Elevating Home Health Aide Input in Co-Creation of COVID-19 Vaccine Messaging.

Autor:	Lum HD; Division of Geriatric Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, CO, USA., Fischer S; Division of General Internal Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, CO, USA., Ytell K; Division of General Internal Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, CO, USA., Scherer L; Division of Cardiology, Department of Medicine, University of Colorado School of Medicine, Aurora, CO, USA.; Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), University of Colorado Anschutz Medical Campus, Aurora, CO, USA., O'Leary ST; Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), University of Colorado Anschutz Medical Campus, Aurora, CO, USA.; Divisions of Infectious Diseases/Epidemiology and General Academic Pediatrics, Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA., Elk R; Division of Geriatrics, Gerontology, and Palliative Care, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA., Hurley S; Care Dimensions, Inc., Wellesley, MA, USA., Washington KT; Division of Palliative Medicine, Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA., DeCamp M; Division of General Internal Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, CO, USA.; Center for Bioethics and Humanities, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Jazyk:	angličtina
Zdroj:	The American journal of hospice & palliative care [Am J Hosp Palliat Care] 2024 Sep; Vol. 41 (9), pp. 1094-1103. Date of Electronic Publication: 2023 Nov 22.
DOI:	10.1177/10499091231218455
Abstrakt:	Home health aides (HHAs) care for patients highly vulnerable to COVID-19 and are disproportionately women from minority communities that have been adversely impacted by COVID-19. Yet, direct care workers are less likely to be vaccinated against COVID-19 compared to others. As the pandemic evolves, interest in vaccination may decrease suggesting the need for relevant vaccine messaging to HHAs. Objectives: (1) to describe HHAs and administrators' perspectives related to COVID-19 vaccination messaging, and (2) to co-design a Communication Toolkit to create COVID-19 vaccine messages. Methods: HHAs and administrators from 4 geographically diverse Palliative Care Research Cooperative (PCRC) hospice agencies were recruited for a multi-method process involving qualitative interviews (17 HHAs and 5 administrators), community engagement (CE) studios, and development of a Communication Toolkit. Interviews were guided by the PEN-3 conceptual framework to explore barriers and facilitators to vaccination. Data were analyzed using qualitative content analysis. Results: Despite power differences, HHAs and administrators share a commitment to protecting patients affected by serious illness. HHAs desire vaccine messaging that includes personal narratives, good news about the vaccine, and facts about benefits and risks of the vaccine. Preferred message formats include the agency intranet, daily briefings, or "little seeds" (ie, short, high-impact information). Through the studios, HHAs provided input on a Toolkit prototype with messages tailored to the context of home care. Conclusions: Grounded in the commitment of HHAs and administrators to protecting vulnerable patients, we co-created an adaptable Communication Toolkit to address COVID-19 vaccination misinformation and mistrust among direct care workers. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu