Rebecca Kearney, David Ellard, Helen Parsons, Aminul Haque, James Mason, Henry Nwankwo, Helen Bradley, Steve Drew, Chetan Modi, Howard Bush, David Torgerson, Martin Underwood
Advice only versus advice and a physiotherapy programme for acute traumatic anterior shoulder dislocation: the ARTISAN RCT
Health technology assessment (Winchester, England)
pandemic disproportionately impacted rural communities higher burden chronic disease covid19 infection west virginia rural state high rate diabetes hypertension copd known risk factors severe covid19 long covid yet significant hesitancy regarding covid19 vaccination uptake state purpose study use educational intervention increase vaccine knowledge vaccine acceptance rural patients chronic diseases west virginia project used academiccommunity partnership comprised researchers practitioners community organizations communityengaged partners patient stakeholders increase covid19 health literacy increase vaccine acceptance among rural west virginians chronic conditions quasiexperimental study design used deliver educational intervention trained health navigators using short videos increase covid19 health literacy address participants vaccine concerns eligibility included adults 18 years older least one chronic condition statewide community advisory board cab guided development educational training curriculum implementation strategies adapted version exploration preparation implementation sustainment epis framework guided development intervention health navigators n 45 delivered educational intervention local communities november 2022 october 2023 project implementation still ongoing intervention fidelity checks adaptable script flow chart allowed tailoring brief videos address participants specific covid19 questions vaccine concerns validated online survey monitored online research electronic data capture redcap database assessed participants knowledge perceived susceptibility vaccine intention health navigators delivered intervention 1368 west virginians 52 counties 592 women 618 without college degree participants reported living average 21 14 chronic conditions mean age 435 188 years majority participants 812 received primary vaccination series 631 least one booster however 18 unvaccinated complete primary covid19 vaccine series discussions improve vaccine literacy focused vaccine quickly developed protects variants addressing concerns related safety short longterm side effects importance vaccine uptake immunocompromised individuals participants higher concerns likely unvaccinated completed primary series boosters p 0001 however educational intervention improved willingness individuals either unvaccinated complete primary vaccine series get vaccinated 114 findings highlight importance vaccine literacy increasing vaccination rates among rural patients chronic diseases using epis framework allowed us reflect upon challenges ensure resilience changing local contexts plan implement promising costeffective intervention rural areas study provides insights need tailored educational interventions based disease status implications public health patient care rural underserved communities academiccommunity partnerships useful successful knowledge transfer vaccine acceptance reduce rural health disparities