دورية أكاديمية
Effect of COVID-19 Vaccine Messaging Platforms in Emergency Departments on Vaccine Acceptance and Uptake ; A Cluster Randomized Clinical Trial
| العنوان: | Effect of COVID-19 Vaccine Messaging Platforms in Emergency Departments on Vaccine Acceptance and Uptake ; A Cluster Randomized Clinical Trial |
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| المؤلفون: | Rodriguez, Robert M., Nichol, Graham, Eucker, Stephanie A., Chang, Anna Marie, O’Laughlin, Kelli N., Pauley, Alena, Rising, Kristin L., Eswaran, Vidya, Morse, Dana, Li, Cindy, Patel, Ashini, Duber, Herbie C., Arreguin, Mireya, Shughart, Lindsey, Glidden, Dave, Kanzaria, Hemal, Butler, Jonathan, Kemball, Robin, Chan, Virginia, Lara-Chavez, Cecilia, Guth, Amanda, Olarewaju, Iyaniwura, Morse, Sophie C., Schaeffer, Kevin, Grau, Dylan, Arab, Abir, Tupetz, Anna, Walker, Erica, Watts, Phillip, Shughart, Hailey, Yan, Bryan, Finkelstein, Sophie, Chen, Harrison, Daniels, Nikki, White, Jaran, Sarafian, Joshua, Howard, Lauren, Alali, Lea, Agun, Glory, Chan, Emmanuel A., Covington, Anna, Klasson, Chris |
| المصدر: | JAMA Internal Medicine ; volume 183, issue 2, page 115 ; ISSN 2168-6106 |
| بيانات النشر: | American Medical Association (AMA) |
| سنة النشر: | 2023 |
| الوصف: | Importance Large segments of the US population’s primary health care access occurs in emergency departments (EDs). These groups have disproportionately high COVID-19 vaccine hesitancy and lower vaccine uptake. Objective To determine whether provision of COVID-19 vaccine messaging platforms in EDs increases COVID-19 vaccine acceptance and uptake in unvaccinated patients. Design, Setting, and Participants This prospective cluster randomized clinical trial was conducted at 7 hospital EDs in 4 US cities from December 6, 2021, to July 28, 2022. Noncritically ill adult patients who had not previously received COVID-19 vaccines were enrolled. Interventions A 3-pronged COVID-19 vaccine messaging platform (an English- or Spanish-language 4-minute video; a 1-page informational flyer; and a brief, scripted message from an ED physician or nurse) was delivered during patient waiting times. Main Outcomes and Measures The 2 primary outcomes were (1) COVID-19 vaccine acceptance, assessed by survey responses in the ED, and (2) receipt of a COVID-19 vaccine within 30 days, ascertained by ED confirmation of vaccination, electronic health record review, and telephone follow-up. Results Of the 496 participants enrolled (221 during intervention weeks and 275 during control weeks), the median (IQR) age was 39 (30-54) years, 205 (41.3%) were female, 193 (38.9%) were African American, 97 (19.6%) were Latinx, and 218 (44.0%) lacked primary care physicians. More intervention group participants, compared with control participants, stated that they would accept the vaccine in the ED (57 [25.8%] vs 33 [12.0%]; adjusted difference, 11.9 [95% CI, 4.5-19.3] percentage points; number needed to treat [NNT], 8 [95% CI, 5-22]). More intervention group participants than control participants received a COVID-19 vaccine within 30 days of their ED visit (44 [20.0%] vs 24 [8.7%]; adjusted difference, 7.9 [95% CI, 1.7-14.1] percentage points; NNT, 13 [95% CI, 7-60]). The intervention group had greater outcome effect sizes than the control group in ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1001/jamainternmed.2022.5909 |
| الإتاحة: | https://doi.org/10.1001/jamainternmed.2022.5909Test https://jamanetwork.com/journals/jamainternalmedicine/articlepdf/2799590/jamainternal_rodriguez_2022_oi_220076_1674845282.40471.pdfTest |
| رقم الانضمام: | edsbas.D41E2838 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1001/jamainternmed.2022.5909 |
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