Developing a Public Health Course to Train Undergraduate Student Health Messengers to Address Vaccine Hesitancy in an American Indian Community

Int J Environ Res Public Health. 2024 Oct 4;21(10):1320. doi: 10.3390/ijerph21101320.

Abstract

The purpose of the Diné Teachings and Public Health Students Informing Peers and Relatives about Vaccine Education (RAVE) project was to develop strategies for health communication that addressed COVID-19 vaccine safety for residents of the Navajo Nation. The RAVE project developed a 16-week course using the Diné Educational Philosophy as a framework to train Diné College (DC) public health undergraduate students (n = 16) as health messengers to share COVID-19 vaccine safety information with unvaccinated peers and relatives. An online community survey (n = 50) was used to assess DC community vaccination perceptions to guide course development. The two primary reasons survey participants got vaccinated were to protect the health of others [82% (n = 41)] and to protect their own health [76% (n = 38)]. A pretest/post-test and a retrospective pretest (n = 13) were implemented to determine course effectiveness. A finding approaching significance was related to student confidence in being health messengers (9.1% increase). RAVE offers the first example in the published literature of successfully training American Indian undergraduate students in the context of a public health course to contribute to the response workforce during a public health crisis.

Keywords: COVID-19 pandemic; COVID-19 vaccine; Diné; health communication; health messenger; public health students.

MeSH terms

  • Adult
  • COVID-19 / prevention & control
  • COVID-19 Vaccines*
  • Female
  • Humans
  • Indians, North American* / psychology
  • Male
  • Public Health
  • Students, Public Health / psychology
  • Surveys and Questionnaires
  • Universities
  • Vaccination Hesitancy* / psychology
  • Young Adult

Substances

  • COVID-19 Vaccines