Overcoming Vaccine Hesitancy in Rural Northern New England for Adolescents and Adults

克服新英格兰北部农村地区青少年和成人对疫苗的犹豫

基本信息

批准号：
10399699
负责人：
CLIFFORD JAMES ROSEN
金额：
$ 18.35万
依托单位：
MAINEHEALTH
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-07-03 至 2022-08-04
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10399699
关键词：
18 year old Address Adolescent Adult Advocacy Age American Behavioral Biometry COVID-19 COVID-19 vaccination COVID-19 vaccine Catchment Area Cities Code Collaborations Communication Communities Complement County Demographic Factors Development Dimensions Dose Economics Educational Background Evaluation Federally Qualified Health Center Future Government Health Health Policy Health Resources Healthcare Herd Immunity Immunization Incidence Infection Information Dissemination Infrastructure Institution Intention Intervention Knowledge Leadership Life Logistic Regressions Maine Marketing Medical Medical center Misinformation Modification New England New Hampshire Parents Participant Patients Perception Persuasive Communication Physicians Policies Population Primary Health Care Public Health Religion and Spirituality Reporting Research Personnel Reservations Resistance Risk Rural Rural Community Rural Health Schools Science Site Structure Surveys Target Populations Universities Vaccinated Vaccination Vaccines Vermont Youth base cohort community engagement coronavirus disease design distrust expectation experience health communication health disparity health equity human old age (65+)innovation instrument interdisciplinary approach news pandemic disease peer peer support practice-based research network programs public health priorities rural Americans rural dwellers rurality sex shared decision making social social media statistics synergism vaccine hesitancy

项目摘要

Vaccinating a significant portion of the American population with the COVID-19 vaccines is critical to achieve herd immunity to end the pandemic. It was recently reported that 20% of rural residents will “definitely not” get vaccinated. Hesitancy is higher among rural Americans for reasons including perceptions about COVID-19 risk, personal and/or religious reservations, distrust of science and government, and misinformation about vaccinations. Across Vermont, Maine and New Hampshire, there is 25% less COVID-19 vaccination in our predominantly rural communities compared with the limited, more densely populated cities and towns. There is an immediate and compelling requirement to overcome vaccine hesitancy for two rural northern New England target populations. Our adult population is 34% fully vaccinated (as of 4/16/21). The adolescent population (13 to 18 years old) is 10% vaccinated with the first dose; rapidly inoculating this younger cohort is necessary to resume pre-pandemic in-school and structured extra-curricular life. We have a unique opportunity and responsibility to address vaccine hesitancy for both cohorts by two complementary strategies that will leverage the capabilities of the NNE-CTR. A community-engaged multidisciplinary approach, consistent with public health objectives, practices, and policies, will immediately impact COVID-19 incidence and accelerate progress toward mitigating the associated health, social and economic consequences. For the 13- to 18-year-old group, we will pursue a parental-informed peer-based social media “influencer” intervention based in a single rural Vermont county intended to increase recipient intention to get the COVID-19 vaccine (Specific Aim 1). Our hypothesis is that electronic word-of-mouth communication utilizing information dissemination through social media networks will promote peer persuasion to overcome vaccination hesitancy. For the 25- to 65-year-old group, we will pursue a shared decision making intervention (Specific Aim 2). Our hypothesis is that the shared and unique dimensions to communication between patients and physicians impacts receptiveness to COVID-19 immunization and overcoming vaccine hesitancy. To facilitate community engagement and maximize participation of rural northern New England primary care practices, program leadership and NNE-CTR infrastructure of the will partner with experts at the University of Vermont (UVM) and in the community. These include the UVM rural health communication researchers and practitioners, the Vermont, New Hampshire and Maine departments of health, the Northern New England Primary Care Practice-Based Research Network, the rural northern New England primary care consortium, and the liaison organization with northern New England schools, Vermont Afterschool Inc. Reducing rural inequities is a public health priority and the overarching commitment of this program. Our approach is nimble and scalable to respond to public health policies and practices, and required modifications in interactions in the immediate and foreseeable future.

为很大一部分美国人接种 COVID-19 疫苗对于实现这一目标至关重要最近有报道称，20%的农村居民“肯定不会”获得群体免疫。由于对 COVID-19 的看法等原因，美国农村地区对疫苗的犹豫程度更高。风险、个人和/或宗教保留、对科学和政府的不信任以及有关的错误信息在佛蒙特州、缅因州和新罕布什尔州，我们的 COVID-19 疫苗接种量减少了 25%。主要是农村社区，与人口较为稠密的城镇相比。迫切需要克服新英格兰北部两个农村地区对疫苗的犹豫目标人群 34% 的成年人已完全接种疫苗（截至 2021 年 4 月 16 日）。到 18 岁）第一剂疫苗接种率为 10%；我们有一个独特的机会，可以恢复大流行前的校内生活和结构化的课外生活。有责任通过两种互补的策略来解决这两个群体的疫苗犹豫问题 NNE-CTR 的能力社区参与的多学科方法，与公众一致。卫生目标、实践和政策将立即影响 COVID-19 的发病率并加速进展旨在减轻 13 至 18 岁青少年的相关健康、社会和经济后果。小组中，我们将寻求基于家长知情的、基于同伴的社交媒体“影响者”干预佛蒙特州单一农村县旨在提高接受者接种 COVID-19 疫苗的意愿（具体目标 1）我们的假设是利用信息进行电子口碑传播。通过社交媒体网络传播将促进同行说服克服疫苗接种问题对于 25 至 65 岁的群体，我们将寻求共同决策干预。（具体目标 2）。我们的假设是，人与人之间的沟通有共同的和独特的维度。患者和医生影响对 COVID-19 免疫接种和克服疫苗的接受度促进社区参与并最大限度地提高新英格兰北部农村地区的参与度。该遗嘱的初级保健实践、项目领导和 NNE-CTR 基础设施将与该机构的专家合作佛蒙特大学 (UVM) 和社区中包括 UVM 农村健康交流。研究人员和从业者、佛蒙特州、新罕布什尔州和缅因州卫生部门、北部新英格兰初级保健实践研究网络，新英格兰北部农村初级保健联盟，以及与新英格兰北部学校的联络组织 Vermont Afterschool Inc. 减少农村不平等是公共卫生优先事项，也是我们该计划的首要承诺。方法灵活且可扩展，可以响应公共卫生政策和实践以及所需的修改在近期和可预见的未来的互动中。