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Community Partnership to Co-Develop an Intervention to Promote Equitable Uptake of the COVID-19 Vaccine Among
Paul T Enlow1, Courtney Thomas2, Angel Munoz Osorio2
1Center for Healthcare Delivery Science, Nemours Children's Hospital Delaware; Department of Pediatrics, Sidney Kimmel Medical College, Thomas Jefferson University.
Insights
Community and caregiver engagement led to culturally tailored strategies for increasing COVID-19 vaccine uptake in Black and Hispanic youth. These methods promote dialogue and shared decision-making for equitable vaccine access.
Area of Science:
- Public Health
- Health Equity
- Community Engagement
Background:
- Non-Hispanic Black and Hispanic youth face higher COVID-19 risks but lower vaccination rates.
- Equitable vaccine uptake is crucial for reducing health disparities in these communities.
Purpose of the Study:
- To describe the co-development of interventions with community, caregiver, and youth partners.
- To promote equitable COVID-19 vaccine uptake among Black and Hispanic youth.
Main Methods:
- Assembled a diverse team of 11 Black and Hispanic community partners.
- Utilized a mixed-methods crowdsourcing approach with youth (n=15) and caregivers (n=20).
- Recruited participants from primary care clinics for intervention strategy acceptability assessment.
Main Results:
- Co-developed five tailored strategies: handouts, local youth videos, family-centered clinic language, provider communication training, and community health worker counseling.
- Strategies were rated highly acceptable (56-96.9%) by youth and caregivers.
- Acceptability stemmed from addressing concerns and facilitating shared decision-making.
Conclusions:
- Engaging community and family partners yielded culturally relevant strategies for COVID-19 vaccine dialogue and shared decision-making.
- This stakeholder-engaged process can inform interventions for other public health disparities.
- Strategies promoting dialogue with trusted providers are acceptable for increasing vaccine uptake in underserved youth.
Objective:
To describe the process of engaging community, caregiver, and youth partners in codeveloping an intervention to promote equitable uptake of the COVID-19 vaccine in non-Hispanic Black (Black) and Hispanic youth who experience higher rates of COVID-19 transmission, morbidity, and mortality but were less likely to receive the COVID-19 vaccine.
Methods:
A team of 11 Black and Hispanic community partners was assembled to codevelop intervention strategies with our interdisciplinary research team. We used a mixed-methods crowdsourcing approach with Black and Hispanic youth (n=15) and caregivers of Black and Hispanic youth (n=20) who had not yet been vaccinated against COVID-19, recruited from primary care clinics, to elicit perspectives on the acceptability of these intervention strategies.
Results:
We codeveloped five strategies: (1) community-tailored handouts and posters, (2) videos featuring local youth, (3) family-centered language to offer vaccines in the primary care clinic, (4) communication-skills training for primary care providers, and (5) use of community health workers to counsel families about the vaccine. The majority (56-96.9%) of youth and caregivers rated each of these strategies as acceptable, especially because they addressed common concerns and facilitated shared decision-making.
Conclusions:
Engaging community and family partners led to the co-development of culturally- and locally-tailored strategies to promote dialogue and shared decision-making about the COVID-19 vaccine. This process can be used to codevelop interventions to address other forms of public health disparities.
Policy Implications:
Intervention strategies that promote dialogues with trusted healthcare providers and support shared decision-making are acceptable strategies to promote COVID-19 vaccine uptake among youth from historically underserved communities. Stakeholder-engaged methods may also help in the development of interventions to address other forms of health disparities.
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