Reducing Vaccine Hesitancy among Hispanic Parents of COVID-19 Vaccine-Eligible Children

减少有资格接种 COVID-19 疫苗的儿童的西班牙裔家长对疫苗的犹豫

• 批准号: 10737776
• 负责人: Sunny Wonsun Kim
• 金额: $ 41.98万
• 依托单位: ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-01 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10737776
• 关键词: 2 arm randomized control trial; 2019-nCoV; Address; Adolescent; Area; Attitude; Behavior; Belief; COVID-19; COVID-19 mortality; COVID-19 vaccination; COVID-19 vaccine; Cessation of life; Child; Childhood; Collaborations; Communities; Community Health Aides; Control Groups; Disease; Dose; Educational workshop; Elements; Eligibility Determination; Emotional; Family; Feasibility Studies; Focus Groups; Future; Health; Health Promotion; Health behavior; Hispanic; Hospitalization; Human Papillomavirus; Immunity; Immunization; Individual; Infection; Inflammatory; Influentials; Intervention; Legal Guardians; Long COVID; Methods; National Institute of Child Health and Human Development; Not Hispanic or Latino; Online Systems; Parents; Participant; Pattern; Perception; Persuasive Communication; Planning Theory; Population; Public Health; Randomized, Controlled Trials; Recommendation; Reporting; Research; Risk Reduction; Sampling; Social Perception; Syndrome; System; Target Populations; Testing; Transportation; Update; Vaccinated; Vaccination; Vaccines; Virus; Work; acceptability and feasibility; arm; community engagement; cost; design; digital; effective intervention; effectiveness evaluation; ethnic minority; experience; flu; future outbreak; health communication; improved; innovation; insight; intervention cost; member; pandemic disease; post intervention; prevent; racial minority; recruit; social norm; theories; tool; vaccine acceptance; vaccine access; vaccine hesitancy; willingness

Project Summary/Abstract COVID-19 vaccines, currently available to children over six months old, are a powerful method of preventing new infections and reducing the risk of hospitalization and death due to COVID-19. However, vaccination rates among Hispanic children remain suboptimal. Lower vaccination rates in children are largely due to parental vaccine hesitancy. While national health communication experts have suggested using storytelling as an effective intervention strategy to promote COVID-19 vaccination, we will take the innovative next steps of creating and evaluating a digital storytelling intervention to reduce Hispanic parental vaccine hesitancy. Working with community health workers, we will engage Hispanic parents and legal guardians who report being previously hesitant to vaccinate their child(ren) against COVID-19 to serve as our digital storytellers. We will ask them to share their stories of conversion in COVID-19 vaccine perspectives to help other parents and legal guardians overcome their unique concerns and mistrust of COVID-19 vaccines. Guided by the Theory of Planned Behavior and storytelling as culture-centric health promotion, we propose to (Aim 1) develop culturally-relevant digital stories (each 2-3 minutes long) with a diverse sample of Hispanic parents and legal guardians who transformed from being COVID-19 vaccine-hesitant to vaccine-accepting. In Aim 2, we will assess the feasibility and acceptability of a web-based pilot digital storytelling intervention vs. information-only control among parents and legal guardians (n=80) of children who are not up-to-update with COVID-19 vaccine doses. We will also explore pre- to post-intervention changes in vaccine perceptions, vaccine hesitancy, intentions to vaccinate children against COVID-19, and children’s vaccine uptake at two- month post-intervention. If our study demonstrates feasibility, acceptability, promising reductions in vaccine hesitancy, and increases in vaccine uptake, we will conduct a full-scale randomized controlled trial to examine the effectiveness of the DST intervention to reduce COVID-19 vaccine hesitancy in our target population. This more extensive study could be used in future DST interventions to increase immunizations (e.g., flu, HPV) among Hispanic children and adolescents. In addition, our innovative research may provide evidence of scalable, disseminatable strategies to reduce vaccine hesitancy and can be used for other rapid vaccination efforts for potential future outbreaks.

项目概要/摘要 COVID-19 疫苗目前可供 6 个月以上的儿童使用，是一种有效的预防方法 新感染并降低因 COVID-19 导致的住院和死亡风险。然而，疫苗接种率 西班牙裔儿童的情况仍然不理想。儿童疫苗接种率较低主要是由于父母的影响 疫苗犹豫。虽然国家健康传播专家建议使用讲故事作为 为了促进 COVID-19 疫苗接种的有效干预策略，我们将采取创新的后续步骤 创建和评估数字讲故事干预措施，以减少西班牙裔父母对疫苗的犹豫。 我们将与社区卫生工作者合作，让报告的西班牙裔父母和法定监护人参与进来 之前犹豫是否要为自己的孩子接种 COVID-19 疫苗，以充当我们的数字故事讲述者。 我们将请他们分享他们从 COVID-19 疫苗角度转变的故事，以帮助其他人 父母和法定监护人克服了他们对 COVID-19 疫苗的独特担忧和不信任。指导者 计划行为理论和讲故事作为以文化为中心的健康促进，我们建议（目标 1） 与不同的西班牙裔父母样本一起开发与文化相关的数字故事（每个故事长 2-3 分钟） 以及从对 COVID-19 疫苗犹豫不决转变为接受疫苗的法定监护人。在目标 2 中， 我们将评估基于网络的试点数字叙事干预与传统干预的可行性和可接受性。 对不了解最新情况的儿童的父母和法定监护人（n=80）进行仅信息控制 COVID-19 疫苗剂量。我们还将探讨干预前后疫苗认知的变化， 对疫苗的犹豫、为儿童接种 COVID-19 疫苗的意愿以及儿童在两岁时的疫苗接种情况 干预后一个月。如果我们的研究证明可行性、可接受性、有希望减少疫苗 犹豫和疫苗接种率的增加，我们将进行全面的随机对照试验来检查 DST 干预措施对减少目标人群对 COVID-19 疫苗犹豫的有效性。这 更广泛的研究可用于未来的药敏试验干预措施，以增加免疫接种（例如流感、HPV） 西班牙裔儿童和青少年。此外，我们的创新研究可能提供以下证据： 可扩展、可传播的策略，可减少疫苗犹豫，并可用于其他快速疫苗接种 为未来可能爆发的疫情做出努力。