Community-based Design and Evaluation of a Conversational Agent to Promote SARS-COV2 Vaccination in Black Churches

基于社区的对话代理的设计和评估，以促进黑人教堂中的 SARS-COV2 疫苗接种

基本信息

批准号：
10543531
负责人：
TIMOTHY W. BICKMORE
金额：
$ 70.56万
依托单位：
NORTHEASTERN UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-04-23 至 2025-01-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10543531
关键词：
2019-nCoV Address Adult African American population American Attitude Behavior Behavior Therapy Belief Black church Black race Boston COVID-19 COVID-19 vaccination COVID-19 vaccine Cellular Phone Church Clinical Trials Collaborations Collection Communication Methods Communities Computers Counseling Cues Disparity Education Effectiveness Epidemic Evaluation Family health status Focus Groups Gender Gestures Guidelines Hand Health Health Promotion Health behavior Healthcare Hispanic Hospitalization Individual Influenza vaccination Instruction Intervention Knowledge Language Low Literacy Population Measurement Mediator Medical center Methods Misinformation Nature Notification Ontology Outcome Participant Physical activity Population Intervention Public Health Race Randomized, Controlled Trials Recording of previous events Religion Religiosity Respondent Safety Series Source Spirituality System Testing Theoretical model Time Trust Universities Vaccinated Vaccination Vaccines Voice Work Writing automated intervention behavior change community based participatory research community based research coronavirus disease design dietary adherence distrust ethnic disparity gaze good diet health literacy health organization high risk improved infection rate influenza virus vaccine intersectionality low health literacy medication compliance member mortality non-verbal racial disparity randomized, clinical trials stress management therapy design vaccine effectiveness vaccine hesitancy vaccine trial

项目摘要

PROJECT SUMMARY/ABSTRACT Community-based Design and Evaluation of A Conversational Agent to Promote SARS- COV2 Vaccination in Black Churches African Americans have suffered a disproportionate burden from COVID-19, with significantly higher rates of infection, hospitalization, and mortality compared to Whites. These findings may be compounded by the fact that African Americans are also at higher risk for vaccine hesitancy. As limited health literacy has been identified as a key mediator of racial and ethnic disparities, interventions that address health literacy barriers have the potential to ameliorate these disparities. Over the past decade we have developed and tested embodied conversational agents (ECA) — computer characters that simulate face-to-face counseling using voice, hand gesture, gaze cues and other nonverbal behavior, and successfully used them in health behavior interventions for populations with low health literacy. We have developed ECA-based interventions to address a wide range of health problems among low literacy populations, including physical activity, diet, and medication adherence promotion, providing access to and explanation of healthcare documents, and collection of family health histories. In this project, we propose to create an effective and sustainable smartphone-based ECA intervention designed to deliver personalized and tailored education about SARS-CoV-2 and Influenza vaccination. We will collaborate with the Black Ministerial Alliance TenPoint (BMATP) of Greater Boston to develop the intervention app and evaluate it in a clinical trial involving 600 congregants from 12 predominately African American churches. Our primary hypothesis is that participants will have significantly greater SARS-CoV-2 and Influenza vaccination series completion at 6 months (H1) and 12 months (H2) in versions of the app that promote engagement and incorporate spiritual tailoring. Our secondary hypotheses are that, among participants who have not been vaccinated, those in the high engagement and tailored conditions will have significant improvements in intent to obtain SARS-CoV-2 and Influenza vaccination and attitudes towards SARS-CoV-2 and Influenza vaccination.

项目概要/摘要基于社区的设计和评估对话代理以促进 SARS- 黑人教堂中的 COV2 疫苗接种非裔美国人因 COVID-19 承受了不成比例的负担，其中与白人相比，这些发现可能导致感染率、住院率和死亡率更高。更糟糕的是，非裔美国人对疫苗犹豫不决的风险也更高。由于有限的健康素养已被确定为种族和民族差异的关键调解因素，解决健康素养障碍的干预措施有可能改善这些障碍在过去的十年中，我们开发并测试了具体的对话代理。 (ECA) — 使用语音、手势模拟面对面咨询的计算机角色目光线索和其他非语言行为，并成功地将它们应用于健康行为我们针对健康素养较低的人群制定了基于 ECA 的干预措施。采取干预措施解决低识字人口中的各种健康问题，包括促进身体活动、饮食和药物依从性，提供获得和医疗保健文件的解释以及家庭健康史的收集在这个项目中，我们。提议创建一种有效且可持续的基于智能手机的 ECA 干预措施，旨在提供有关 SARS-CoV-2 和流感疫苗接种的个性化和定制教育。将与大波士顿黑人部长联盟 TenPoint (BMATP) 合作开发干预应用程序并在一项涉及来自 12 个国家的 600 名信徒的临床试验中对其进行评估我们的主要假设是，将会有非裔美国教会。 6 个月（H1）时 SARS-CoV-2 和流感疫苗接种系列的完成率显着提高以及促进参与和融入灵性的应用程序版本中的 12 个月（H2）我们的次要假设是，在没有做过的人中，那些处于高参与度和定制条件下的人的意图将得到显着改善获得 SARS-COV-2 和流感疫苗接种以及对 SARS-COV-2 和流感的态度流感疫苗接种。