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解决加拿大艾伯塔省新移民家庭在获取常规儿童疫苗时面临的障碍。

Addressing Barriers Newcomer Families Face When Obtaining Routine Childhood Vaccines in Alberta, Canada.

作者信息

Wong King Yuen Siobhan M, Doucette Emily J, Ford Caitlin, Fullerton Madison M, Vetro Ginamaria, Koyama Amanda, Hu Jia, Constantinescu Cora

机构信息

Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 1N4, Canada.

19 to Zero Inc., Rocky Mountain House, AB T4T 1B1, Canada.

出版信息

Vaccines (Basel). 2024 Dec 7;12(12):1380. doi: 10.3390/vaccines12121380.

DOI:10.3390/vaccines12121380
PMID:39772042
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11680383/
Abstract

: As the newcomer population in Canada continues to grow, we aimed to collaborate with newcomer families arriving in an urban center in Alberta, Canada to identify strategies to overcome identified barriers newcomers face in obtaining routine childhood vaccines (RCVs). : We recruited newcomers living in Calgary, Alberta to participate in a workshop utilizing the Nominal Group Technique (NGT) to develop solutions addressing barriers to obtaining RCVs. Ranking exercises helped identify the top-proposed interventions based on perceived impact and feasibility for implementation. Based on the identified need for translated vaccine resources, infographics on school-based vaccines were developed. The infographics were pilot-tested in a first-language focus group before the final product was translated into 10 different languages. : Consensus from 15 NGT workshop participants identified five key solutions to facilitate obtaining routine childhood immunizations: (1) Increasing access to reliable vaccine information; (2) Ensuring vaccine information and healthcare services are available in different languages; (3) Increasing vaccine appointment availability and optimizing the booking system for ease of navigation; (4) Increasing the role of family doctors in vaccine counseling and administration; (5) Streamlining vaccine record tracking. We developed infographics on the vaccines children in Alberta can receive through school-based vaccine programs and these were pilot-tested with 16 participants in a first-language (Arabic) focus group. : The collaborative and iterative process of solution development with newcomers provided a platform for knowledge translation through the development of educational resources on school-based vaccines, addressing the information barrier that newcomers identified when accessing RCVs.

摘要

随着加拿大新移民人口持续增长,我们旨在与抵达加拿大艾伯塔省一个城市中心的新移民家庭合作,以确定克服新移民在获取常规儿童疫苗(RCV)时所面临的已确定障碍的策略。

我们招募了居住在艾伯塔省卡尔加里的新移民参加一个利用名义小组技术(NGT)的研讨会,以制定解决获取RCV障碍的方案。排名练习有助于根据感知到的影响和实施可行性确定最受提议的干预措施。基于已确定的对翻译后的疫苗资源的需求,开发了关于学校疫苗的信息图表。在最终产品被翻译成10种不同语言之前,信息图表在一个以母语为重点的小组中进行了试点测试。

15名NGT研讨会参与者达成的共识确定了促进获得常规儿童免疫接种的五个关键解决方案:(1)增加获取可靠疫苗信息的机会;(2)确保以不同语言提供疫苗信息和医疗服务;(3)增加疫苗预约的可获得性并优化预约系统以方便操作;(4)增加家庭医生在疫苗咨询和接种方面的作用;(5)简化疫苗记录跟踪。我们开发了关于艾伯塔省儿童可通过学校疫苗计划接种的疫苗的信息图表,并在一个以母语(阿拉伯语)为重点的小组中与16名参与者进行了试点测试。

与新移民合作开发解决方案的协作和迭代过程,通过开发关于学校疫苗的教育资源,为知识转化提供了一个平台,解决了新移民在获取RCV时所确定的信息障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02b3/11680383/da777c8930f0/vaccines-12-01380-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02b3/11680383/911369294e52/vaccines-12-01380-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02b3/11680383/5b22bf8f9a5e/vaccines-12-01380-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02b3/11680383/da777c8930f0/vaccines-12-01380-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02b3/11680383/911369294e52/vaccines-12-01380-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02b3/11680383/5b22bf8f9a5e/vaccines-12-01380-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02b3/11680383/da777c8930f0/vaccines-12-01380-g003.jpg

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本文引用的文献

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The influence of health service interactions and local policies on vaccination decision-making in immigrant women: A multi-site Canadian qualitative study.医疗服务互动及地方政策对移民女性疫苗接种决策的影响:一项加拿大多地点定性研究
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COVID-19 Vaccinations, Trust, and Vaccination Decisions within the Refugee Community of Calgary, Canada.加拿大卡尔加里难民社区内的新冠疫苗接种、信任与疫苗接种决策
Vaccines (Basel). 2024 Feb 9;12(2):177. doi: 10.3390/vaccines12020177.
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Barriers experienced by families new to Alberta, Canada when accessing routine-childhood vaccinations.
加拿大艾伯塔省新移民家庭在获得常规儿童疫苗接种服务时所面临的障碍。
BMC Public Health. 2023 Jul 12;23(1):1333. doi: 10.1186/s12889-023-16258-7.
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