IMEK Centro de Investigación en Mercadeo & Desarrollo, Santiago de Cali, Colombia.
Instituto de Salud Pública, Pontificia Universidad Javeriana, Bogotá, Colombia.
Glob Health Action. 2023 Dec 31;16(1):2242670. doi: 10.1080/16549716.2023.2242670.
COVID-19 vaccination is a global priority. Latin American countries have some of the highest COVID-19 death rates worldwide with vaccination hampered by a variety of reasons, including mis- and disinformation, vaccine hesitancy, and vaccine supply constraints. Addressing vaccine hesitancy through effective messages has been found to help increase vaccine uptake. Participatory processes could be used to co-design health messages for this purpose.
This article describes the methodology used to co-design evidence-based audio messages to be deployed in a cohort of individuals through an interactive voice response (IVR) mobile phone survey intervention, aimed towards increasing vaccination uptake in an adult population in Colombia.
Participants of the COVID-19 vaccination message co-design process included a sample of the general population of the country, representatives of the funder organisation, and research team members. The co-design process consisted of four phases: (1) formative quantitative and qualitative research, (2) message drafting based on the results of the formative research, (3) message content evaluation, and (4) evaluation of the voices to deliver the audio messages; and was informed by reflexive meetings.
Three categories of evidence-based audio messages were co-designed, each corresponding to an arm of the mHealth intervention: (1) factual messages, (2) narrative messages, and (3) mixed messages. An additional fourth arm with no message was proposed for control. The iterative co-design process ended with a total of 14 audio messages recorded to be deployed via the intervention.
Co-developing health messages in response to health emergencies is possible. Adopting more context-relevant, participatory, people-centred, and reflexive multidisciplinary approaches could help develop solutions that are more responsive to the needs of populations and public health priorities. Investing resources in message co-design is deemed to have a greater potential for influencing behaviours and improving health outcomes.
新冠病毒疫苗接种是全球的当务之急。拉丁美洲国家的新冠死亡率居全球前列，由于各种原因，包括错误和虚假信息、疫苗犹豫以及疫苗供应限制，这些国家的疫苗接种工作受到阻碍。通过有效的信息传递来解决疫苗犹豫问题已被证明有助于提高疫苗接种率。参与式流程可用于共同设计此类健康信息。
本文介绍了一种方法，用于共同设计基于证据的音频信息，以便通过交互式语音应答（IVR）手机调查干预措施在哥伦比亚的一个人群中进行部署，旨在提高成年人群的疫苗接种率。
新冠病毒疫苗信息共同设计过程的参与者包括该国一般人群的样本、资助组织的代表以及研究团队成员。共同设计过程包括四个阶段：（1）形成性定量和定性研究；（2）根据形成性研究结果起草信息；（3）信息内容评估；（4）评估传递音频信息的声音；并得到反思会议的指导。
共同设计了三类基于证据的音频信息，每类对应 mHealth 干预措施的一个分支：（1）事实信息；（2）叙述信息；（3）混合信息。还提出了第四个无信息的分支作为对照。迭代的共同设计过程最终确定了总共 14 个要通过干预措施部署的音频信息。
针对卫生紧急情况共同制定卫生信息是可行的。采取更具相关性、参与性、以人民为中心和反思性的多学科方法，有助于制定更能满足人群需求和公共卫生重点的解决方案。投入资源进行信息共同设计被认为更有潜力影响行为和改善健康结果。
