Greater improvements in vaccination outcomes from a digital health intervention among Black young adults in the United States South with vaccine-resistant attitudes: A latent profile analysis of a randomized control trial (Preprint) DOI
Noah Mancuso, Jenna Michaels, Erica N. Browne

и другие.

Опубликована: Окт. 15, 2024

BACKGROUND Negative attitudes towards vaccines and suboptimal vaccination rates among African American Black (Black) Americans has been well documented due to a history of medical racism human rights violations in the United States (US). However, digital health interventions (DHIs) have shown address racial disparities several outcomes. The Tough Talks COVID (TT-C) study was randomized controlled trial DHI designed empower young adults (YA) US South make informed, autonomous decisions about COVID-19 vaccine uptake by addressing structural barriers misinformation vaccines. OBJECTIVE Our objective identify subgroups YA with different at baseline determine for which TT-C most impactful. METHODS aged 18-29 years Alabama, Georgia, North Carolina who were unvaccinated or insufficiently vaccinated against completed three online surveys over months (N=360). Latent profile analysis used based on general including hesitancy, confidence, knowledge, conspiracy beliefs, mistrust. Logistic regression examine associations between latent profiles uptake, linear changes 3 post-randomization. Modification DHI’s effects assessed profiles. RESULTS Three emerged: vaccine-receptive (n=124), vaccine-neutral (n=155), vaccine-resistant (n=81). Political affiliation, income, social support, recent flu differed significantly (P<.05). Vaccine not subgroup TTC-DHI did differing effecting across subgroups. had strongest effect – statistically significant (P<.05) measures association interaction P-values (P<.10) neutral compared improving beliefs [vaccine-resistant diff: -0.40 (-0.76, -0.37), 0.39 (0.02, 0.75), -0.47 (-0.86, -0.09); -0.36 (-0.52, -0.19), 0.35 (0.18, 0.51), -0.24 (-0.44, -0.03)]. no these outcomes subgroup. CONCLUSIONS findings revealed attitudes, intervention effects. are may experience larger gains from intervention. Future work aimed could target populations maximize resource efficiency drive biggest improvements CLINICALTRIAL ClinicalTrials.gov NCT05490329

Язык: Английский

COVID-19 Vaccine Hesitancy: Umbrella Review of Systematic Reviews and Meta-Analysis DOI Creative Commons

Tahani Al Rahbeni,

Prakasini Satapathy, Ramaiah Itumalla

и другие.

JMIR Public Health and Surveillance, Год журнала: 2024, Номер 10, С. e54769 - e54769

Опубликована: Апрель 30, 2024

The unprecedented emergence of the COVID-19 pandemic necessitated development and global distribution vaccines, making understanding vaccine acceptance hesitancy crucial to overcoming barriers vaccination achieving widespread immunization.

Язык: Английский

Процитировано

16

Lessons from the COVID-19 Pandemic: Promoting Vaccination and Public Health Resilience, a Narrative Review DOI Creative Commons
Flavia Pennisi, Cristina Genovese, Vincenza Gianfredi

и другие.

Vaccines, Год журнала: 2024, Номер 12(8), С. 891 - 891

Опубликована: Авг. 7, 2024

The COVID-19 pandemic has underscored the critical importance of adaptable and resilient public health systems capable rapid response to emerging crises. This paper synthesizes lessons learned from vaccination campaign explores strategies enhance vaccine uptake in post-pandemic era. Key challenges identified include logistical, economic, sociocultural, policy dimensions that impact efforts, particularly low-resource settings. analysis highlights need for supply chains, effective communication, community engagement, equitable access healthcare resources. development deployment mRNA vaccines exemplify potential innovative technologies, though trust acceptance remain crucial. Strategies such as partnerships with local leaders, tailored messaging, integration digital tools are essential combating hesitancy. By applying these insights, future campaigns can be more efficient, equitable, resilient, ultimately improving outcomes globally. aims inform practice, ensuring evidence based context specific, thus better preparing challenges.

Язык: Английский

Процитировано

12

Greater improvements in vaccination outcomes from a digital health intervention among Black young adults in the United States South with vaccine-resistant attitudes: A latent profile analysis of a randomized control trial (Preprint) DOI Creative Commons
Noah Mancuso, Jenna Michaels, Erica N. Browne

и другие.

JMIR Public Health and Surveillance, Год журнала: 2025, Номер 11, С. e67370 - e67370

Опубликована: Март 4, 2025

Abstract Background Negative attitudes toward vaccines and suboptimal vaccination rates among African American Black (Black) Americans have been well documented, due to a history of medical racism human rights violations in the United States. However, digital health interventions (DHI) shown address racial disparities several outcomes, such as cardiovascular disease, HIV, maternal health. The Tough Talks COVID (TT-C) study was randomized controlled trial DHI designed empower young adults States South make informed, autonomous decisions about COVID-19 vaccine uptake by addressing structural barriers misinformation vaccines. Objective Our objective identify subgroups with various at baseline determine for which TT-C most impactful. Methods aged 18‐29 years Alabama, Georgia, North Carolina who were unvaccinated or insufficiently vaccinated against completed three online surveys over months (N=360). Latent profile analysis used based on general baseline, including hesitancy, confidence, knowledge, conspiracy beliefs, mistrust. Logistic regression examine associations between latent profiles uptake, linear changes post-randomization. Modification DHI’s effects assessed profiles. Results Three emerged: vaccine-receptive (n=124), vaccine-neutral (n=155), vaccine-resistant (n=81). Political affiliation, income, social support, recent flu differed significantly ( P <.05). Vaccine not different subgroup, TTC-DHI did differing across subgroups. had strongest effect—with statistically significant measures association <.05) interaction values P< .10)—among compared improving beliefs months: difference: −0.40 (−0.76 −0.37), 0.39 (0.02 0.75), −0.47 (−0.86 −0.09); neutral −0.36 (−0.52 −0.19), 0.35 (0.18 0.51), −0.24 (−0.44 −0.03). no these outcomes subgroup. Conclusions findings revealed attitudes, intervention effects. are may experience larger gains from intervention. Future work aimed could target populations maximize resource efficiency drive greatest improvements outcomes.

Язык: Английский

Процитировано

0

Relationships Between Vaccine Knowledge, Hesitancy, and Conspiracy Beliefs on COVID-19, Influenza, and HPV Vaccination DOI
Sabrina L. Dickey, İbrahim Yiğit,

Allysha C. Maragh‐Bass

и другие.

Journal of Racial and Ethnic Health Disparities, Год журнала: 2025, Номер unknown

Опубликована: Март 17, 2025

Язык: Английский

Процитировано

0

Evaluating concurrency and gaps between self-report and vaccine card data for COVID-19 vaccination DOI
Marie C. D. Stoner, Jenna Michaels, Jacob B Stocks

и другие.

Vaccine, Год журнала: 2025, Номер 54, С. 127136 - 127136

Опубликована: Апрель 1, 2025

Язык: Английский

Процитировано

0

Components of a Digital Storytelling Intervention for Human Papillomavirus and Cancer Prevention Among LGBTQ+ Individuals: Formative Mixed Methods Inquiry DOI Creative Commons
Gabrielle Darville, Dominique Munroe, Emilie Corluyan

и другие.

JMIR Formative Research, Год журнала: 2025, Номер 9, С. e58163 - e58163

Опубликована: Май 30, 2025

Abstract Background Human papillomavirus (HPV) is one of the most prevalent sexually transmitted infections in United States; however, vaccination uptake falls far below goal 80% population set forth by Healthy People 2030. Specifically, within LGBTQ+ (lesbian, gay, bisexual, transgender, queer/questioning) population, HPV adherence remains a complex issue. Due to widespread use technology young adult digital health tools such as storytelling (DST) have been promoted an effective way increase uptake. Objective The purpose this study was conduct formative inquiry into (1) what components should be considered for inclusion documentary tailored sexual and gender minority populations (2) dissemination channels would more impact completion vaccine among populations. Additionally, aims provide insight perceived risk its implications on population. Methods A mixed methods conducted between January 2021 September Atlanta, Georgia. Intake surveys were distributed individuals identifying members community examine demographic characteristics, barriers adherence, current status. Perceived assessed using 5 statements 1 7 Likert scale. Key informant interviews via Zoom with participants who completed intake consented interviewed. Transcripts coded analyzed constant comparison method emergent themes surrounding DST campaigns. Results Forty-seven survey interview. total 13 out 47 (27.7%) indicated that they not sure when provided statement “I am likely get HPV”, whereas 12 (29.8%) strongly disagreed at high getting HPV” presented “HPV serious threat quality my life.” 14 responded severe health” agreed sex Qualitative analysis level stigma experienced interactions private practitioners. Major hesitancy concerns about age, reduced risk, lack provider recommendation. Participant revealed “Real Outcomes,” “Accurate Representation” main Conclusions Creation intervention include information real outcomes accurate representation.

Язык: Английский

Процитировано

0

Development and validation of the mpox stigma scale (MSS) and mpox knowledge scale (MKS) DOI Creative Commons
Henna Budhwani, İbrahim Yiğit, Jacob B Stocks

и другие.

BMC Public Health, Год журнала: 2024, Номер 24(1)

Опубликована: Сен. 10, 2024

Язык: Английский

Процитировано

1

Mpox Knowledge Among Black Young Adults in the Southern United States DOI
Setor K. Sorkpor, İbrahim Yiğit, Jacob B Stocks

и другие.

Journal of Adolescent Health, Год журнала: 2024, Номер 75(6), С. 978 - 981

Опубликована: Окт. 10, 2024

Язык: Английский

Процитировано

0

Greater improvements in vaccination outcomes from a digital health intervention among Black young adults in the United States South with vaccine-resistant attitudes: A latent profile analysis of a randomized control trial (Preprint) DOI
Noah Mancuso, Jenna Michaels, Erica N. Browne

и другие.

Опубликована: Окт. 15, 2024

BACKGROUND Negative attitudes towards vaccines and suboptimal vaccination rates among African American Black (Black) Americans has been well documented due to a history of medical racism human rights violations in the United States (US). However, digital health interventions (DHIs) have shown address racial disparities several outcomes. The Tough Talks COVID (TT-C) study was randomized controlled trial DHI designed empower young adults (YA) US South make informed, autonomous decisions about COVID-19 vaccine uptake by addressing structural barriers misinformation vaccines. OBJECTIVE Our objective identify subgroups YA with different at baseline determine for which TT-C most impactful. METHODS aged 18-29 years Alabama, Georgia, North Carolina who were unvaccinated or insufficiently vaccinated against completed three online surveys over months (N=360). Latent profile analysis used based on general including hesitancy, confidence, knowledge, conspiracy beliefs, mistrust. Logistic regression examine associations between latent profiles uptake, linear changes 3 post-randomization. Modification DHI’s effects assessed profiles. RESULTS Three emerged: vaccine-receptive (n=124), vaccine-neutral (n=155), vaccine-resistant (n=81). Political affiliation, income, social support, recent flu differed significantly (P<.05). Vaccine not subgroup TTC-DHI did differing effecting across subgroups. had strongest effect – statistically significant (P<.05) measures association interaction P-values (P<.10) neutral compared improving beliefs [vaccine-resistant diff: -0.40 (-0.76, -0.37), 0.39 (0.02, 0.75), -0.47 (-0.86, -0.09); -0.36 (-0.52, -0.19), 0.35 (0.18, 0.51), -0.24 (-0.44, -0.03)]. no these outcomes subgroup. CONCLUSIONS findings revealed attitudes, intervention effects. are may experience larger gains from intervention. Future work aimed could target populations maximize resource efficiency drive biggest improvements CLINICALTRIAL ClinicalTrials.gov NCT05490329

Язык: Английский

Процитировано

0