Embracing context: Lessons from designing a dialogue-based intervention to address vaccine hesitancy
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...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-02-01
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| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1069199/full |
| _version_ | 1797902976554106880 |
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| author | ToTran Nguyen ToTran Nguyen Lise Boey Carla Van Riet Stef Dielen Hélène Dodion Tamara Giles-Vernick Nico Vandaele Heidi J. Larson Koen Peeters Grietens Koen Peeters Grietens Charlotte Gryseels Leonardo W. Heyerdahl |
| author_facet | ToTran Nguyen ToTran Nguyen Lise Boey Carla Van Riet Stef Dielen Hélène Dodion Tamara Giles-Vernick Nico Vandaele Heidi J. Larson Koen Peeters Grietens Koen Peeters Grietens Charlotte Gryseels Leonardo W. Heyerdahl |
| author_sort | ToTran Nguyen |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-10T09:25:42Z |
| format | Article |
| id | doaj.art-a0764083976146a6901f0636ec2c1496 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-10T09:25:42Z |
| publishDate | 2023-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-a0764083976146a6901f0636ec2c14962023-02-20T05:32:32ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-02-011110.3389/fpubh.2023.10691991069199Embracing context: Lessons from designing a dialogue-based intervention to address vaccine hesitancyToTran Nguyen0ToTran Nguyen1Lise Boey2Carla Van Riet3Stef Dielen4Hélène Dodion5Tamara Giles-Vernick6Nico Vandaele7Heidi J. Larson8Koen Peeters Grietens9Koen Peeters Grietens10Charlotte Gryseels11Leonardo W. Heyerdahl12Socio-Ecological Health Research Unit, Department of Public Health, Institute of Tropical Medicine, Antwerp, BelgiumDepartment of Work and Organisation Studies, KU Leuven, Leuven, BelgiumAccess-To-Medicines Research Centre, KU Leuven, Leuven, BelgiumAccess-To-Medicines Research Centre, KU Leuven, Leuven, BelgiumSocio-Ecological Health Research Unit, Department of Public Health, Institute of Tropical Medicine, Antwerp, BelgiumSocio-Ecological Health Research Unit, Department of Public Health, Institute of Tropical Medicine, Antwerp, BelgiumAnthropology and Ecology of Disease Emergence Unit, Department of Global Health, Institut Pasteur, Paris, FranceAccess-To-Medicines Research Centre, KU Leuven, Leuven, BelgiumVaccine Confidence Project, London School of Hygiene and Tropical Medicine, London, United KingdomSocio-Ecological Health Research Unit, Department of Public Health, Institute of Tropical Medicine, Antwerp, BelgiumSchool of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, JapanSocio-Ecological Health Research Unit, Department of Public Health, Institute of Tropical Medicine, Antwerp, BelgiumAnthropology and Ecology of Disease Emergence Unit, Department of Global Health, Institut Pasteur, Paris, FranceDialogue 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.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1069199/fulldialogueCOVID-19vaccine hesitancydialogue-based interventiondigital interventionparticipatory research |
| spellingShingle | ToTran Nguyen ToTran Nguyen Lise Boey Carla Van Riet Stef Dielen Hélène Dodion Tamara Giles-Vernick Nico Vandaele Heidi J. Larson Koen Peeters Grietens Koen Peeters Grietens Charlotte Gryseels Leonardo W. Heyerdahl Embracing context: Lessons from designing a dialogue-based intervention to address vaccine hesitancy Frontiers in Public Health dialogue COVID-19 vaccine hesitancy dialogue-based intervention digital intervention participatory research |
| title | Embracing context: Lessons from designing a dialogue-based intervention to address vaccine hesitancy |
| title_full | Embracing context: Lessons from designing a dialogue-based intervention to address vaccine hesitancy |
| title_fullStr | Embracing context: Lessons from designing a dialogue-based intervention to address vaccine hesitancy |
| title_full_unstemmed | Embracing context: Lessons from designing a dialogue-based intervention to address vaccine hesitancy |
| title_short | Embracing context: Lessons from designing a dialogue-based intervention to address vaccine hesitancy |
| title_sort | embracing context lessons from designing a dialogue based intervention to address vaccine hesitancy |
| topic | dialogue COVID-19 vaccine hesitancy dialogue-based intervention digital intervention participatory research |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1069199/full |
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