Digital Storytelling to Reduce Pediatric Influenza Vaccination Disparities: A Pilot Pragmatic Trial

通过数字故事讲述减少儿童流感疫苗接种差异:试点务实试验

基本信息

项目摘要

Project Summary Every winter, seasonal influenza infects over 10,000,000 US children, hospitalizes 50,000, and kills 300‐500. Black children are 2‐3 times more likely to get sick, be hospitalized, and die than children of other races and ethnicities. These disparities are associated with influenza vaccination disparities, which are in turn associated with historical exploitation, access to care, health illiteracy, and vaccine hesitancy. The long‐term objective of the candidate, Joshua T.B. Williams, MD, is to reduce vaccination disparities by partnering with minority stakeholders to co‐create interventions that improve vaccination equity in pragmatic trials. This objective will further the mission of the National Institutes of Child Health and Development to ensure all children have an equitable chance to grow and fulfill their potential free from diseases. Dr. Williams is well‐suited for this work as a general pediatrician with prior health services research training who has received 4 competitive grants and first‐authored 15 papers on vaccines, vaccine hesitancy, and vaccine‐preventable diseases since 2019. To achieve this objective, Dr. Williams will pursue formal coursework, mentored experiential training, and directed learning in three specific areas: (1) health disparities and disparities research, (2) community engagement, and (3) implementation science, including the design and conduct of pragmatic trials. To support him, Dr. Williams has identified a primary mentor with national expertise in vaccine hesitancy, intervention design, and pragmatic vaccination trials (Dr. Sean T. O'Leary). He has assembled a team of three co‐mentors with expertise in health disparities (Dr. Romana Hasnain‐Wynia), community engagement (Dr. Donald Nease), and implementation science (Dr. Amy Huebschmann). Moreover, he has an established partnership with the Center for African American Health (Ms. Deidre Johnson) and support from 6 other distinguished experts. Dr. Williams proposes 3 sequential projects that build upon his training goals and prior work, which uncovered a stakeholder recommendation to improve vaccination confidence through personal stories. Digital stories are personal narratives that synthesize images, video, voice, or text to create compelling accounts of human experience. In pilot pragmatic trials, digital stories have improved hypertension control in Black adults and increased self‐report of Human Papillomavirus vaccination in Korean women. The 3 specific aims of this proposal are to (1) explore diverse stakeholders' perceptions of and priorities for a digital storytelling intervention through qualitative interviews, (2) co‐create a digital storytelling pediatric influenza vaccination intervention through novel community‐engaged methods, and (3) assess the feasibility, acceptability, appropriateness, and pilot effectiveness of the intervention in a pragmatic trial involving 200 Black parent‐child dyads in two safety‐net clinics in Denver, CO. The outstanding research environment at the University of Colorado and Dr. Williams' expert mentorship team will ensure his success, enhance his training, and advance our understanding of engagement methods and interventions to promote health equity.
项目概要 每年冬天,季节性流感都会感染超过 10,000,000 名美国儿童,导致 50,000 人住院,并导致 300-500 人死亡。 黑人儿童患病、住院和死亡的可能性是其他种族儿童的 2‐3 倍 这些差异与流感疫苗接种差异有关,而流感疫苗接种差异又与这些差异相关。 历史上的剥削、获得护理的机会、健康文盲和对疫苗的犹豫。 候选人,医学博士 Joshua T.B. Williams 的目标是通过与少数群体合作来减少疫苗接种差异 利益相关者共同制定公平干预措施,以改善务实试验中的疫苗接种。 进一步履行国家儿童健康与发展研究所的使命,确保所有儿童都有一个 威廉姆斯博士非常适合这项工作。 作为一名接受过卫生服务研究培训的普通儿科医生,曾获得 4 项竞争性资助 自2019年以来,第一作者关于疫苗、疫苗犹豫和疫苗可预防疾病的论文15篇。 为了实现这一目标,威廉姆斯博士将进行正式课程、指导体验式培训、 并在三个特定领域进行定向学习:(1) 健康差异和差异研究,(2) 社区 参与;(3) 实施科学,包括实用试验的设计和进行。 威廉姆斯博士为他找到了一位在疫苗犹豫、干预方面具有国家专业知识的主要导师 设计和务实的疫苗接种试验(Sean T. O'Leary 博士)他组建了一个由三名共同导师组成的团队。 拥有健康差异方面的专业知识(Romana Hasnain-Wynia 博士)、社区参与(Donald 博士) Nease)和科学实施(Amy Huebschmann 博士)此外,他还建立了良好的合作伙伴关系。 与非裔美国人健康中心(Deidre Johnson 女士)以及其他 6 位杰出人士的支持 威廉姆斯博士根据他的培训目标和之前的工作提出了 3 个连续项目,其中 发现了利益相关者通过个人故事提高疫苗接种信心的建议。 数字故事是合成图像、视频、语音或文本以创造引人入胜的个人叙述 在试点实用试验中,数字故事改善了高血压控制。 黑人成年人和韩国女性人乳头瘤病毒疫苗接种的增加的 3 个具体情况。 该提案的目的是(1)探索不同利益相关者对数字化的看法和优先事项 通过定性访谈进行讲故事干预,(2) 共同创建儿童流感的数字讲故事 通过新颖的社区参与方法进行疫苗接种干预,以及(3)评估可行性, 在一项涉及 200 名参与者的实用试验中,干预措施的可接受性、适当性和试点有效性 科罗拉多州丹佛市两家安全网诊所中的黑人亲子二人组。该诊所出色的研究环境 科罗拉多大学和威廉姆斯博士的专家导师团队将确保他的成功,加强他的培训, 并增进我们对促进健康公平的参与方法和干预措施的理解。

项目成果

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Joshua Tyler Bonnema Williams其他文献

Joshua Tyler Bonnema Williams的其他文献

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