Evidence map›Paper›PMID 34521673›Full record

ArticleBMJ open2021

Development of a culturally and linguistically sensitive virtual reality educational platform to improve vaccine acceptance within a refugee population: the SHIFA community engagement-public health innovation programme.

Samantha Streuli, Najla Ibrahim, Alia Mohamed, Manupriya Sharma, Markie Esmailian, Ibrahim Sezan, Carrie Farrell, Mark Sawyer, Dan Meyer, Khaled El-Maleh and 6 more

Abstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Challenges in the Medical and Psychosocial Care of the Paediatric Refugee-A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
  4. Review
  5. Community participation in responding to health misinformation.International journal for equity in health · 2026
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  20. Overcoming Vaccine Hesitancy Using Community-Based Efforts.Pediatric clinics of North America · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Samantha StreuliDepartment of Anthropology, University of California San Diego, La Jolla, California, USA sstreuli@ucsd.edu.ORCID 0000-0003-1205-7605
Najla IbrahimDepartment of Health and Wellness, Somali Family Service of San Diego, San Diego, CA, USA.
Alia MohamedDepartment of Biology, San Diego State University, San Diego, CA, USA.
Manupriya SharmaDepartment of Physics and Engineering, Palomar College, San Marcos, California, USA.
Markie EsmailianIllumeSense, San Diego, California, USA.
Ibrahim SezanDistinct Insights, San Diego, California, USA.
Carrie FarrellSchool of Public Affairs, San Diego State University, San Diego, California, USA.
Mark SawyerDepartment of Pediatrics, University of California San Diego School of Medicine, La Jolla, CA, USA.
Dan MeyerDepartment of Cardiovascular & Thoracic Surgery, The University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Khaled El-MalehQUALCOMM, San Diego, California, USA.
Ritu ThammanDepartment of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Alex MarchettiFarmer School of Business, Miami University, Oxford, Ohio, USA.
Alan LincolnDeparment of Clinical Psychology, Alliant International University-San Diego, San Diego, California, USA.
Eric CourchesneDepartment of Neurosciences, University of California San Diego School of Medicine, La Jolla, CA, USA.
Ahmed SahidSomali Family Service of San Diego, San Diego, California, USA.
Sanjeev P BhavnaniHealthcare Innovation and Practice Transformation Laboratory, Scripps Clinic La Jolla-Genesee Executive Plaza, San Diego, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo combat misinformation, engender trust and increase health literacy, we developed a culturally and linguistically appropriate virtual reality (VR) vaccination education platform using community-engaged approaches within a Somali refugee community.

designCommunity-based participatory research (CBPR) methods including focus group discussions, interviews, and surveys were conducted with Somali community members and expert advisors to design the educational content. Co-design approaches with community input were employed in a phased approach to develop the VR storyline.

participants60 adult Somali refugees and seven expert advisors who specialise in healthcare, autism research, technology development and community engagement.

settingSomali refugees participated at the offices of a community-based organisation, Somali Family Service, in San Diego, California and online. Expert advisors responded to surveys virtually.

resultsWe find that a CBPR approach can be effectively used for the co-design of a VR educational programme. Additionally, cultural and linguistic sensitivities can be incorporated within a VR educational programme and are essential factors for effective community engagement. Finally, effective VR utilisation requires flexibility so that it can be used among community members with varying levels of health and technology literacy.

conclusionWe describe using community co-design to create a culturally and linguistically sensitive VR experience promoting vaccination within a refugee community. Our approach to VR development incorporated community members at each step of the process. Our methodology is potentially applicable to other populations where cultural sensitivities and language are common health education barriers.

Indexed as

RefugeesVaccinesVirtual RealityAdultCommunity-Based Participatory ResearchHumansPublic HealthVaccinescommunity child healthpaediatric infectious disease & immunisationqualitative research

Identifiers

PMID34521673
PMCPMC8442061

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.