使用行为改变技术来识别适应疫苗接种在加拿大的怀孕沟通干预的组件
Andrea M Patey1,2, Maria Castrellon Pardo3, Madison Kennedy3
1Department of Medicine, Quality and Safety, IWK Health, Halifax, NS, Canada.
JBI evidence implementation
|November 10, 2025
概括
在怀孕期间改善疫苗沟通需要的干预措施不仅仅是信息传递. 加拿大的一项研究发现,针对提供者技能和家长的社会影响是改善疫苗接受的关键.
科学领域:
- 公共卫生 公共卫生
- 卫生沟通健康沟通
- 行为科学 行为科学
背景情况:
- 疫苗沟通对于提高怀孕和儿童疫苗接种率至关重要.
- 医疗保健提供者和患者之间关于怀孕疫苗接种的当前沟通策略是不理想的.
- 澳大利亚的免疫知识共享 (SKAI) 干预旨在加强疫苗沟通,但其在加拿大的有效性尚不清楚.
研究的目的:
- 评估SKAI干预措施的哪些组成部分解决了加拿大医疗保健提供者和家长发现的疫苗传播障碍.
- 在加拿大背景下,确定改善怀孕期间疫苗传播所需的额外干预组件.
主要方法:
- 利用行为变化轮和理论和技术工具进行分析.
- 在SKAI干预中确定了行为改变技术 (BCT).
- 用加拿大的理论领域框架将BCT映射到怀孕疫苗接种沟通的障碍和推动者.
- 制定了BCT的简单清单,以解决SKAI不涵盖的加拿大环境中特定的障碍.
主要成果:
- 在SKAI材料中,提供者使用的BCT为22/93,患者使用的BCT为8/93.
- 大多数BCT专注于提供信息,针对知识和环境背景和资源领域.
- 较少的BCT涉及意图和行为监管领域.
- 为加拿大干预制定了26个BCT的候选名单,目标领域包括技能,能力信念,行为规范,强化,社会影响和情绪.
结论:
- 加拿大为改善怀孕疫苗传播的干预措施必须超出信息提供范围.
- 干预组件应针对提供者的技能,能力信念和行为规范.
- 对于家长来说,干预应该集中在强化,社会影响和情绪上.
- 解决加拿大的特定环境障碍将提高怀孕期间的沟通行为和接种疫苗的接受度.
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