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

项目摘要/摘要 新冠肺炎疫苗目前适用于六个月以上的儿童，是一种有效的预防方法 减少新的感染，降低因新冠肺炎而住院和死亡的风险。然而，疫苗接种率 在西班牙裔儿童中，这一比例仍然处于次优水平。儿童接种率较低在很大程度上是由于父母 疫苗犹豫不决。虽然国家健康传播专家建议将讲故事作为一种 有效干预战略推进新冠肺炎疫苗接种，我们将采取创新的下一步行动 创建和评估数字讲故事干预，以减少西班牙裔父母疫苗的犹豫不决。 与社区卫生工作者合作，我们将聘请拉美裔父母和合法监护人，他们报告 以前不愿给他们的孩子接种新冠肺炎疫苗作为我们的数字故事讲述者。 我们将请他们分享他们从新冠肺炎疫苗角度转换的故事，以帮助其他人 家长和法定监护人克服了他们对新冠肺炎疫苗的独特担忧和不信任。指导原则 计划行为和讲故事理论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(每个故事2-3分钟) 以及从新冠肺炎疫苗犹豫不决转变为接受疫苗的合法监护人。在目标2中， 我们将评估基于网络的数字讲故事干预的可行性和可接受性， 对未获得最新信息的儿童的父母和法定监护人(n=80)仅提供信息控制 新冠肺炎疫苗剂量。我们还将探索干预前后疫苗认知的变化， 疫苗犹豫不决，打算给儿童接种新冠肺炎疫苗，以及儿童在两岁时接种疫苗- 干预后一个月。如果我们的研究证明了疫苗的可行性、可接受性和减少疫苗的前景 犹豫不决，疫苗接种量增加，我们将进行一项全面的随机对照试验来检查 DST干预降低新冠肺炎疫苗在我们目标人群中迟疑的有效性。这 可以在未来的DST干预措施中使用更广泛的研究来增加免疫接种(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会提供证据 可扩展、可传播的策略，可减少疫苗的延迟，并可用于其他快速疫苗接种 为未来可能爆发的疫情做的努力。

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.