COVID-19; dialogue; dialogue-based intervention; digital intervention; participatory research; public health intervention; vaccine hesitancy; COVID-19 Vaccines; Vaccines; Humans; Vaccination Hesitancy; Vaccination; Public Health, Environmental and Occupational Health
Abstract :
[en] Dialogue with people who are vaccine hesitant has been recommended as a method to increase vaccination uptake. The process of cultivating dialogue is shaped by the context in which it occurs, yet the development of interventions addressing vaccine hesitancy with dialogue often overlooks the role of context and favors relatively fixed solutions. This reflexive paper shares three key lessons related to context for dialogue-based interventions. These lessons emerged during a participatory research project to develop a pilot intervention to create open dialogue among healthcare workers in Belgium about COVID-19 vaccination concerns. Through a mixed methods study consisting of in-depth interviews, focus group discussions, and surveys, we engaged healthcare workers in the design, testing, and evaluation of a digital platform featuring text-based and video-based (face-to-face) interactions. The lessons are: (1) what dialogue means, entails, and requires can vary for a population and context, (2) inherent tension exists between helping participants voice (and overcome) their concerns and exposing them to others' ideas that may exacerbate those concerns, and (3) interactional exchanges (e.g., with peers or experts) that matter to participants may shape the dialogue in terms of its content and form. We suggest that having a discovery-orientation-meaning to work not only inductively and iteratively but also reflexively-is a necessary part of the development of dialogue-based interventions. Our case also sheds light on the influences between: dialogue topic/content, socio-political landscape, population, intervention aim, dialogue form, ethics, researcher position, and types of interactional exchanges.
Disciplines :
Public health, health care sciences & services
Author, co-author :
Nguyen, ToTran; Socio-Ecological Health Research Unit, Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium ; Department of Work and Organisation Studies, KU Leuven, Leuven, Belgium
Boey, Lise; Access-To-Medicines Research Centre, KU Leuven, Leuven, Belgium
Van Riet, Carla; Access-To-Medicines Research Centre, KU Leuven, Leuven, Belgium
Dielen, Stef; Socio-Ecological Health Research Unit, Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium
Dodion, Hélène ; Université de Liège - ULiège > Département de science politique > Méthodologie, analyse et évaluation des politiques publiques
Giles-Vernick, Tamara; Anthropology and Ecology of Disease Emergence Unit, Department of Global Health, Institut Pasteur, Paris, France
Vandaele, Nico; Access-To-Medicines Research Centre, KU Leuven, Leuven, Belgium
Larson, Heidi J; Vaccine Confidence Project, London School of Hygiene and Tropical Medicine, London, United Kingdom
Peeters Grietens, Koen; Socio-Ecological Health Research Unit, Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium ; School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan
Gryseels, Charlotte; Socio-Ecological Health Research Unit, Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium
Heyerdahl, Leonardo W; Anthropology and Ecology of Disease Emergence Unit, Department of Global Health, Institut Pasteur, Paris, France
Language :
English
Title :
Embracing context: Lessons from designing a dialogue-based intervention to address vaccine hesitancy.
Alternative titles :
[fr] Intégrer les contextes : Leçons tirées de la conception d'une intervention basée sur le dialogue pour s'adresser aux hésitations vaccinales.
Original title :
[en] Embracing context: Lessons from designing a dialogue-based intervention to address vaccine hesitancy.
LH, NV, TG-V, KPG, CG, CVR, SD, TN, LB, and HD declare receiving a grant by Fonds Wetenschappelijk Onderzoek (FWO-Research Foundation—Flanders), to conduct social listening of vaccine concerns in Belgium and receiving funds by the Vaccine Confidence Fund to conduct a study on healthcare workers vaccine sentiments and to foster vaccine dialogue in Belgium. HL reports receiving a grant by MacArthur Foundation to address inequalities in COVID-19 recovery, by J&J to listening to public concerns around COVID-19, from UNICEF to carry out Social Media Listening of vaccine concerns in Central and Eastern Europe and by Merck on Research on Vaccine hesitancy among health care providers in 15 countries.The project was funded by the Vaccine Confidence Fund, grant number VCF - 018. The funder had no part in the writing of the manuscript or the decision to submit for publication.
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