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Does Dialogue-Based Learning Motivate COVID-19 Preventive Behavior Among Correctional Officers?

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  • 1Westchester County Department of Health, White Plains, NY, USA.

Health Promotion Practice
|January 17, 2026
PubMed
Summary
This summary is machine-generated.

Dialogue-based health education improved COVID-19 knowledge and behavioral intentions among correctional officers. This approach, using facilitated discussions, may overcome mistrust in public health information for this population.

Keywords:
COVID-19 preventionbehavioral healthcarceral healthcorrectional officersdialogic learningmixed methodsprogram evaluation

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Area of Science:

  • Public Health
  • Health Education
  • Behavioral Science

Background:

  • Correctional officers faced high COVID-19 infection rates, low vaccine uptake, and government mistrust.
  • This created risks for viral transmission among staff and incarcerated individuals.

Purpose of the Study:

  • To assess the impact of a dialogic health education intervention on correctional officers' COVID-19 preventive behaviors.
  • To evaluate changes in health literacy and attitudes toward public health recommendations.

Main Methods:

  • A multi-pronged, dialogic health education intervention was implemented in a New York county jail.
  • Pre- and post-surveys measured changes in behavioral intentions, perceived effectiveness, and health literacy.
  • Follow-up interviews explored long-term behavior change and intervention effectiveness.

Main Results:

  • Officers showed increased health literacy post-intervention.
  • Participants demonstrated a greater intention to improve or maintain non-pharmacological health behaviors.
  • Qualitative data suggested perceived effectiveness of the dialogic approach.

Conclusions:

  • Dialogue-based health information sessions can enhance health literacy and positive behavioral intentions in correctional officers.
  • Facilitated discussions, led by credible messengers, appear effective for sensitive health topics in mistrustful populations.
  • Further research is needed to confirm the impact on actual behavior change.