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Community health workers (CHWs) can bridge the gap in public health trust. The Be REAL framework trains CHWs to build relationships, fostering trust and improving vaccine acceptance in hesitant communities.

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Area of Science:

  • Public Health
  • Health Communication
  • Community Engagement

Background:

  • Public health system effectiveness relies heavily on trust.
  • COVID-19 pandemic highlighted distrust, leading to vaccine hesitancy and immunization barriers.
  • Suboptimal COVID-19 vaccine uptake necessitates strategies to engage hesitant populations.

Purpose of the Study:

  • To introduce the Be REAL framework designed to equip community health workers (CHWs) for engaging vaccine-hesitant communities.
  • To shift the focus from recommendation adherence to relationship building as a primary goal for CHWs.
  • To enhance trust in public health systems through strengthened CHW-community partnerships.

Main Methods:

  • Development of the Be REAL framework and associated training materials for CHWs.
  • The framework comprises four steps: Relate, Explore, Assist, and Leave (the door open).
  • Training emphasizes prioritizing relationship building over immediate vaccine uptake.

Main Results:

  • The Be REAL framework empowers CHWs to leverage their existing community trust.
  • Prioritizing relationship quality over adherence to public health recommendations is central.
  • This approach aims to foster genuine partnerships between CHWs and community members.

Conclusions:

  • The Be REAL framework offers a strategy to increase trust in public health systems.
  • By focusing on partnership, CHWs can effectively address vaccine hesitancy.
  • Strengthening CHW-community relationships can lead to improved public health outcomes beyond specific recommendations.