Developing a Culturally and Linguistically Congruent Digital Storytelling Intervention in Vietnamese and Korean American Mothers of Human Papillomavirus-Vaccinated Children: Feasibility and Acceptability Study.
Developing a Culturally and Linguistically Congruent Digital Storytelling Intervention in Vietnamese and Korean American Mothers of Human Papillomavirus-Vaccinated Children: Feasibility and Acceptability Study.
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在越南和韩国人类乳头瘤病毒疫苗接种儿童的越南和韩国美国母亲：可行性和可接受性研究中，在文化和语言上开发了一致的数字故事干预。
DOI：
10.2196/45696
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发表时间：
2023-06-14
影响因子：
2.2
通讯作者：
Han, Yooro
中科院分区：
文献类型：
--
作者：
Kim, Sunny Wonsun;Chen, Angela Chia -Chen;Ou, Lihong;Larkey, Linda;Todd, Michael;Han, Yooro
关键词：
VietnameseKoreanAsiaculturaldigital storytellingstorytellingstorystoriesHPVvaccinevaccinationfeasibilitydigital interventionmortality rateratiooddratedeep analysissocial mediachildimmigrantmotherimmunizationinoculationinoculatecommunicationculturelanguagehuman papillomavirusphotovideodigitalmicrophoneconversationdialogueResearch Electronic Data Capturevoiceoversoundtrackwritingwritescripthealth statushealth insurancesurveyquestionnairequalitativeconstructivistconstructivism
致癌性人乳头瘤病毒（HPV）的高发病率、死亡率和经济负担要求研究人员通过HPV疫苗接种来解决这一公共卫生问题。越南裔和韩裔美国人的hpv相关癌症存在差异，但他们的疫苗接种率仍然很低。有证据表明，制定与文化和语言一致的干预措施对于提高其HPV疫苗接种率非常重要。我们采用了数字讲故事（DST），将口头讲故事与基于计算机的技术（数字图像、录音和音乐）相结合，作为促进文化相关健康信息传播的一种有前途的方法。本研究旨在(1)评估通过DST研讨会干预发展的可行性和可接受性，(2)深入分析塑造HPV态度的文化经验，以及(3)探索DST研讨会经验可以为未来的形成和干预工作提供信息的方面。通过社区合作伙伴、社交媒体和滚雪球抽样，我们招募了2名越南裔美国人和6名韩裔美国母亲（平均年龄41.4岁，SD 5.8岁），她们的孩子接种了HPV疫苗。2021年7月至2022年1月期间举办了三次虚拟夏令时研讨会。我们的团队支持母亲们发展她们自己的故事。母亲们在工作坊前后完成了网络调查，并就彼此的故事想法和工作坊体验提供反馈。我们使用描述性统计来总结定量数据，并使用持续比较分析来分析在研讨会和实地记录中收集的定性数据。数码数码工作坊发展了八个数码故事。这些建议被接受，母亲们表现出总体满意度和相关指标（例如，会向他人推荐，会参加类似的研讨会，值得花时间；平均值4.2-5，范围1-5）。母亲们发现这个过程是有益的，她们很高兴有机会在小组环境中分享她们的故事，互相学习。从数据中出现的6个主要主题反映了母亲对孩子接种HPV疫苗的丰富个人经历、态度和看法，其中包括(1)显示父母的爱和责任；(2) HPV及相关知识、意识和态度；(3)影响疫苗决策的因素；(4)信息来源和信息共享；(5)儿童接种疫苗情况；(6)卫生保健和HPV疫苗接种的文化观点。我们的研究结果表明，虚拟DST研讨会是一种高度可行和可接受的方法，可以让越南裔美国人和韩裔美国移民母亲参与开发文化和语言上一致的DST干预措施。需要进一步的研究来测试数字故事作为一种干预措施对越南裔美国人和韩裔美国人的未接种疫苗的孩子的母亲的功效和有效性。这一开发易于交付、在文化和语言上一致的、基于网络的整体DST干预措施的过程可以在其他语言的其他人群中实施。
The high morbidity, mortality, and economic burden attributed to cancer-causing human papillomavirus (HPV) call for researchers to address this public health concern through HPV vaccination. Disparities of HPV-associated cancers in Vietnamese and Korean Americans exist, yet their vaccination rates remain low. Evidence points to the importance of developing culturally and linguistically congruent interventions to improve their HPV vaccination rates. We adopted digital storytelling (DST) that combines oral storytelling with computer-based technology (digital images, audio recording, and music) as a promising approach for facilitating the communication of culturally relevant health messages. This study aimed to (1) assess the feasibility and acceptability of intervention development through DST workshops, (2) conduct an in-depth analysis of the cultural experience that shapes HPV attitudes, and (3) explore aspects of the DST workshop experience that could inform future formative and intervention work. Through community partners, social media, and snowball sampling, we recruited 2 Vietnamese American and 6 Korean American mothers (mean age 41.4, SD 5.8 years) who had children vaccinated against HPV. Three virtual DST workshops were conducted between July 2021 and January 2022. Our team supported mothers to develop their own stories. Mothers completed web-based surveys before and after the workshop and provided feedback on each other’s story ideas and the workshop experience. We used descriptive statistics to summarize quantitative data and constant comparative analysis to analyze qualitative data collected in the workshop and field notes. Eight digital stories were developed in the DST workshops. They were well accepted, and the mothers showed overall satisfaction and relevant indicators (eg, would recommend it to others, would attend a similar workshop, it was worth their time; mean 4.2-5, range 1-5). Mothers found the process rewarding and appreciated the opportunity to share their stories in group settings and learn from each other. The 6 major themes that emerged from the data reflect the mothers’ rich personal experiences, attitudes, and perceptions about their child’s HPV vaccination, which included (1) showing parents’ love and responsibility; (2) HPV and related knowledge, awareness, and attitudes; (3) factors influencing vaccine decision-making; (4) source of information and information sharing; (5) response to children's being vaccinated; and (6) cultural perspectives on health care and HPV vaccination. Our findings suggest that a virtual DST workshop is a highly feasible and acceptable approach to engaging Vietnamese American and Korean American immigrant mothers in developing culturally and linguistically congruent DST interventions. Further research is needed to test the efficacy and effectiveness of digital stories as an intervention for Vietnamese American and Korean American mothers of unvaccinated children. This process of developing an easy-to-deliver, culturally and linguistically aligned, and holistic web-based DST intervention can be implemented with other populations in other languages.
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