RT journal article T1 Development of a Conceptual Framework of Health Misinformation During the COVID-19 Pandemic: Systematic Review of Reviews A1 Álvarez Gálvez, Javier A1 Carretero Bravo, Jesús Ángel A1 Lagares Franco, Carolina María A1 Ramos Fiol, Begoña A1 Ortega Martín, María Esther A2 BiomedicinaBiotecnología y Salud Pública A2 Economía General A2 Estadística e Investigación Operativa K1 misinformation K1 disinformation K1 infodemic K1 social media K1 social networks K1 COVID-19 K1 review K1 SARS-CoV-2 K1 coronavirus K1 respiratory K1 infectious K1 scoping review K1 conceptual framework K1 management K1 internet K1 technology K1 technologies K1 disease surveillance K1 public health K1 digital health K1 health informatics AB Background: Despite the wide variety of studies that have focused on the recent COVID-19 infodemic, defining health misor disinformation remains a challenge due to the dynamic nature of the social media ecosystem and, in particular, the different terminologies from different fields of knowledge. Objective: In this work, we aim to develop a conceptual framework of health misinformation during pandemic contexts that will enable the establishment of an interoperable definition of this concept and consequently a better management of these problems in the future. Methods: We conducted a systematic review of reviews to develop a conceptual framework for health misinformation during the pandemic context as a case study. Results: This review comprises 51 reviews from which we developed a conceptual framework that integrates 6 key domains—sources, drivers, content, dissemination channels, target audiences, and health-related effects of mis- or disinformation—offering a structured approach to analyze and categorize health misinformation. These 6 domains collectively form the basis of our proposed conceptual framework. Conclusions: Our results highlight the complexity and multifaceted nature of health disinformation and underscore the need for a common language across disciplines addressing this global problem in order to use interoperable definitions and advance this evolving field of study. By offering a structured conceptual framework, we also provide a valuable foundation for interventions aimed at surveillance, public communication, and digital content moderation in future health emergencies. SN 2369-2960 YR 2025 FD 2025-11-21 LK http://hdl.handle.net/10498/39552 UL http://hdl.handle.net/10498/39552 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 05-nov-2026