Island. Community outreach activities included radio ads, as well as distribution of patient handouts and wallet cards at community events.Practice innovation: To our knowledge, this was the first statewide pharmacist-driven academic detailing and community outreach campaign to promote adult pneumococcal vaccination.Evaluation: Academically-detailed immunization providers received a six-question survey.Pneumococcal disease rate differences between the study periods were evaluated with Fisher's exact tests, while changes in vaccination were assessed with chi-square tests.Results: From November 2013 through July 2015, our academic detailers visited and/or distributed our vaccination pathway materials to over 400 practice sites across Rhode Island, Vaccination increased while pneumococcal disease decreased during the study period.8 Key PointsBackground
BackgroundMinority adult populations are at a higher risk for invasive pneumococcal disease and also have significantly lower vaccination rates when compared with the general population. Ingrained attitudes are a significant barrier to receipt of pneumococcal vaccine in these disparate populations, and therefore we tested targeted informational messaging to overcome these.MethodsA survey instrument of attitudinal questions related to pneumococcal vaccination was administered via YouGov, an online public national survey house in 2017. Socioeconomic information was captured and linked to baseline Likert scale attitudinal question responses. Respondents were randomly assigned into subsamples that received different science-based messages that included information on pneumococcal vaccines related to: pneumonia prevention, fatality/consequences, vaccine safety information, family duty/safety, and a combined vignette including all of these. Because of the random assignment, any differences observed in the respondents’ outcomes across subsamples can be attributed to the messages. Descriptive statistics were used to compare the persuasive effectiveness of these messages to conventional vaccine information across racial and ethnic groups.ResultsA total of 2,608 respondents, 1,327 (51%) white and 1,281 (49%) non-white (over-sampled) were represented. Of the total respondents as well as in white, and non-white respondents, the combined vignette was associated with positive coefficients of b = 0.26, b = 0.24, and b = 0.32, respectively (P-values all <0.05). In whites, the vaccine safety information and family duty/safety also had significant coefficients b = 0.24 ( = P = 0.012) and b = 0.24 (P = 0016), respectively. In non-Whites, family duty/safety was the only additional message with a significant coefficient b = 0.25 (P = 0.007).ConclusionIn this survey assessing attitudes toward pneumococcal vaccination across racial and ethnic subpopulations, the disparate population was persuaded to receive the vaccine only when family duty and safety were linked within the informational messages. Future studies implementing this informational messaging strategy should be performed to validate this finding.Disclosures A. Caffrey, Pfizer Pharmaceuticals: Grant Investigator, Research grant; Merck: Grant Investigator, Research grant; The Medicines Company: Grant Investigator, Research grant. K. LaPlante, Merck: Grant Investigator, Research grant; Pfizer Pharmaceuticals: Grant Investigator, Research grant; Allergan: Scientific Advisor, Honorarium; Ocean Spray Cranberries, Inc: Grant Investigator and Scientific Advisor, Honorarium and Research grant; Achaogen, Inc.: Scientific Advisor, Honorarium; Zavante Therapeutics, Inc.: Scientific Advisor, Honorarium.
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