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Informed Decision-Making About COVID-19 Vaccination - Development and Feasibility of a Decision Support Intervention:
Jana Kaden1, Julia Peper2, Anne C Rahn2
1Department Evaluation and Implementation Research in Nursing Science, Institute of Public Health and Nursing Research, University of Bremen, Bremen, Germany.
A new decision support intervention, including a patient decision aid and coaching, was developed to help people make informed COVID-19 vaccination choices. While feasible and accepted, reaching vulnerable populations remains a challenge.
Area of Science:
- Public Health
- Health Communication
- Decision Science
Background:
- Decisional conflict regarding COVID-19 vaccination affected many, especially vulnerable groups.
- Informed decision-making requires accessible and understandable resources.
- Healthcare professionals need training to support patient choices effectively.
Purpose of the Study:
- To develop and pilot-test a decision support intervention for COVID-19 vaccination.
- To create and evaluate a training program for healthcare professionals delivering the intervention.
- To assess the intervention's comprehensibility, feasibility, and acceptance.
Main Methods:
- Literature review and focus groups identified decisional needs.
- Intervention components (patient decision aid, decision coaching) were developed.
- Healthcare professionals received training and participated in focus groups.
- Laypeople tested the intervention via guided interviews.
- Qualitative content analysis was used for data analysis.
Main Results:
- Training for healthcare professionals was feasible, well-accepted, and effective in building decision coaching competencies.
- The patient decision aid was comprehensible and highly accepted by participants.
- The decision support intervention demonstrated feasibility in pilot testing.
- Low participation and access challenges were noted for vulnerable groups.
Conclusions:
- The developed decision support intervention is a feasible and acceptable tool for aiding COVID-19 vaccination decisions.
- Training healthcare professionals is effective in preparing them to deliver decision support.
- Improving access and engagement with vulnerable populations is crucial for intervention success.
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