Methods of Current Practice: Qualitative Analysis of Intervention Strategies Utilized by Vaccine Waiver Educators in Michigan.
Methods of Current Practice: Qualitative Analysis of Intervention Strategies Utilized by Vaccine Waiver Educators in Michigan.
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DOI：
10.1177/15271544221114293
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发表时间：
2022-11
期刊：
影响因子：
--
通讯作者：
Potter, Rachel C. C.
中科院分区：
文献类型：
--
作者：
Mashinini, Duduzile P. P.;Lagerwey, Mary D. D.;Fogarty, Kieran J. J.;Potter, Rachel C. C.
通过颁布行政法规325.176(12)，密歇根州增加了疫苗教育部分，作为对希望为学龄儿童申请非医疗疫苗豁免的疫苗犹豫父母给予疫苗豁免的先决条件。该研究的目的是确定在密歇根州疫苗豁免教育者进行的面对面疫苗教育会议期间接触疫苗犹豫不决的父母的最佳做法。本研究对密歇根州当地卫生部门（lhd）的疫苗豁免教育工作者进行了半结构化电话访谈，采用定性描述性内容分析。参与者是密歇根州当地卫生部门雇用的疫苗豁免教育工作者，他们至少进行了30次疫苗豁免教育会议。教育工作者认为有益的策略、资源和技术包括利用和提供各种来源的信息，编写自己的教育材料，创造积极的体验，举行个性化会议，简化豁免和疫苗接种会议。然而，从访谈中出现的意想不到的主题显示，疫苗豁免教育者需要在与家长讨论疫苗成分，处理宗教疫苗豁免请求以及评估学校的作用方面进行额外培训。成功实施针对疫苗犹豫的疫苗教育干预措施对公共卫生至关重要。通过面对面讨论，让地方卫生部门负责监督疫苗教育，这是一项新的干预战略，其有效实施可能为全国的疫苗教育干预提供信息，甚至可能转化为国际背景，并证明对当前的COVID-19疫苗接种工作有用。
By enacting administrative rule 325.176 (12), Michigan added a vaccine education component as a precondition to granting vaccine waivers to vaccine-hesitant parents wishing to file a nonmedical vaccine exemption for their school-aged child. The purpose of the study was to identify best practices for reaching vaccine-hesitant parents during face-to-face vaccine education sessions conducted by vaccine waiver educators in Michigan. This study utilized qualitative descriptive content analysis of semi-structured phone interviews with vaccine waiver educators from local health departments (LHDs) in Michigan. Participants were vaccine waiver educators who were employed by a local health department in Michigan and had conducted at least 30 vaccine waiver education sessions. Strategies, resources, and techniques identified by educators as beneficial included using and providing information from a variety of sources, compiling their own educational materials, creating a positive experience, holding personalized sessions, and streamlining exemption and vaccination sessions. However, unexpected themes that emerged from the interviews revealed that vaccine waiver educators need additional training in discussing vaccine ingredients with parents, handling religious vaccine exemption requests, and assessing the role of schools. Implementing successful vaccine education interventions targeting vaccine-hesitancy is crucial to public health. Charging LHDs with overseeing vaccine education via a face-to-face discussion is a novel intervention strategy, the effective implementation of which may inform vaccine education intervention nationwide and may even be translated into international contexts and prove useful to current COVID-19 vaccination efforts.
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