The impact of educational interventions on COVID-19 and vaccination attitudes among patients in Michigan: A prospective study

BackgroundMass vaccination serves as an effective strategy to combat the COVID-19 pandemic. Vaccine hesitancy is a recognized impediment to achieving a vaccination rate necessary to protect communities. However, solutions and interventions to address this issue are limited by a lack of prior researc...

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Main Authors: Maya Asami Takagi, Samantha Hess, Zachary Smith, Karissa Gawronski, Ayushi Kumar, Jacob Horsley, Nicholas Haddad, Bernard Noveloso, Stephen Zyzanski, Neli Ragina
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-04-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1144659/full
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author Maya Asami Takagi
Samantha Hess
Zachary Smith
Karissa Gawronski
Ayushi Kumar
Jacob Horsley
Nicholas Haddad
Bernard Noveloso
Stephen Zyzanski
Neli Ragina
author_facet Maya Asami Takagi
Samantha Hess
Zachary Smith
Karissa Gawronski
Ayushi Kumar
Jacob Horsley
Nicholas Haddad
Bernard Noveloso
Stephen Zyzanski
Neli Ragina
author_sort Maya Asami Takagi
collection DOAJ
description BackgroundMass vaccination serves as an effective strategy to combat the COVID-19 pandemic. Vaccine hesitancy is a recognized impediment to achieving a vaccination rate necessary to protect communities. However, solutions and interventions to address this issue are limited by a lack of prior research.MethodsOver 200 patients from 18 Michigan counties participated in this study. Each participant received an initial survey, including demographical questions and knowledge and opinion questions regarding COVID-19 and vaccines. Participants were randomly assigned an educational intervention in either video or infographic format. Patients received a post-survey to assess changes in knowledge and attitudes. Paired sample t-tests and ANOVA were used to measure the effectiveness of the educational interventions. Participants also elected to complete a 3-month follow-up survey.ResultsPatients showed increased knowledge after the educational intervention in six out of seven COVID-19 topics (p < 0.005). There was increased vaccine acceptance after the intervention but no difference in the effectiveness between the two intervention modalities. Post-intervention, more patients believed in CDC recommendations (p = 0.005), trusted the vaccine (p = 0.001), believed the vaccines had adequate testing (p = 0.019), recognized prior mistreatment in the medical care system (p = 0.005), agreed that a source they trust told them to receive a vaccine (p = 0.015), and were worried about taking time off of work to get a vaccine (p = 0.023). Additionally, post-intervention, patients were less concerned about mild reactions of the virus (p = 0.005), the rapid development of the vaccines (p < 0.001), and vaccine side effects (p = 0.031). Data demonstrated that attitude and knowledge improved when comparing pre-educational intervention to follow-up but decreased from post-intervention to follow-up.ConclusionThe findings illustrate that educational interventions improved COVID-19 and vaccine knowledge among patients and that the knowledge was retained. Educational interventions serve as powerful tools to increase knowledge within communities and address negative views on vaccination. Interventions should be continually utilized to reinforce information within communities to improve vaccination rates.
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spelling doaj.art-0f31a169450e4d22bc921dfe55d522042023-04-03T05:20:58ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-04-011110.3389/fpubh.2023.11446591144659The impact of educational interventions on COVID-19 and vaccination attitudes among patients in Michigan: A prospective studyMaya Asami Takagi0Samantha Hess1Zachary Smith2Karissa Gawronski3Ayushi Kumar4Jacob Horsley5Nicholas Haddad6Bernard Noveloso7Stephen Zyzanski8Neli Ragina9Central Michigan University, College of Medicine, Mt. Pleasant, MI, United StatesCentral Michigan University, College of Medicine, Mt. Pleasant, MI, United StatesCentral Michigan University, College of Medicine, Mt. Pleasant, MI, United StatesCentral Michigan University, College of Medicine, Mt. Pleasant, MI, United StatesCentral Michigan University, College of Medicine, Mt. Pleasant, MI, United StatesCentral Michigan University, College of Medicine, Mt. Pleasant, MI, United StatesCentral Michigan University Medical Education Partners, Saginaw, MI, United StatesCentral Michigan University Medical Education Partners, Saginaw, MI, United StatesDepartment of Family Medicine and Community Health, School of Medicine, Case Western Reserve University, Saginaw, MI, United StatesCentral Michigan University, College of Medicine, Mt. Pleasant, MI, United StatesBackgroundMass vaccination serves as an effective strategy to combat the COVID-19 pandemic. Vaccine hesitancy is a recognized impediment to achieving a vaccination rate necessary to protect communities. However, solutions and interventions to address this issue are limited by a lack of prior research.MethodsOver 200 patients from 18 Michigan counties participated in this study. Each participant received an initial survey, including demographical questions and knowledge and opinion questions regarding COVID-19 and vaccines. Participants were randomly assigned an educational intervention in either video or infographic format. Patients received a post-survey to assess changes in knowledge and attitudes. Paired sample t-tests and ANOVA were used to measure the effectiveness of the educational interventions. Participants also elected to complete a 3-month follow-up survey.ResultsPatients showed increased knowledge after the educational intervention in six out of seven COVID-19 topics (p < 0.005). There was increased vaccine acceptance after the intervention but no difference in the effectiveness between the two intervention modalities. Post-intervention, more patients believed in CDC recommendations (p = 0.005), trusted the vaccine (p = 0.001), believed the vaccines had adequate testing (p = 0.019), recognized prior mistreatment in the medical care system (p = 0.005), agreed that a source they trust told them to receive a vaccine (p = 0.015), and were worried about taking time off of work to get a vaccine (p = 0.023). Additionally, post-intervention, patients were less concerned about mild reactions of the virus (p = 0.005), the rapid development of the vaccines (p < 0.001), and vaccine side effects (p = 0.031). Data demonstrated that attitude and knowledge improved when comparing pre-educational intervention to follow-up but decreased from post-intervention to follow-up.ConclusionThe findings illustrate that educational interventions improved COVID-19 and vaccine knowledge among patients and that the knowledge was retained. Educational interventions serve as powerful tools to increase knowledge within communities and address negative views on vaccination. Interventions should be continually utilized to reinforce information within communities to improve vaccination rates.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1144659/fullCOVID-19 virusCOVID-19 vaccinesvaccine hesitancyeducational interventionCOVID-19 attitudesCOVID-19 knowledge
spellingShingle Maya Asami Takagi
Samantha Hess
Zachary Smith
Karissa Gawronski
Ayushi Kumar
Jacob Horsley
Nicholas Haddad
Bernard Noveloso
Stephen Zyzanski
Neli Ragina
The impact of educational interventions on COVID-19 and vaccination attitudes among patients in Michigan: A prospective study
Frontiers in Public Health
COVID-19 virus
COVID-19 vaccines
vaccine hesitancy
educational intervention
COVID-19 attitudes
COVID-19 knowledge
title The impact of educational interventions on COVID-19 and vaccination attitudes among patients in Michigan: A prospective study
title_full The impact of educational interventions on COVID-19 and vaccination attitudes among patients in Michigan: A prospective study
title_fullStr The impact of educational interventions on COVID-19 and vaccination attitudes among patients in Michigan: A prospective study
title_full_unstemmed The impact of educational interventions on COVID-19 and vaccination attitudes among patients in Michigan: A prospective study
title_short The impact of educational interventions on COVID-19 and vaccination attitudes among patients in Michigan: A prospective study
title_sort impact of educational interventions on covid 19 and vaccination attitudes among patients in michigan a prospective study
topic COVID-19 virus
COVID-19 vaccines
vaccine hesitancy
educational intervention
COVID-19 attitudes
COVID-19 knowledge
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1144659/full
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