Vaccine hesitancy DAISI (Digital Animation in Service Improvement): To increase vaccine uptake in ethnic minority perinatal women and young children.

目前，在英国爆发了包括流感和麻疹在内的可接种疫苗的疾病，这些疾病可能导致危及生命的并发症和死亡。疫苗接种是保持人们健康、减少残疾和拯救生命的一种具有成本效益的方法。然而，研究发现，围产期（怀孕和产后）少数民族妇女比英国其他人群更有可能经历疫苗犹豫。于二零二零年，18%的英国少数族裔人士经历疫苗犹豫，其中72%为黑人，42%为南亚裔巴基斯坦人/孟加拉人及32%为混合族裔，研究显示少数族裔人口在接种疫苗方面遇到障碍，例如缺乏知识/错误信息、语言及文化障碍。然而，需要进行研究，深入探讨围产期少数民族妇女和幼儿的具体障碍和促进因素，制定一项干预措施，鼓励接种疫苗，数字动画干预措施已成功地用于改变少数民族人口在其他情况下的健康行为，方法是用通俗易懂的语言传达关键信息，影响人们的信仰，满足他们的教育需求。我们的研究团队拥有使用数字动画与少数民族妇女的专业知识，在我们的网站上有3个DAISI（服务改进中的数字动画）。这些共同制作的卡通短片可以下载到智能手机上，并使用口语和字幕以不同的语言传达信息。一个是关注妊娠糖尿病患者的生活，另一个是减少死胎的风险，第三个是减少产后败血症的风险。我们正在进行的评估是积极的，DAISI影响了妇女改变其行为的意图，我们咨询了少数民族妇女，她们认为，在社区团体中使用DAISI干预措施，由受过培训的同行加强应用程序中的信息，可以鼓励围产期妇女和有幼儿的母亲接种疫苗。因此，本研究旨在共同制作，实施和评估在社区环境中使用DAISI干预措施的可行性。这将为全面评估做好准备，在全面评估中，受过培训的同行将实施DAISI。

ContextCurrently, in the UK there are outbreaks of vaccinatable diseases including flu and measles, which can lead to life-threatening complications and death. Vaccination is a cost-effective way to keep people healthy, reduce disability and save lives. However, research has found that perinatal (pregnant and postnatal) ethnic minority women are more likely to experience vaccine hesitancy than other populations in the UK. In 2020, 18% of UK ethnic minority people experienced vaccine hesitancy, 72% of these were Black ethnicity, 42% South Asians Pakistani/ Bangladeshi and 32% mixed ethnicities and research demonstrates that ethnic minority populations experience barriers to having vaccines, such as a lack of knowledge/ misinformation, language and cultural barriers. However, research is needed to explore in depth the specific barriers and facilitators for perinatal ethnic minority women and young children, to develop an intervention that will encourage vaccine uptake.Digital animation interventions have been used successfully to change health behaviour in other contexts with ethnic minority populations by communicating key messages in an accessible language to influence peoples' beliefs and meet their educational needs. Our research team has expertise in using digital animation with ethnic minority women with 3 DAISIs (digital animation in service improvement) on our website. These co-produced short cartoons are downloadable onto a smart phone and communicate messages in different languages, using spoken words and subtitles. One focuses on living well with gestational diabetes, another reducing the risk of stillbirth and the third, reducing the risk of postnatal sepsis. Our ongoing evaluation is positive, DAISI influencing women's intention to change their behaviour.We have consulted ethnic minority women who believe that a DAISI intervention used in community groups, with trained peers re-enforcing the messages in the app could encourage perinatal women and mothers with young children to have their vaccines. Therefore, this study aims to co-produce, implement and evaluate the feasibility of using a DAISI intervention in community settings. This will prepare for a full-scale evaluation where trained peers implement DAISI.