疫苗沟通培训使用简要的激励面试对母亲免疫干预:一个PRISM实施评估
Jessica R Cataldi1,2, Sarah E Brewer1,3, Cathryn Perreira1
1Adult and Child Center for Outcomes Research and Delivery Science, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, CO, USA.
Translational behavioral medicine
|March 17, 2024
概括
针对孕产妇免疫接种的激励面试 (MI4MI) 改善了临床医生和患者的疫苗沟通体验. 实施受到环境的影响,虚拟交付显示混合结果,突出了适应性培训和可持续性规划的需要.
科学领域:
- 实施科学 实施科学
- 孕产妇健康 孕产妇健康
- 公共卫生干预措施 公共卫生干预措施
背景情况:
- 有效的临床医生与患者沟通对于增加怀孕期间疫苗接种率至关重要.
- 针对孕产妇免疫接种的动机面试 (MI4MI) 干预措施旨在加强疫苗传播.
- 了解实施背景和适应是干预成功的关键.
研究的目的:
- 评估MI4MI干预的调整和务实性.
- 使用实用稳健实施和可持续性模型 (PRISM) 描述实施结果.
- 评估临床医生和工作人员参与MI4MI的经验.
主要方法:
- 混合方法方法使用定量 (调查,图表审查) 和定性 (采访,焦点小组) 数据.
- 通过"改进和改进报告框架" (FRAME) 评估调整情况.
- 使用PRagmatic解释连续性指标摘要 (PRECIS-2) 评估的实用主义.
主要成果:
- MI4MI改善了临床医生和患者的疫苗沟通体验.
- 采用受限于招聘策略;实施受到包括COVID-19流行病在内的上下文因素的影响.
- 虚拟异步交付在各站点和参与者之间产生了不同的采用和实施效果.
结论:
- MI4MI表现出相对的务实主义,但上下文因素对其实施产生了重大影响.
- 参与者表示有兴趣继续MI4MI,但可持续性基础设施需要进一步发展.
- 未来的MI4MI代应该优化培训和激励,并且需要进行比较虚拟和混合战略的有效性研究.
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