共同设计基于理论的多组分干预措施,以增加刚果移民的疫苗接种率:一种定性,基于社区的参与式研究研究 (LISOLO MALAMU)
Alison F Crawshaw1, Lusau M Kitoko2, Sarah L Nkembi2
1The Migrant Health Research Group, Institute for Infection and Immunity, St George's University of London, London, UK.
概括
基于社区的参与性研究共同设计了一项文化定制的干预措施,以增加刚果移民中COVID-19疫苗接种率. 这种方法解决了不信任和获取等障碍,使社区能够改善疫苗接种服务.
科学领域:
- 公共卫生研究 公共卫生研究
- 健康行为理论健康行为理论
- 基于社区的参与式研究 (CBPR)
背景情况:
- 移民人口在日常接种和COVID-19疫苗接种方面存在差异.
- 障碍包括不信任,获取问题和对疫苗信心低.
- 参与式研究和行为变化理论为量身定制的干预提供了潜力.
研究的目的:
- 在伦敦的刚果移民中共同设计一种文化定制的行为改变干预措施,用于在伦敦接种COVID-19疫苗.
- 利用基于理论的,基于社区的参与式研究方法.
- 为满足刚果社区中尚未满足的疫苗接种需求.
主要方法:
- 与刚果移民进行质量深入访谈和共同设计研讨会.
- 主题分析与理论领域框架 (TDF) 和COM-B模型进行映射.
- 干预共同设计涉及社区成员,结合文化定制的行为改变技术.
主要成果:
- 确定了14个阻碍COVID-19疫苗接种的障碍物和10个促进因素.
- 关键障碍与对后果,情绪,社会影响和环境背景的信念有关.
- 共同设计的干预包括社区研讨会,戏剧和海报,针对心理能力,动机和社会机会.
结论:
- 行为理论和参与式研究可以共同为服务不足的移民社区设计有效的干预措施.
- 这种赋权方法可以解决健康不平等问题,并改善疫苗接种服务.
- 未来的研究应该集中在文化敏感的干预措施,以响应移民社区的需求.
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