Black Pastors as Change Agents Promoting COVID-19 Vaccination in South Carolina: Application of Diffusion of Innovations Theory.

During the COVID-19 pandemic, many minority communities tried different strategies to increase their members' vaccination rates. This study uses diffusion of innovations theory [1] with a focus on "the sequence of change agent roles" to explore Black pastors' approach to COVID-19 vaccine hesitancy. Ten semi-structured interviews gauged how Black pastors understood their role in increasing vaccine use in their communities. Seven themes emerged from analysis: creating awareness of change; establishing a connection; seeking to understand; encouraging the new behavior; leveraging the power of interpersonal communication; maintaining support; and providing future assistance. Results im-ply that by continuing to work with healthcare providers, Black pastors can help to in-crease awareness about annual COVID-19 boosters among their church members and in surrounding communities.