College students’ influence on COVID-19 vaccination uptake among seniors in China: a protocol of combined cross-sectional and experimental study

Abstract Background College students generally have good knowledge about COVID-19 and may facilitate COVID-19 vaccination in family. The purpose of this study is to understand college students’ willingness to persuade their grandparents to initiate COVID-19 vaccination and the effect of their persua...

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Main Authors: Junye Bian, Zhihui Guo, Weijie Zhang, Xinyi Li, Caijun Sun, Xuelian Xu, Huachun Zou
Format: Article
Language:English
Published: BMC 2023-07-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-023-16209-2
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author Junye Bian
Zhihui Guo
Weijie Zhang
Xinyi Li
Caijun Sun
Xuelian Xu
Huachun Zou
author_facet Junye Bian
Zhihui Guo
Weijie Zhang
Xinyi Li
Caijun Sun
Xuelian Xu
Huachun Zou
author_sort Junye Bian
collection DOAJ
description Abstract Background College students generally have good knowledge about COVID-19 and may facilitate COVID-19 vaccination in family. The purpose of this study is to understand college students’ willingness to persuade their grandparents to initiate COVID-19 vaccination and the effect of their persuasion. Methods A combined cross-sectional and experimental study will be conducted online. In the cross-sectional study (Phase I), eligible participants are college students who are aged ≥ 16 years and have at least one living grandparent aged ≥ 60 years who has/have not completed the COVID-19 vaccination. Participants self-complete Questionnaire A to collect information on the socio-demographics of themselves and their grandparents, their knowledge about older adults’ COVID-19 vaccination, as well as Health Belief Model (HBM) and Theory of Planned Behavior (TPB) predictor variables. The primary outcome at Phase I is college students’ willingness to persuade grandparents to receive COVID-19 vaccines. Those who are willing to persuade grandparents and participate in a follow-up survey will be invited to participate in a randomized controlled trial (Phase II). At Phase II, eligible participants are those who have at least one living grandparent aged ≥ 60 years who completed the COVID-19 initial vaccination series but has/have not received a booster dose. At the baseline, participants self-complete Questionnaire B to collect information on individual grandparents’ COVID-19 vaccination status, attitude towards and intention to COVID-19 booster dose. Participants will then be randomly allocated 1:1 to either intervention arm (one-week smartphone-based health education on older adults’ COVID-19 vaccination plus two weeks’ waiting period) or control arm (three weeks’ waiting period). At the end of week three, participants in both arms self-complete Questionnaire C to collect information on their grandparents’ COVID-19 vaccination status. The primary outcome at Phase II is the uptake rate of COVID-19 booster dose among grandparents. Secondary outcomes include grandparents’ attitude and intention to get a COVID-19 booster dose. Discussion No previous study had measured the effect of college students’ persuasion on COVID-19 vaccination uptake in older adults. Findings from this study will provide evidence for innovative and potentially feasible interventions that further promote COVID-19 vaccination in older adults. Trial registration Chinese Clinical Trial Registry: ChiCTR2200063240. Registered 2 September 2022.
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spelling doaj.art-2d2a76ab77be45118cb85f7ce163c0c02023-07-16T11:30:18ZengBMCBMC Public Health1471-24582023-07-012311910.1186/s12889-023-16209-2College students’ influence on COVID-19 vaccination uptake among seniors in China: a protocol of combined cross-sectional and experimental studyJunye Bian0Zhihui Guo1Weijie Zhang2Xinyi Li3Caijun Sun4Xuelian Xu5Huachun Zou6School of Public Health (Shenzhen), Sun Yat-sen UniversitySchool of Public Health (Shenzhen), Sun Yat-sen UniversitySchool of Public Health (Shenzhen), Sun Yat-sen UniversitySchool of Public Health (Shenzhen), Sun Yat-sen UniversitySchool of Public Health (Shenzhen), Sun Yat-sen UniversitySchool of Literature and Education, Bengbu UniversitySchool of Public Health (Shenzhen), Sun Yat-sen UniversityAbstract Background College students generally have good knowledge about COVID-19 and may facilitate COVID-19 vaccination in family. The purpose of this study is to understand college students’ willingness to persuade their grandparents to initiate COVID-19 vaccination and the effect of their persuasion. Methods A combined cross-sectional and experimental study will be conducted online. In the cross-sectional study (Phase I), eligible participants are college students who are aged ≥ 16 years and have at least one living grandparent aged ≥ 60 years who has/have not completed the COVID-19 vaccination. Participants self-complete Questionnaire A to collect information on the socio-demographics of themselves and their grandparents, their knowledge about older adults’ COVID-19 vaccination, as well as Health Belief Model (HBM) and Theory of Planned Behavior (TPB) predictor variables. The primary outcome at Phase I is college students’ willingness to persuade grandparents to receive COVID-19 vaccines. Those who are willing to persuade grandparents and participate in a follow-up survey will be invited to participate in a randomized controlled trial (Phase II). At Phase II, eligible participants are those who have at least one living grandparent aged ≥ 60 years who completed the COVID-19 initial vaccination series but has/have not received a booster dose. At the baseline, participants self-complete Questionnaire B to collect information on individual grandparents’ COVID-19 vaccination status, attitude towards and intention to COVID-19 booster dose. Participants will then be randomly allocated 1:1 to either intervention arm (one-week smartphone-based health education on older adults’ COVID-19 vaccination plus two weeks’ waiting period) or control arm (three weeks’ waiting period). At the end of week three, participants in both arms self-complete Questionnaire C to collect information on their grandparents’ COVID-19 vaccination status. The primary outcome at Phase II is the uptake rate of COVID-19 booster dose among grandparents. Secondary outcomes include grandparents’ attitude and intention to get a COVID-19 booster dose. Discussion No previous study had measured the effect of college students’ persuasion on COVID-19 vaccination uptake in older adults. Findings from this study will provide evidence for innovative and potentially feasible interventions that further promote COVID-19 vaccination in older adults. Trial registration Chinese Clinical Trial Registry: ChiCTR2200063240. Registered 2 September 2022.https://doi.org/10.1186/s12889-023-16209-2COVID-19College studentsOlder adultsVaccinationChina
spellingShingle Junye Bian
Zhihui Guo
Weijie Zhang
Xinyi Li
Caijun Sun
Xuelian Xu
Huachun Zou
College students’ influence on COVID-19 vaccination uptake among seniors in China: a protocol of combined cross-sectional and experimental study
BMC Public Health
COVID-19
College students
Older adults
Vaccination
China
title College students’ influence on COVID-19 vaccination uptake among seniors in China: a protocol of combined cross-sectional and experimental study
title_full College students’ influence on COVID-19 vaccination uptake among seniors in China: a protocol of combined cross-sectional and experimental study
title_fullStr College students’ influence on COVID-19 vaccination uptake among seniors in China: a protocol of combined cross-sectional and experimental study
title_full_unstemmed College students’ influence on COVID-19 vaccination uptake among seniors in China: a protocol of combined cross-sectional and experimental study
title_short College students’ influence on COVID-19 vaccination uptake among seniors in China: a protocol of combined cross-sectional and experimental study
title_sort college students influence on covid 19 vaccination uptake among seniors in china a protocol of combined cross sectional and experimental study
topic COVID-19
College students
Older adults
Vaccination
China
url https://doi.org/10.1186/s12889-023-16209-2
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