叙述提醒提醒改进儿童流感疫苗接种:试点随机临床试验
Joshua T B Williams1,2,3, Kate Kurlandsky1, Amy B Stein3
1Denver Health, Denver, Colorado.
JAMA network open
|January 6, 2026
概括
数字故事在试点研究中改善了儿童流感疫苗接种率,尽管最初的参与度很低. 这种干预措施显示出增加脆弱社区接种疫苗的希望.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 数字健康干预措施 数字健康干预措施
背景情况:
- 季节性流感带来了重大风险,特别是在脆弱人群中.
- 数字讲故事提供了一个可扩展的,促进公平的方法来提高疫苗接种率.
研究的目的:
- 评估儿科流感疫苗在护理人员中的覆盖范围.
- 确定护理人员干预和儿童流感疫苗接种时间之间的关联.
主要方法:
- 试点随机临床试验在安全网诊所服务历史黑人社区.
- 干预:文本消息与链接到数字故事; 控制:通过电子健康记录提供通常的护理.
- 主要结果:数字故事的覆盖范围;次要结果:儿童流感疫苗接种的时间.
主要成果:
- 100%的短信被发送,但只有7%的护理人员查看了数字故事.
- 干预组护理人员的孩子的疫苗接种率较高 (38%未接种疫苗),相比于通常的护理 (26%未接种疫苗).
- 调整后的分析表明,干预组儿童接种疫苗的可能性增加了63%.
结论:
- 基于短信的数字讲故事干预改善了儿科流感疫苗接种率.
- 观察到干预范围较低,这表明需要优化.
- 该干预措施显示了在黑人家庭中促进疫苗接种方面的健康平等的潜力.
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