测试理论增强信息以促进成年人接种COVID-19疫苗:随机对照试验
Rachael Piltch-Loeb1,2, Yanhan Shen1, Sasha Fleary1,3
1Institute for Implementation Science in Population Health, City University of New York, New York, NY, United States.
Journal of medical Internet research
|October 7, 2025
概括
新的沟通策略并没有显著增加美国成年人的COVID-19疫苗接种率. 由于信任和紧迫性下降,仅仅在信息传递方面就面临着提高疫苗接种率的挑战.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 疫苗学 疫苗学 疫苗学
背景情况:
- 美国COVID-19疫苗接种率较低与流行性疲劳,降低风险感知,错误信息和心理健康症状有关.
- 探索新的沟通策略,以提高疫苗的接受度.
- 需要进行研究来解决疫苗接种障碍.
研究的目的:
- 为了评估态度注射和认知行为疗法 (CBT) 核心信息的有效性,与标准的公共卫生信息相比,对COVID-19疫苗接种的有效性.
- 评估这些干预措施对疫苗接种意愿的影响.
- 根据焦虑和抑郁症状来检查差异.
主要方法:
- 一个三臂,评估者盲目,随机对照试验与成年美国居民进行.
- 参与者接受了态度注射,CBT内核信息或标准公共卫生信息.
- 资格标准包括之前的COVID-19疫苗接种,但没有最近的剂量或SARS-CoV-2感染.
主要成果:
- 总体而言,COVID-19疫苗接种率很低 (1.2%),并且干预臂和标准消息传递臂之间没有显著差异.
- 无论是态度注射还是CBT核心干预都没有显示出与标准信息相比,疫苗接种的显著增加.
- 接种疫苗剂量的意愿在各组保持相似,并不受心理健康状况的影响.
结论:
- 理论增强的消息传递策略在增加COVID-19疫苗接种方面尚未被证明是成功的.
- 仅仅通过消息传递来改变行为是具有挑战性的,因为公众信任下降,紧迫感减弱.
- 需要进一步的研究来识别和克服疫苗接种的信息和行为障碍.
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