MomsTalkShots: An individually tailored educational application for maternal and infant vaccines
MomsTalkShots: An individually tailored educational application for maternal and infant vaccines
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DOI：
10.1016/j.vaccine.2019.08.080
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发表时间：
2019-10-08
期刊：
影响因子：
5.5
通讯作者：
Omer, Saad B.
中科院分区：
文献类型：
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作者：
Salmon, Daniel A.;Limaye, Rupali J.;Omer, Saad B.
简介：开发和初步评估在临床环境中的理论驱动的，个性化定制的教育应用程序（应用程序），MomsTalkShots，专注于增加孕妇和婴儿的摄取vaccinations.Methods：MomsTalkShots算法量身定制的视频根据父母的需要，提供一个干预措施，是专门响应个人疫苗的态度，信念和意图，人口统计学，和来源的可信度。MomsTalkShots在2017年从格鲁吉亚和科罗拉多的23个地理和社会人口统计学上不同的妇产科诊所招募的1103名孕妇中进行了评估。自我报告的信息需求进行了评估之前和之后的视频和参与者自我报告的因素与可用性和分析在2018年。结果：绝大多数女性报告MomsTalkShots是有用的（95%），值得信赖的（94%），有趣的（97%）和清晰的理解（99%），没有人口统计学或奇偶性的变化。在对疫苗犹豫不决的女性中，报告的可用性略低，但大多数人报告MomsTalkShots是有帮助的（91%），值得信赖的（85%），有趣的（97%）和清晰的（99%）。大多数妇女（72%）谁没有足够的疫苗信息prevideos报告足够的信息postvideos.Conclusions：MomsTalkShots的目的是提供个性化的疫苗信息，孕妇从人口不同的疫苗接种意图，信心和疫苗的关注。MomsTalkShots在孕妇中非常受欢迎，甚至在最初对疫苗犹豫不决并且不打算根据推荐的免疫接种计划为自己和婴儿接种疫苗的妇女中也是如此。接下来的步骤包括评估对疫苗接种和扩大到青少年和成人疫苗的影响。(C)2019爱思唯尔有限公司版权所有。
Introduction: The development and initial assessment in a clinical setting of a theory-driven, individually tailored educational application (app), MomsTalkShots, focused on increasing uptake of maternal and infant vaccines is described.Methods: MomsTalkShots algorithmically tailored videos based on parent needs to deliver an intervention that was specifically responsive to individual vaccine attitudes, beliefs and intentions, demographics, and source credibility. MomsTalkShots was evaluated among 1103 pregnant women recruited from 23 geographically and socio-demographically diverse obstetrician-gynecologist offices in Georgia and Colorado in 2017. Self-reported information needs were assessed pre-and post-videos and participants self-reported factors related to usability and analyzed in 2018.Results: The vast majority of women reported MomsTalkShots was helpful (95%), trustworthy (94%), interesting (97%) and clear to understand (99%), none of which varied by demographics or parity. Reported usability was slightly lower among vaccine hesitant women, yet the majority reported MomsTalkShots was helpful (91%), trustworthy (85%), interesting (97%) and clear (99%). The majority of women (72%) who did not have enough vaccine information pre-videos reported enough information post-videos.Conclusions: MomsTalkShots was designed to provide individually tailored vaccine information to pregnant women from a population with varied vaccine intentions, confidence and vaccine concerns. MomsTalkShots was extremely well-received among pregnant women, even among women who were initially vaccine hesitant and did not intend to vaccinate themselves and their infants according to the recommended immunization schedule. Next steps include evaluation to assess impact on vaccine uptake and expansion to adolescent and adult vaccines. (C) 2019 Elsevier Ltd. All rights reserved.