背景:参与调查可以塑造与研究主题相关的参与者的感知。管理疫苗犹豫问卷可能会对参与者的疫苗信心产生负面影响。对于在线和跨文化数据收集尤其如此,因为在管理电子调查之后通常不提供文化安全的健康教育以纠正错误信息。
目标:为了创建一个文化上安全的,在线,针对土著青年的COVID-19疫苗信心调查旨在收集地道,他们的疫苗经验的文化相关数据,参与者之间导致进一步疫苗混淆的风险较低。
方法:使用原住民远程健康知识圈共识方法,一个学者团队,卫生保健提供者,政策制定者,社区合作伙伴审查了公共卫生研究中使用的COVID-19疫苗犹豫调查,分析了潜在风险,并为电子土著疫苗信心调查和调查项目创建了一个框架。
结果:更安全的在线调查项目的框架基于2个原则,第一种不伤害的方法,并应用基于优势的镜头。过程中确定的相关调查领域包括社会人口统计信息,参与者与他们的社区的联系,健康信息的首选来源,家庭成员和同龄人之间的疫苗接种吸收,以及个人对疫苗的态度。共制定了44项调查项目,包括5个开放式项目,以提高数据的真实性和对土著青年经验的分析。
结论:使用土著共识方法,我们开展了一项涉及文化相关领域的在线COVID-19疫苗信心调查,并降低了土著参与者中错误信息放大的风险和对疫苗信心的负面影响.我们的方法可以与土著社区合作,适应其他在线调查开发。
BACKGROUND: Participating in surveys can shape the perception of participants related to the study topic. Administering a vaccine hesitancy questionnaire can have negative impacts on participants\' vaccine confidence. This is particularly true for online and cross-cultural data collection because culturally safe health education to correct misinformation is typically not provided after the administration of an electronic survey.
OBJECTIVE: To create a culturally safe, online, COVID-19 vaccine confidence survey for Indigenous youth designed to collect authentic, culturally relevant data of their vaccine experiences, with a low risk of contributing to further vaccine confusion among participants.
METHODS: Using the Aboriginal Telehealth Knowledge Circle
consensus method, a team of academics, health care providers, policy makers, and community partners reviewed COVID-19 vaccine hesitancy surveys used in public health research, analyzed potential risks, and created a framework for electronic Indigenous vaccine confidence surveys as well as survey items.
RESULTS: The framework for safer online survey items is based on 2 principles, a first do-no-harm approach and applying a strengths-based lens. Relevant survey domains identified in the process include sociodemographic information, participants\' connection to their community, preferred sources for health information, vaccination uptake among family members and peers, as well as personal attitudes toward vaccines. A total of 44 survey items were developed, including 5 open-ended items to improve the authenticity of the data and the analysis of the experiences of Indigenous youth.
CONCLUSIONS: Using an Indigenous
consensus method, we have developed an online COVID-19 vaccine confidence survey with culturally relevant domains and reduced the risk of amplifying misinformation and negative impacts on vaccine confidence among Indigenous participants. Our approach can be adapted to other online survey development in collaboration with Indigenous communities.