一个集群随机试验疫苗接种沟通教育干预:对退伍军人COVID-19疫苗接种的影响
Karen H Seal1,2,3, Adam Kaplan4, Jennifer K Manuel5,6
1San Francisco VA Health Care System, San Francisco, CA, USA. karen.seal@ucsf.edu.
Journal of general internal medicine
|February 12, 2026
概括
基于激励面试的教育干预并没有增加退伍军人的COVID-19或流感疫苗接种率. 针对特定退伍军人群体的有针对性的宣传和增加初级保健访问可能会提高疫苗接种率.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 疫苗学 疫苗学 疫苗学
背景情况:
- 尽管已证明其安全性和有效性,但COVID-19疫苗的接种量有所下降.
- 医疗保健提供者沟通策略对于疫苗接受至关重要.
- 退伍军人健康管理局 (VA) 的设施为不同疫苗接种率的不同患者群体提供服务.
研究的目的:
- 对医疗保健提供者和工作人员进行动机面试 (MI) 信息教育干预的有效性进行评估.
- 为了确定增强的沟通技巧是否能提高退伍军人的疫苗接种率.
- 评估关于COVID-19和流感疫苗接种率的非判断性,协作性讨论的影响.
主要方法:
- 一个多站点集群随机控制的实施有效性试验,涉及十个VA设施.
- 参与者包括经过最近临床检查和随访初级保健服务的退伍军人患者.
- 设施被随机分配到疫苗传播教育干预 (VCI) 或常规护理 (UC) 中.
主要成果:
- 在VCI和UC组之间接种COVID-19疫苗没有显著差异 (aOR=1.16,95%CI [0.89,1.50]).
- 在初级疫苗接种系列的完成率,强剂接种率或流感疫苗接种率方面没有发现显著差异.
- 预测疫苗接种的因素包括年龄较大,非白人种族,西班牙裔种族和更高的初级保健利用率.
结论:
- 对VA工作人员的MI-informed沟通培训没有显著提高退伍军人接种疫苗.
- 未来的战略应考虑针对特定退伍军人亚群的有针对性的宣传,并增加初级保健参与度.
- 学习的经验可以为未来的疫苗沟通干预提供信息,因为疫苗犹和流行病威胁.
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