Alaska Native Communities Advancing Vaccine Uptake

阿拉斯加原住民社区促进疫苗接种

• 批准号: 10504537
• 负责人: Ann D Collier
• 金额: $ 70.88万
• 依托单位: SOUTHCENTRAL FOUNDATION
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-18 至 2027-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10504537
• 关键词: 2019-nCoV; Address; Adult; Advocate; Age; Alaska; Alaska Native; Alaskan; American Indians; Attitude; Awareness; Behavior; Belief; COVID-19; COVID-19 disparity; COVID-19 morbidity; COVID-19 mortality; COVID-19 vaccination; COVID-19 vaccine; Communities; Contracts; Data; Development; Effectiveness; Effectiveness of Interventions; Emotional; Ensure; Evaluation; Family; Feedback; Friends; Future; General Population; Geography; Goals; Grain; Health; Health Planning; Health Promotion; Health behavior change; Health education; Hospitalization; Incidence; Individual; Intervention; Interview; Knowledge; Motivation; Not Hispanic or Latino; Participant; Pattern; Persons; Population; Prevalence; Public Health; Qualitative Methods; Quasi-experiment; Race; Reach Effectiveness Adoption Implementation and Maintenance; Reporting; Research; Risk; Rural; SARS-CoV-2 infection; Social Network; Surveys; Technology; Testing; Training; Training Support; United States; Use Effectiveness; Vaccinated; Vaccination; Vaccines; Work; base; cohesion; design; eHealth; effectiveness evaluation; evidence base; experience; health organization; human old age (65+); member; mortality; novel; novel strategies; outreach; peer; programs; rural Alaska; rural area; social; theories; therapy design; tool; tribal health; uptake; urban area; urban residence; vaccine acceptance; vaccine distribution; vaccine hesitancy; volunteer; web-based tool

PROJECT SUMMARY Alaska Native and American Indian (ANAI) communities are experiencing a disproportionate share of SARS- CoV-2 infection and its sequelae in the US. As of September 2021, ANAI people had a cumulative incidence of 9,256 COVID-19 cases per 100,000, compared with 5,445 among non-Hispanic Whites. The current rate of COVID-19 associated deaths per 100,000 population is 220 among ANAI people, compared with 137 among non-Hispanic Whites. Widespread vaccination remains the best strategy to control COVID-19 morbidity and mortality, but the US has one of the lowest vaccine acceptance rates in the world with wide regional variability. Little research has attempted to understand or address barriers to COVID-19 vaccination in ANAI people, despite unique geographical, historical, and cultural factors that could influence vaccine uptake in this population. We have formed a consortium of Tribal health leaders from across Alaska to better understand vaccine attitudes and intentions, including hesitancy, and to increase vaccine uptake in Alaskan ANAI communities. In conjunction with community advisors, we will develop and implement a theory-driven intervention that is grounded in ANAI values of relationality and respect. First, we will use vaccination tracking data to assess current rates of vaccine uptake and analyze preexisting quantitative and qualitative data regarding vaccine attitudes, intentions, and behavior among ANAI people in rural and urban areas of Alaska. We will also conduct a survey in southcentral Alaska to inform intervention design. Second, we will work with statewide Tribal health leaders and regional Community Advisory Boards to create educational information, stories, and messages keyed to the beliefs and perceived norms that drive vaccine behavior. This content will be incorporated into an eHealth toolkit for use by community members and specially trained community vaccine advocates, laypeople who volunteer to provide information and motivational/emotional support to their friends, families, and communities. Third, we will launch the intervention in the southcentral region of Alaska and evaluate effectiveness using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE- AIM) framework. Refinements based on program data and participant feedback will be made, then the refined intervention will be deployed in two rural regions of Alaska and evaluated. This project will add to the limited evidence base regarding adult vaccine attitudes, intentions, and behaviors among ANAI people. It holds the potential to increase vaccination in a hard-hit population and build support for future vaccination as SARS-CoV2 continues to evolve. Our findings will have broader applicability to vaccine outreach and engaging ANAI communities in leveraging peer relationships, their social networks, and eHealth to promote health education and behavior change.

项目摘要 阿拉斯加土著和美洲印第安人（ANAI）社区正在经历SARS- COV-2感染及其后遗症在美国。截至2021年9月，Anai人的累积发生率 在非西班牙裔白人中，每100,000例Covid-19案例为9,256例，为5,445例。当前的速度 COVID-19与每10万人人口相关的死亡人口为220，而Anai人为137 非西班牙裔白人。广泛的疫苗接种仍然是控制共同发病率和 死亡率，但美国是世界上最低的疫苗接收率之一，其区域可变性很大。 很少有研究试图理解或解决Anai人群疫苗接种的障碍， 尽管独特的地理，历史和文化因素可能会影响疫苗的吸收 人口。我们组成了来自阿拉斯加各地的部落健康领导人的财团，以更好地了解 疫苗的态度和意图，包括犹豫，并增加阿拉斯加ANAI的疫苗接种 社区。与社区顾问一起，我们将开发和实施以理论为导向的 基于关系和尊重的Anai值的干预措施。首先，我们将使用疫苗接种跟踪 数据以评估疫苗摄取的当前速率并分析已经存在的定量和定性数据 关于阿拉斯加农村和城市地区的Anai人的疫苗态度，意图和行为。 我们还将在阿拉斯加中西部进行一项调查，以告知干预设计。其次，我们将与 全州部落健康领导者和区域社区咨询委员会，以创建教育信息， 故事以及信息的信念和感知的规范推动了疫苗行为。这个内容将 被纳入eHealth工具包中，供社区成员和经过特殊培训的社区使用 疫苗倡导者，外行者自愿为其提供信息和动机/情感支持 朋友，家人和社区。第三，我们将在阿拉斯加中西部地区发起干预措施 并使用覆盖范围，有效性，采用，实施和维护来评估有效性（重新 目标）框架。将根据程序数据和参与者的反馈进行改进，然后进行精制 干预将在阿拉斯加的两个农村地区部署并进行评估。该项目将增加有限 关于成年疫苗态度，意图和行为的证据基础。它持有 潜力增加遭受艰苦的人口的疫苗接种并为未来的疫苗接种建立支持 SARS-COV2继续发展。我们的发现将在疫苗外展和 吸引Anai社区利用同伴关系，社交网络和EHealth促进 健康教育和行为改变。