CERC principles and in collaboration with media partners, communication about disease forecasts/models with the public should be: Accessible. Provide easily accessed information about methodology, data sources, and limitations in the forecasts. Clear. Use jargon-free, non-technical language to convey critical messages. Contextualized. Frame forecasts within the broader public health context, emphasizing how individual and community actions can mitigate risk, and reinforce the effects of collective actions as part of an outbreak response. Empowering. Give the public reasonable, actionable steps to protect themselves and their communities. Local. Use social media, news releases, listening sessions, and other relevant means to reach as broad an audience as possible. Collaborate with community leaders and health care providers to amplify messaging and reduce misinformation. Frequent. Keep the public informed with regular updates on forecast products including changes in local risk levels, new trends, guidance, and recommendations. Utah’s Best Practices for Communicating Forecasts During the COVID-19 response, the Utah Department of Health and Human Services (DHHS) modeled potential disease transmission and shared how to effectively communicate with the media and public. DO Create diverse forecasting and communications teams that include public health, universities, and ‘bonus’ team members (e.g., political representatives, laboratories, and health economists). Clarify the purpose for which a given model was developed. Discuss the limitations of the disease model. Communicate about future outcomes (i.e., what would happen without further intervention). Provide language on how to alter the current path (e.g., ‘With this intervention, we could potentially avoid…’) Remind audiences that models can affect the future, not only predict it. Share information and data that are digestible for the public. DON’T Sound definitive when outcomes aren’t clear or make predictions using absolute terms. Omit a variety of scenarios or tools when presenting a forecast. Disregard inherent uncertainties in forecasts. Show models with conflicting results. Utah DHHS also recognized that members of the media are key partners in communicating public health messages; closely coordinating and contextualizing forecasts helps communicate accurate conclusions and/or recommendations. Communicators and staff should be prepared and have information ready to share for more complex questions as needed. Storytelling with forecasts and models helps the reader internalize them and make informed decisions. CDC-RFA-OT18-1802 2018-2024 article yes