Human-centred design bolsters vaccine confidence in the Philippines: results of a randomised controlled trial

Autor: Till Bärnighausen, Rachel P Chase, Mark Donald C Reñosa, Shannon A McMahon, Jonas Wachinger, Kate Bärnighausen, Jhoys Landicho-Guevarra, Vivienne Endoma, Jeniffer Landicho, Thea Andrea Bravo, Maria Paz Demonteverde, Jerric Rhazel Guevarra, Mila F Aligato, Carol Malacad, Catherine Silvestre
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: BMJ Global Health, Vol 8, Iss 10 (2023)
Druh dokumentu: article
ISSN: 2059-7908
DOI: 10.1136/bmjgh-2023-012613
Popis: Background The public’s confidence in vaccinations has eroded, and anti-vaccination movements have gained traction around the world, including in the Philippines. ‘Salubong’, a Filipino term, refers to welcoming someone back into one’s life and elicits ideas about friendship and family relationships. We extended this concept to vaccines in efforts to design an intervention that would re-welcome vaccines into homes.Methods Using human-centred design, we developed and refined a story-based intervention that engages Filipino families, community leaders and community health workers. We conducted a randomised controlled trial among 719 caregivers of small children to test the developed intervention against a control video. We assessed the binary improvement (improvement vs no improvement) and the amount of improvement in vaccine attitudes and intentions after intervention exposure.Results Although the intervention group began with marginally higher baseline vaccine attitude scores, we found that 62% of the intervention group improved their vaccine attitude scores versus 37% of the control group (Fisher’s exact, p
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