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. 2023 May-Jun;37(3):244-252.
doi: 10.1016/j.pedhc.2022.11.002. Epub 2022 Nov 17.

Development and Beta-Testing of the CONFIDENCE Intervention to Increase Pediatric COVID-19 Vaccination

Grace W Ryan, Melissa Goulding, Amy Borg, Princilla Minkah, Angela Beeler, Milagros C Rosal, Stephenie C Lemon

Development and Beta-Testing of the CONFIDENCE Intervention to Increase Pediatric COVID-19 Vaccination

Grace W Ryan et al. J Pediatr Health Care. 2023 May-Jun.

Abstract

Introduction: Innovative strategies are needed to improve pediatric COVID-19 vaccination rates. We describe the process for developing a clinic-based intervention, CONFIDENCE, to improve pediatric COVID-19 vaccine uptake and present results of our beta-test for feasibility and acceptability.

Method: CONFIDENCE included communication training with providers, a poster campaign, and parent-facing educational materials. We assessed feasibility and acceptability through interviews and measured preliminary vaccine intention outcomes with a pre-post parent survey. Interviews were analyzed using rapid qualitative methods. We generated descriptive statistics for variables on the parent survey and used Fisher's exact test to assess pre-post differences.

Results: Participating providers (n = 4) reported high levels of feasibility and acceptability. We observed positive trends in parents' (n = 69) reports of discussing vaccination with their provider and the parental decision to accept COVID-19 vaccination.

Discussion: Our next steps will be to use more rigorous methods to establish the efficacy and effectiveness of the CONFIDENCE intervention.

Keywords: COVID-19 vaccination; intervention development; pediatrics; vaccine hesitancy.

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Figures

FIGURE
FIGURE
CONFIDENCE intervention development and implementation process.
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