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.

项目摘要/摘要 Covid-19-19疫苗目前可用于六个月大的儿童，是一种防止的有力方法 新的感染并降低了Covid-19引起的住院和死亡的风险。但是，疫苗接种率 在西班牙裔儿童中，仍然是最佳的。儿童的疫苗接种率较低，主要是由于父母 疫苗犹豫。尽管国家卫生传播专家建议以讲故事为 有效促进Covid-19-19疫苗接种的有效干预策略，我们将采取创新的下一步 创建和评估数字讲故事的干预措施，以减少西班牙裔父母疫苗的犹豫。 与社区卫生工作者合作，我们将与西班牙裔父母和法定监护人交往 以前犹豫不决，他们的孩子（REN）针对Covid-19，以作为我们的数字讲故事者。 我们将要求他们在Covid-19-19疫苗观点中分享他们的转换故事，以帮助其他 父母和法定监护人克服了他们对Covid-19疫苗的独特关注和不信任。指导 计划的行为和讲故事的理论是以文化为中心的健康促进，我们建议（AIM 1） 用西班牙裔父母的潜水员样本开发与文化相关的数字故事（每2-3分钟） 和法定监护人，他们从共同的19疫苗hesitant转变为受疫苗的接受。在AIM 2中， 我们将评估基于网络的飞行员数字故事干预vs的可行性和可接受性。 父母和法定监护人的信息控制（n = 80）的儿童不适用 COVID-19疫苗剂量。我们还将探讨疫苗看法的干预前变化， 疫苗犹豫不决，打算对儿童接种Covid-19的意图，以及两次疫苗的疫苗接种 干预后月。如果我们的研究表现出可行性，可接受性，请承诺减少疫苗 犹豫不决，并增加了疫苗的摄取，我们将进行全面的随机对照试验以检查 DST干预措施减少COVID-19-19的疫苗犹豫不决的有效性。这 更广泛的研究可以在未来的DST干预措施中用于增加免疫接种（例如，流感，HPV） 在西班牙裔儿童和青少年中。此外，我们的创新研究可能提供 可扩展的，散发的可减少疫苗犹豫的策略，可用于其他快速疫苗 为未来爆发而努力。