Alaska Native Communities Advancing Vaccine Uptake

阿拉斯加原住民社区促进疫苗接种

• 批准号: 10504537
• 负责人: Ann D Collier
• 金额: $ 70.88万
• 依托单位: SOUTHCENTRAL FOUNDATION
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-18 至 2027-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10504537
• 关键词: 2019-nCoV; Address; Adult; Advocate; Age; Alaska; Alaska Native; Alaskan; American Indians; Attitude; Awareness; Behavior; Belief; COVID-19; COVID-19 disparity; COVID-19 morbidity; COVID-19 mortality; COVID-19 vaccination; COVID-19 vaccine; Communities; Contracts; Data; Development; Effectiveness; Effectiveness of Interventions; Emotional; Ensure; Evaluation; Family; Feedback; Friends; Future; General Population; Geography; Goals; Grain; Health; Health Planning; Health Promotion; Health behavior change; Health education; Hospitalization; Incidence; Individual; Intervention; Interview; Knowledge; Motivation; Not Hispanic or Latino; Participant; Pattern; Persons; Population; Prevalence; Public Health; Qualitative Methods; Quasi-experiment; Race; Reach Effectiveness Adoption Implementation and Maintenance; Reporting; Research; Risk; Rural; SARS-CoV-2 infection; Social Network; Surveys; Technology; Testing; Training; Training Support; United States; Use Effectiveness; Vaccinated; Vaccination; Vaccines; Work; base; cohesion; design; eHealth; effectiveness evaluation; evidence base; experience; health organization; human old age (65+); member; mortality; novel; novel strategies; outreach; peer; programs; rural Alaska; rural area; social; theories; therapy design; tool; tribal health; uptake; urban area; urban residence; vaccine acceptance; vaccine distribution; vaccine hesitancy; volunteer; web-based tool

PROJECT SUMMARY Alaska Native and American Indian (ANAI) communities are experiencing a disproportionate share of SARS- CoV-2 infection and its sequelae in the US. As of September 2021, ANAI people had a cumulative incidence of 9,256 COVID-19 cases per 100,000, compared with 5,445 among non-Hispanic Whites. The current rate of COVID-19 associated deaths per 100,000 population is 220 among ANAI people, compared with 137 among non-Hispanic Whites. Widespread vaccination remains the best strategy to control COVID-19 morbidity and mortality, but the US has one of the lowest vaccine acceptance rates in the world with wide regional variability. Little research has attempted to understand or address barriers to COVID-19 vaccination in ANAI people, despite unique geographical, historical, and cultural factors that could influence vaccine uptake in this population. We have formed a consortium of Tribal health leaders from across Alaska to better understand vaccine attitudes and intentions, including hesitancy, and to increase vaccine uptake in Alaskan ANAI communities. In conjunction with community advisors, we will develop and implement a theory-driven intervention that is grounded in ANAI values of relationality and respect. First, we will use vaccination tracking data to assess current rates of vaccine uptake and analyze preexisting quantitative and qualitative data regarding vaccine attitudes, intentions, and behavior among ANAI people in rural and urban areas of Alaska. We will also conduct a survey in southcentral Alaska to inform intervention design. Second, we will work with statewide Tribal health leaders and regional Community Advisory Boards to create educational information, stories, and messages keyed to the beliefs and perceived norms that drive vaccine behavior. This content will be incorporated into an eHealth toolkit for use by community members and specially trained community vaccine advocates, laypeople who volunteer to provide information and motivational/emotional support to their friends, families, and communities. Third, we will launch the intervention in the southcentral region of Alaska and evaluate effectiveness using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE- AIM) framework. Refinements based on program data and participant feedback will be made, then the refined intervention will be deployed in two rural regions of Alaska and evaluated. This project will add to the limited evidence base regarding adult vaccine attitudes, intentions, and behaviors among ANAI people. It holds the potential to increase vaccination in a hard-hit population and build support for future vaccination as SARS-CoV2 continues to evolve. Our findings will have broader applicability to vaccine outreach and engaging ANAI communities in leveraging peer relationships, their social networks, and eHealth to promote health education and behavior change.

项目概要 阿拉斯加原住民和美洲印第安人 (ANAI) 社区正在经历不成比例的 SARS- 美国的 CoV-2 感染及其后遗症。截至 2021 年 9 月，ANAI 人群的累计发病率 每 10 万人中有 9,256 例 COVID-19 病例，而非西班牙裔白人中有 5,445 例。目前的比率为 每 10 万人中与 COVID-19 相关的死亡人数中，ANAI 人群中为 220 人，而 ANAI 人群中为 137 人 非西班牙裔白人。广泛接种疫苗仍然是控制 COVID-19 发病率的最佳策略 死亡率，但美国是世界上疫苗接受率最低的国家之一，且地区差异很大。 很少有研究试图了解或解决 ANAI 人群接种 COVID-19 疫苗的障碍， 尽管独特的地理、历史和文化因素可能会影响疫苗的接种情况 人口。我们成立了一个由来自阿拉斯加各地的部落卫生领袖组成的联盟，以更好地了解 疫苗态度和意图，包括犹豫，并提高阿拉斯加 ANAI 的疫苗接种率 社区。我们将与社区顾问一起开发并实施一个理论驱动的 植根于 ANAI 关系和尊重价值观的干预。首先，我们将使用疫苗接种追踪 用于评估当前疫苗接种率并分析先前存在的定量和定性数据的数据 关于阿拉斯加农村和城市地区 ANAI 人对疫苗的态度、意图和行为。 我们还将在阿拉斯加中南部进行一项调查，为干预设计提供信息。其次，我们将与 全州部落卫生领导人和地区社区咨询委员会创建教育信息， 以推动疫苗行为的信念和感知规范为关键的故事和信息。此内容将 纳入电子卫生保健工具包，供社区成员和经过专门培训的社区使用 疫苗倡导者、自愿为其提供信息和动机/情感支持的非专业人士 朋友、家人和社区。第三，我们将启动对阿拉斯加中南部地区的干预 并使用范围、有效性、采用、实施和维护（RE- 目标）框架。将根据计划数据和参与者反馈进行细化，然后细化 干预措施将在阿拉斯加的两个农村地区部署并进行评估。该项目将增加有限 关于 ANAI 人群对成人疫苗态度、意图和行为的证据基础。它持有 有潜力增加受灾严重人群的疫苗接种，并为未来的疫苗接种建立支持 SARS-CoV2 继续进化。我们的研究结果将更广泛地适用于疫苗推广和 让 ANAI 社区利用同伴关系、社交网络和电子卫生保健来促进 健康教育和行为改变。