Building Trust and Awareness to Increase AZ Native Nation Participation in COVID-19 Vaccines

Sears, Grant; Tutt, Marissa; Sabo, Samantha; Lee, Naomi; Teufel-Shone, Nicolette I.; Baca, Anthony W.; Bennett, Marianne; Nashio, J T; Flores, Fernando; Baldwin, Julie A.

doi:10.3390/ijerph20010031

Cited by 6 publications

(6 citation statements)

References 12 publications

(14 reference statements)

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“…In September 2021, SHERC received an administrative supplement aimed at building trust and awareness to increase Arizona Native Nation participation in COVID-19 vaccine trials and vaccines. Methodological details and results related to the broader study results are reported in this special issue [13]. Together, researchers leveraged expertise and community partnerships to engage in culturally centered community-based research to strengthen vaccine and clinical trial awareness among American Indian communities of Arizona disproportionately impacted by COVID-19.…”

Section: Methodsmentioning

confidence: 99%

“…A total of three educational materials were created for each community: (1) COVID-19 Vaccine Information, (2) COVID-19 FAQs and Myths, and (3) COVID-19 Clinical Trials. Materials are available as supplemental files in Sears et al [13]. Materials were provided to participants by a CHR through regularly scheduled home visits and community events.…”

Section: Step 2: Chr Brief Education Development and Deliverymentioning

confidence: 99%

“…CHRs administered a pre-survey prior to providing an education session and a postevaluation approximately 30 days after the first visit. All educational materials and study materials are available in full in this special issue [13]. Descriptive statistics were generated using SPSS software Version 10.…”

Section: Step 2: Chr Brief Education Development and Deliverymentioning

confidence: 99%

“…As a result of CHR-led brief intervention with culturally adapted educational materials explained in detail elsewhere [13] awareness about COVID-19 clinical trials for treatment and vaccines significantly increased from baseline to post-survey among participants (Table 2). Although not statistically significant, participant knowledge of how to enroll in COVID-19-related treatment and vaccine research studies was also reported in greater frequency at follow-up compared to baseline.…”

Section: Awareness Of and Attitudes Toward Covid-19 Clinical Trialsmentioning

confidence: 99%

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Community Health Representatives as Trusted Sources for Increasing Representation of American Indian Communities in Clinical Research

Sabo

Lee

Sears

et al. 2023

IJERPH

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Indigenous and American Indian Alaskan Native (AI/AN) community members are systematically underrepresented in clinical trial research. This paper focuses on exploratory steps to partner with Native Nations of Arizona to engage Community Health Representatives (CHR) as a trusted source for building COVID-19 clinical trial research, including vaccine trials awareness. CHRs are frontline public health workers who apply a unique understanding of the experience, language, and culture of the population served. This workforce has entered the spotlight as essential to the prevention and control of COVID-19. Methods: Three Tribal CHR programs were engaged to develop and refine culturally centered educational materials and a pre-post survey using a consensus-based decision-making approach. CHRs used these materials in brief education sessions during regular client home visits and community events. Results: At 30 days post CHR intervention, participants (N = 165) demonstrated significantly increased awareness about and ability to enroll in COVID-19 treatment and vaccine trials. Participants also described a significant increase in trust in researchers, decreased perceived barriers related to cost for participation in a clinical trial, and improved belief that participation in a COVID-19 clinical trial for treatment was considered a benefit to American Indian and Alaskan Native people. Conclusion: CHRs as trusted sources of information, coupled with culturally centered education materials designed by CHRs for CHR clients, demonstrated a promising approach to improved awareness of clinical trial research generally and COVID-19 trials specifically among Indigenous and American Indian community members of Arizona.

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Section: Methodsmentioning

confidence: 99%

Section: Step 2: Chr Brief Education Development and Deliverymentioning

confidence: 99%

Section: Step 2: Chr Brief Education Development and Deliverymentioning

confidence: 99%

Section: Awareness Of and Attitudes Toward Covid-19 Clinical Trialsmentioning

confidence: 99%

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Community Health Representatives as Trusted Sources for Increasing Representation of American Indian Communities in Clinical Research

Sabo

Lee

Sears

et al. 2023

IJERPH

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“…Building trust 24 Family physicians are often highly respected members of the community in rural areas. They can use their existing relationships and credibility to build trust with patients who are hesitant about vaccines.…”

Section: Measure Explanationmentioning

confidence: 99%

Special roles of rural primary care and family medicine in improving vaccine hesitancy

Piccoliori¹,

Barbieri²,

Wiedermann³

et al. 2023

Adv Clin Exp Med

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Family medicine plays a crucial role in overcoming vaccine hesitancy in rural areas with a limited access to healthcare services and a higher prevalence of vaccine hesitancy. Competent information on diseases and vaccinations provided in a trusting relationship is important to overcome vaccination hesitancy and reach acceptance. This article aims to provide a critical analysis of this issue using methodologically rigorous research and evidence-based recommendations from nonsystematic literature research. Studies on the coronavirus pandemic conducted in South Tyrol, Italy, confirmed that vaccination hesitancy is more common in rural areas than in urban areas, even in economically well-developed Central European regions. The reason for this increased hesitancy is that groups with at-risk sociodemographic characteristics associated with hesitancy are more prevalent in rural areas. This fact assigns a special role to rural primary care and family medicine to be the mediators of vaccinations. Healthcare systems should invest in targeted continuing medical education to promote vaccination literacy among rural healthcare workers and physicians. Therefore, it is important to provide general practitioners with information on common vaccinations. Effective and efficient communication techniques should be improved for successful communication with patients.

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Use of the socio-ecological model to explore trusted sources of COVID-19 information in Black and Latinx communities in Michigan

Carmona,

Sawant,

Hamasha

et al. 2023

Journal of Communication in Healthcare

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Building Trust and Awareness to Increase AZ Native Nation Participation in COVID-19 Vaccines

Cited by 6 publications

References 12 publications

Community Health Representatives as Trusted Sources for Increasing Representation of American Indian Communities in Clinical Research

Community Health Representatives as Trusted Sources for Increasing Representation of American Indian Communities in Clinical Research

Special roles of rural primary care and family medicine in improving vaccine hesitancy

Use of the socio-ecological model to explore trusted sources of COVID-19 information in Black and Latinx communities in Michigan

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