Journal of Immigrant and Minority Health

, Volume 17, Issue 1, pp 79–88

Development and Initial Testing of Messages to Encourage Tuberculosis Testing and Treatment Among Bacille Calmette-Guerin (BCG) Vaccinated Persons

  • Joan M. Mangan
  • Sebastian Galindo-Gonzalez
  • Tracy A. Irani
Original Paper

DOI: 10.1007/s10903-013-9928-z

Cite this article as:
Mangan, J.M., Galindo-Gonzalez, S. & Irani, T.A. J Immigrant Minority Health (2015) 17: 79. doi:10.1007/s10903-013-9928-z

Abstract

Misperceptions surrounding the Bacille Calmette-Guerin (BCG) vaccine can lead some vaccinated individuals to resist being tested and treated for tuberculosis (TB). Educational messages to best explain the risk of TB to BCG-vaccinated, Hispanic persons were systematically developed and tested. First, TB program staff provided messages they considered effective. These were analyzed and validated by TB experts, and then presented in group interviews initially to foreign-born Hispanic persons with a TB diagnosis, and then persons without a prior TB diagnosis. Based on interviewees’ feedback, preferred statements were used to develop one long and three short comprehensive messages. One-on-one interviews were conducted with Hispanic persons to assess the saliency of the comprehensive educational messages. Participants preferred messages that were gain or positively-framed and explained that BCG does not confer lifelong protection against TB. Participants confirmed the messages would likely have a positive impact on patient decisions to undergo TB testing and treatment.

Keywords

TuberculosisBCG vaccineHealth beliefsPatient educationMessage development

Copyright information

© Springer Science+Business Media New York (Outside the USA) 2013

Authors and Affiliations

  • Joan M. Mangan
    • 1
  • Sebastian Galindo-Gonzalez
    • 2
  • Tracy A. Irani
    • 2
  1. 1.Division of Tuberculosis EliminationCenters for Disease Control and PreventionAtlantaUSA
  2. 2.Department of Agricultural Education and CommunicationUniversity of FloridaGainesvilleUSA