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Patients’ Perspectives on Emergency Department COVID-19 Vaccination and Vaccination Messaging Through Randomized Vignettes

OBJECTIVES: Emergency departments (EDs) could play an important role in the COVID-19 pandemic response by reaching patients who would otherwise not seek vaccination in the community. Prior to expanding COVID-19 vaccination to the acute care setting, we assessed ED patients’ COVID-19 vaccine status,...

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Autores principales: Waxman, Michael J., Ray, Maile, Schechter-Perkins, Elissa M., Faryar, Kiran, Flynn, Karen Coen, Breen, Mandi, Wojcik, Susan M., Berry, Fiona, Zheng, Amy, Ata, Ashar, Lerner, E. Brooke, Lyons, Michael S., McGinnis, Sandra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9066270/
https://www.ncbi.nlm.nih.gov/pubmed/35465764
http://dx.doi.org/10.1177/00333549221085580
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author Waxman, Michael J.
Ray, Maile
Schechter-Perkins, Elissa M.
Faryar, Kiran
Flynn, Karen Coen
Breen, Mandi
Wojcik, Susan M.
Berry, Fiona
Zheng, Amy
Ata, Ashar
Lerner, E. Brooke
Lyons, Michael S.
McGinnis, Sandra
author_facet Waxman, Michael J.
Ray, Maile
Schechter-Perkins, Elissa M.
Faryar, Kiran
Flynn, Karen Coen
Breen, Mandi
Wojcik, Susan M.
Berry, Fiona
Zheng, Amy
Ata, Ashar
Lerner, E. Brooke
Lyons, Michael S.
McGinnis, Sandra
author_sort Waxman, Michael J.
collection PubMed
description OBJECTIVES: Emergency departments (EDs) could play an important role in the COVID-19 pandemic response by reaching patients who would otherwise not seek vaccination in the community. Prior to expanding COVID-19 vaccination to the acute care setting, we assessed ED patients’ COVID-19 vaccine status, perspectives, and hypothetical receptivity to ED-based vaccination. METHODS: From January 11 through March 31, 2021, we conducted a multisite (Albany Medical Center, Boston Medical Center, Buffalo General Hospital, University of Cincinnati Medical Center, and Upstate Medical Center), cross-sectional survey of ED patients, with embedded randomization for participants to receive 1 of 4 vignette vaccination messages (simple opt-in message, recommendation by the hospital, community-oriented message, and acknowledgment of vaccine hesitancy). Main outcomes included COVID-19 vaccination status, prior intention to be vaccinated, and receptivity to randomized hypothetical vignette messages. RESULTS: Of 610 participants, 122 (20.0%) were vaccinated, 234 (38.4%) had prior intent to be vaccinated, 111 (18.2%) were unsure as to prior intent, and 143 (23.4%) had no prior intent to be vaccinated. Vaccine hesitancy (participants who were vaccine unsure or did not intend to receive the vaccine) was associated with the following: age <45 years, female, non-Hispanic Black, no primary health care, and no prior influenza vaccination. Overall, 364 of 565 (64.4%; 95% CI, 60.3%-68.4%) were willing to accept a hypothetical vaccination in the ED. Among participants with prior vaccine hesitancy, a simple opt-in message resulted in the highest acceptance rates to hypothetical vaccination (39.7%; 95% CI, 27.6%-52.8%). CONCLUSIONS: EDs have appropriate patient populations to initiate COVID-19 vaccination programs as a supplement to community efforts. A simple opt-in approach may offer the best messaging to reach vaccine-hesitant ED patients.
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spelling pubmed-90662702022-05-04 Patients’ Perspectives on Emergency Department COVID-19 Vaccination and Vaccination Messaging Through Randomized Vignettes Waxman, Michael J. Ray, Maile Schechter-Perkins, Elissa M. Faryar, Kiran Flynn, Karen Coen Breen, Mandi Wojcik, Susan M. Berry, Fiona Zheng, Amy Ata, Ashar Lerner, E. Brooke Lyons, Michael S. McGinnis, Sandra Public Health Rep Research OBJECTIVES: Emergency departments (EDs) could play an important role in the COVID-19 pandemic response by reaching patients who would otherwise not seek vaccination in the community. Prior to expanding COVID-19 vaccination to the acute care setting, we assessed ED patients’ COVID-19 vaccine status, perspectives, and hypothetical receptivity to ED-based vaccination. METHODS: From January 11 through March 31, 2021, we conducted a multisite (Albany Medical Center, Boston Medical Center, Buffalo General Hospital, University of Cincinnati Medical Center, and Upstate Medical Center), cross-sectional survey of ED patients, with embedded randomization for participants to receive 1 of 4 vignette vaccination messages (simple opt-in message, recommendation by the hospital, community-oriented message, and acknowledgment of vaccine hesitancy). Main outcomes included COVID-19 vaccination status, prior intention to be vaccinated, and receptivity to randomized hypothetical vignette messages. RESULTS: Of 610 participants, 122 (20.0%) were vaccinated, 234 (38.4%) had prior intent to be vaccinated, 111 (18.2%) were unsure as to prior intent, and 143 (23.4%) had no prior intent to be vaccinated. Vaccine hesitancy (participants who were vaccine unsure or did not intend to receive the vaccine) was associated with the following: age <45 years, female, non-Hispanic Black, no primary health care, and no prior influenza vaccination. Overall, 364 of 565 (64.4%; 95% CI, 60.3%-68.4%) were willing to accept a hypothetical vaccination in the ED. Among participants with prior vaccine hesitancy, a simple opt-in message resulted in the highest acceptance rates to hypothetical vaccination (39.7%; 95% CI, 27.6%-52.8%). CONCLUSIONS: EDs have appropriate patient populations to initiate COVID-19 vaccination programs as a supplement to community efforts. A simple opt-in approach may offer the best messaging to reach vaccine-hesitant ED patients. SAGE Publications 2022-04-23 /pmc/articles/PMC9066270/ /pubmed/35465764 http://dx.doi.org/10.1177/00333549221085580 Text en © 2022, Association of Schools and Programs of Public Health
spellingShingle Research
Waxman, Michael J.
Ray, Maile
Schechter-Perkins, Elissa M.
Faryar, Kiran
Flynn, Karen Coen
Breen, Mandi
Wojcik, Susan M.
Berry, Fiona
Zheng, Amy
Ata, Ashar
Lerner, E. Brooke
Lyons, Michael S.
McGinnis, Sandra
Patients’ Perspectives on Emergency Department COVID-19 Vaccination and Vaccination Messaging Through Randomized Vignettes
title Patients’ Perspectives on Emergency Department COVID-19 Vaccination and Vaccination Messaging Through Randomized Vignettes
title_full Patients’ Perspectives on Emergency Department COVID-19 Vaccination and Vaccination Messaging Through Randomized Vignettes
title_fullStr Patients’ Perspectives on Emergency Department COVID-19 Vaccination and Vaccination Messaging Through Randomized Vignettes
title_full_unstemmed Patients’ Perspectives on Emergency Department COVID-19 Vaccination and Vaccination Messaging Through Randomized Vignettes
title_short Patients’ Perspectives on Emergency Department COVID-19 Vaccination and Vaccination Messaging Through Randomized Vignettes
title_sort patients’ perspectives on emergency department covid-19 vaccination and vaccination messaging through randomized vignettes
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9066270/
https://www.ncbi.nlm.nih.gov/pubmed/35465764
http://dx.doi.org/10.1177/00333549221085580
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