A systematic review and meta-analysis of effectiveness of decision aids for vaccination decision-making

Vujovich-Dunn, Cassandra; Kaufman, Jessica; King, Catherine; Kang, Melissa; Wand, Handan; Guy, Rebecca; Leask, Julie

doi:10.1016/j.vaccine.2021.05.021

Cited by 15 publications

(20 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, unlike all other studies in this review which measure vaccine uptake, these two studies measure vaccination intention. As intentions and behaviours have been found to differ within populations [31], the comparison of these findings with others in this review is tentative.…”

Section: Resultsmentioning

confidence: 48%

“…Since the experience of trauma may affect an individual's capacity for trust [22], this is a potentially important consideration for vaccination decisions following trauma. While most studies considered traumatic events experienced by individuals directly, one study investigated the vaccination behaviour of individuals following death or harm caused to others by a disaster [31]. While this might be due to practical challenges imposed on the community, this might also be due to vicarious trauma acquisition which can also affect an individual's decision making [3].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Traumatic Events and Vaccination Decisions: A Systematic Review

et al. 2022

Self Cite

View full text Add to dashboard Cite

Despite the apparent relationship between past experiences and subsequent vaccination decisions, the role of traumatic events has been overlooked when understanding vaccination intention and behaviour. We conducted a systematic review to synthesize what is known about the relationship between traumatic events and subsequent vaccination decisions. MEDLINE, PsycINFO and CINHAL electronic databases were searched, and 1551 articles were screened for eligibility. Of the 52 articles included in full-text assessment, five met the eligibility criteria. Findings suggest that the experience of trauma is associated with individual vaccination decisions. Social and practical factors related to both trauma and vaccination may mediate this relationship. As this is a relatively new field of inquiry, future research may help to clarify the nuances of the relationship. This review finds that the experience of psychological trauma is associated with vaccination intention and behaviour and points to the potential importance of a trauma-informed approach to vaccination interventions during the current global effort to achieve high COVID-19 vaccine coverage.

show abstract

Section: Resultsmentioning

confidence: 48%

Section: Discussionmentioning

confidence: 99%

Traumatic Events and Vaccination Decisions: A Systematic Review

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

“…DAs aim to include high-quality epidemiological evidence on the benefits, risks, and associated probabilities of outcomes [17]. Their most common forms are web-based tools, pamphlets, and videos, and they fall within the broader field of shared decision-making-a process by which patients and clinicians work together to (1) clarify treatment goals and (2) review information about the available options and their outcomes to reach a mutual agreement [18,19]. DAs have improved patients' perceptions of the decision-making process and increased their knowledge about the options that align with their values [20].…”

Section: Introductionmentioning

confidence: 99%

“…Although they effectively assist patients in making health treatment and screening decisions, less is known about the impact of DAs on vaccination uptake. A study that examined the impact of DAs on health care personnel's decisions regarding immunization against influenza [21] and hepatitis B [22] found that DAs could be good tools for addressing the phenomenon of vaccine hesitancy [19,23].…”

Section: Introductionmentioning

confidence: 99%

The Evaluation of Web-Based Communication Interventions to Support Decisions About COVID-19 Vaccination Among Patients With Underlying Medical Conditions: Protocol for a Randomized Controlled Trial

Lee¹,

Yoon

et al. 2023

JMIR Res Protoc

View full text Add to dashboard Cite

Background The timeliness of raising vaccine acceptance and uptake among the public is essential to overcoming COVID-19; however, the decision-making process among patients with underlying medical conditions is complex, leading individuals to vaccine hesitancy because of their health status. Although vaccine implementation is more effective when deployed as soon as possible, vaccine hesitancy is a significant threat to the success of vaccination programs. Objective This study aims to evaluate the effectiveness of a communication tool for patients with underlying medical conditions who should decide whether to receive a COVID-19 vaccine. Methods This 3-arm prospective randomized controlled trial will test the effect of the developed communication intervention, which is fully automated, patient decision aid (SMART-DA), and user-centered information (SMART-DA-α). The web-based intervention was developed to help decision-making regarding COVID-19 vaccination among patients with underlying medical conditions. Over 450 patients will be enrolled on the web from a closed panel access website and randomly assigned to 1 of 3 equal groups stratified by their underlying disease, sex, age, and willingness to receive a COVID-19 vaccine. SMART-DA-α provides additional information targeted at helping patients’ decision-making regarding COVID-19 vaccination. Implementation outcomes are COVID-19 vaccination intention, vaccine knowledge, decisional conflict, stress related to decision-making, and attitudes toward vaccination, and was self-assessed through questionnaires. Results This study was funded in 2020 and approved by the Clinical Research Information Service, Republic of Korea. Data were collected from December 2021 to January 2022. This paper was initially submitted before data analysis. The results are expected to be published in the winter of 2023. Conclusions We believe that the outcomes of this study will provide valuable new insights into the potential of decision aids for supporting informed decision-making regarding COVID-19 vaccination and discovering the barriers to making informed decisions regarding COVID-19 vaccination, especially among patients with underlying medical conditions. This study will provide knowledge about the common needs, fears, and perceptions concerning vaccines among patients, which can help tailor information for individuals and develop policies to support them. Trial Registration Korea Clinical Information Service KCT0006945; https://cris.nih.go.kr/cris/search/detailSearch.do/20965 International Registered Report Identifier (IRRID) DERR1-10.2196/42837

show abstract

“…Decision aids improve patients’ knowledge, reduce their ambivalence and increase their satisfaction with choices made in primary care including vaccinations [ 18 ]. Decision aids have also significantly increased confidence in influenza vaccination decisions among healthcare workers while improving child influenza vaccine intention [ 19 , 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

A Voice-Annotated Digital Decision Aid to Promote Child Influenza Vaccination: A Feasibility Study

et al. 2023

View full text Add to dashboard Cite

(1) Background: Child influenza vaccine uptake is suboptimal due partly to vaccine hesitancy. A voice-annotated digital decision aid, Flu Learning Object (FLO), was developed to facilitate parental decision-making. This study assessed parental views on FLO’s usability and utility and determined its preliminary effectiveness in increasing vaccine intention and uptake; (2) Methods: A single-center mixed method study was conducted in a public primary care clinic in Singapore. Parents of children aged 6 months to 5 years who were unvaccinated in the preceding year were recruited. In-depth interviews explored their views of using FLO. Pre- and post-FLO questionnaires assessed their vaccine intention and perceived usability using the System Usability Scale (SUS); (3) Results: 18 parents were recruited. They became more aware of benefits and potential complications, distinguished influenza from the common cold, and recognized recommendations by National Childhood Immunisation Schedule. FLO addressed parents’ concerns and supported their decision-making process. FLO has good usability with a mean SUS score of 79.3, ranked at approximately the 85th percentile. The usage of FLO significantly increased vaccine intention from 55.6% to 94.4% (p = 0.016) with an actual vaccine uptake rate of 50%; (4) Conclusions: Parents generally accepted FLO, which positively influenced their intention to vaccinate their child against influenza.

show abstract

A systematic review and meta-analysis of effectiveness of decision aids for vaccination decision-making

Cited by 15 publications

References 24 publications

Traumatic Events and Vaccination Decisions: A Systematic Review

Traumatic Events and Vaccination Decisions: A Systematic Review

The Evaluation of Web-Based Communication Interventions to Support Decisions About COVID-19 Vaccination Among Patients With Underlying Medical Conditions: Protocol for a Randomized Controlled Trial

A Voice-Annotated Digital Decision Aid to Promote Child Influenza Vaccination: A Feasibility Study

Contact Info

Product

Resources

About