COVID-19 Vaccination in a Military Population: Evaluation of a Quality Improvement Initiative to Increase Vaccine Confidence and Reduce Hesitancy.

Introduction: Extensive efforts have been directed toward developing an effective vaccine to fight against the Coronavirus Disease 2019 (COVID-19); however, hesitancy to receive COVID-19 vaccinations has become detrimental to overcoming the COVID-19 pandemic. Although the U.S. Military instated a COVID-19 vaccine mandate, some members were still hesitant to receive the vaccine. To determine the efficacy of a program focused on vaccine hesitation, a program evaluation was conducted on a COVID-19 vaccine educational intervention (hereafter COVID-19 Educational Presentation) for trainees at Lackland Air Force Base, TX, in September 2021. Objectives of the educational session included (1) determining the participants' level of confidence that the COVID-19 vaccines are safe and effective, (2) understanding the concern for long-term side effects from COVID-19 vaccinations, and (3) identifying the driving forces behind hesitancy to receive a COVID-19 vaccination.

Materials And Methods: We reviewed data collected from the COVID-19 Vaccine Educational Presentation; it consisted of a PowerPoint presentation addressing common questions and myths about COVID-19 vaccines. A survey instrument called the COVID-19 Hesitancy and Confidence Survey was created to assess attitudes to receive the COVID-19 vaccine.

Results: Two voluntary COVID-19 Educational Presentations were given in September 2, 2021, months prior to the Air Force's COVID-19 vaccine mandate deadline; 128 trainees participated in the assessment surveys. Overall, the educational intervention increased confidence to receive the COVID-19 vaccine increased by 12.6% (t = -7.928, P < 0.001).

Conclusions: The COVID-19 Educational Presentation increased confidence and decreased hesitancy to receive the COVID-19 vaccine. Vaccine educational programs should continue in the military population to help combat misinformation and ensure that our military force is fully vaccinated and able to maintain mission readiness.