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

项目总结/摘要 目前可供6个月以上儿童使用的COVID-19疫苗是一种有效的预防方法， 新的感染，并降低因COVID-19住院和死亡的风险。然而，疫苗接种率 在西班牙裔儿童中仍然不理想。儿童疫苗接种率较低主要是由于父母 疫苗犹豫虽然国家卫生传播专家建议将讲故事作为一种 为推行有效的干预策略，以推广新型冠状病毒疫苗接种，我们将采取以下创新措施： 创建和评估数字讲故事干预，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，让西班牙裔父母和法律的监护人报告， 之前犹豫是否给他们的孩子接种COVID-19疫苗，作为我们的数字故事讲述者。 我们将邀请他们分享他们在COVID-19疫苗观点方面的转变故事，以帮助其他人 父母和法律的监护人克服了他们对COVID-19疫苗的独特担忧和不信任。指导 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） 与西班牙裔父母的不同样本一起开发与文化相关的数字故事（每个2 - 3分钟长） 以及从对COVID-19疫苗犹豫不决转变为接受疫苗的法律的监护人。在目标2中， 我们将评估以网络为基础的试验性数字讲故事干预与 未更新以下信息的儿童的父母和法律的监护人（n = 80）中的仅信息控制 COVID-19疫苗剂量我们还将探讨干预前后疫苗观念的变化， 疫苗犹豫，为儿童接种COVID-19疫苗的意图，以及儿童在两岁时的疫苗接种率- 干预后一个月。如果我们的研究证明了疫苗的可行性、可接受性、有希望的减少， 犹豫，增加疫苗的摄取，我们将进行一项全面的随机对照试验， DST干预措施在减少我们目标人群对COVID-19疫苗犹豫不决方面的有效性。这 在未来的DST干预中可以使用更广泛的研究来增加免疫接种（例如，流感、人乳头瘤病毒） 在西班牙裔儿童和青少年中。此外，我们的创新研究可能会提供证据， 可扩展的、可传播的策略，以减少疫苗犹豫，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。

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.