An Evaluation of a Lyme Disease Prevention Program in a Working Population

Nolan, Karen; Mauer, Matthew P.

doi:10.4278/0890-1171-20.6.379

Cited by 11 publications

(13 citation statements)

References 4 publications

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“…Delivered over time through three separate injections, the vaccine was eventually removed from the market in 2002 due to poor demand (Nolan and Mauer 2006). In 1999, the New York State Department of Health offered the vaccine to employees considered at occupational 820 MOWBRAY ET AL.…”

Section: Controlled Trialsmentioning

confidence: 99%

“…Changes have also been observed in a range of variables relating to knowledge of and attitudes towards ticks, tick-borne disease, and protective behaviors. For example, changes have been noted in perceptions about the likelihood of contracting Lyme disease (Gould 2008), the risks and benefits of tick repellent use (Malouin 2003), and confidence in one's ability to perform tick checks (Maher 2004), together with basic knowledge about ticks, tickborne disease, and protective behaviors (Lawless et al 1997;Gray et al 1998;Malouin et al 2003;Maher et al 2004;Jenks and Trapasso 2005;Nolan and Mauer 2006;Gould et al 2008;Fox 2009). Given that such perceptions may serve as precursors for behavior changes (Abraham and Sheeran 2005), the finding that these variables are amenable to change via the use of health promotion material in this field is encouraging.…”

Section: Current Evidencementioning

confidence: 99%

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Ticking All the Boxes? A Systematic Review of Education and Communication Interventions to Prevent Tick-Borne Disease

Mowbray

Amlôt²,

Rubin

2012

Vector-Borne and Zoonotic Diseases

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Tick-borne disease has become increasingly prevalent across Europe. Despite the effectiveness of protective behaviors, relatively few people adopt them when in areas where ticks are known to be present. In this systematic review we identified studies that assessed the impact of any educational or behavioral interventions intended to encourage the widespread use of protective behaviors against tick-borne disease. An extensive search of electronic databases returned a total of only nine such studies. Only two of these were fully randomized controlled trials, with the remaining studies using weaker designs and often relying solely on selfreports to assess behavior. The majority of research in this area has not explicitly noted the consideration of any formal psychological theory on how best to promote behaviors that protect health. Nonetheless, the results show that both knowledge of and attitudes towards tick-borne disease are amenable to change, although the stability of these changes over time has not yet been determined. Not all intervention strategies have proved effective, with some producing detrimental effects. More theory-based, methodologically-robust studies are urgently required if we are to gain a better understanding of the most effective strategies for encouraging members of the public to adopt behaviors known to protect against tick-borne disease.

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Section: Controlled Trialsmentioning

confidence: 99%

Section: Current Evidencementioning

confidence: 99%

Ticking All the Boxes? A Systematic Review of Education and Communication Interventions to Prevent Tick-Borne Disease

Mowbray

Amlôt²,

Rubin

2012

Vector-Borne and Zoonotic Diseases

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“…Overall, for adults, education interventions (leaflet or video, postal information, presentation and live show) were generally found to be successful for improving knowledge ( Beaujean et al, 2016a ; Daltroy et al, 2007 ; Malouin et al, 2003 ; Nolan and Mauer, 2006 ). Furthermore, in Beaujean et al (2016a) , behavioural beliefs (including self-efficacy for recognising and managing a tick bite, belief that preventative behaviour will help, 11 and intention to engage in protective behaviour) were higher, adjusting for potential confounding variables, in the leaflet and movie groups, compared with the control, immediately post intervention.…”

Section: Findings: What Types Of Interventions Are Effective In Prevementioning

confidence: 96%

“…All but one non-randomised controlled study ( Nolan and Mauer, 2006 ) employed a RCT design. Due to the high number of knowledge outcomes, for clarity and accessibility of text, the effect sizes and p-values are tabularised in the Appendix (E).…”

Section: Findings: What Types Of Interventions Are Effective In Prevementioning

confidence: 99%

Interventions to prevent Lyme disease in humans: A systematic review

Richardson

Khouja

Sutcliffe

2019

Preventive Medicine Reports

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Lyme disease (LD) is an infection transferred to humans through bites from infected ticks. Surveillance indicates that the number of LD cases is increasing in the UK, therefore, improved knowledge about reducing transmission from ticks to humans is needed. Eighteen electronic databases were searched and additional web-based searching was conducted, to locate empirical research, published from 2002 onwards. Sixteen studies that evaluated five types of prevention intervention were included: personal protection (n = 4), domestic strategies (landscape modification and chemical pest control) (n = 3), education (n = 6), vaccination (n = 3), and deer-reduction programmes (n = 2). In general the quality of evidence was low. Results suggest that personal protection strategies, including the use of tick repellents and wearing of protective clothes, can prevent tick bites and reduce the incidence of LD among adults. Educational interventions were generally successful for improving adults' knowledge, behavioural beliefs (e.g., self-efficacy for performing tick checks) and preventative behaviour, but for children, the findings were mixed. For adults and children, knowledge changes did not typically translate into a lower incidence of LD. Whilst evidence on vaccination against LD is promising, too few studies were available to reach robust conclusions. There was no evidence of effectiveness for deer culling, and the evidence was inconclusive for applying acaricide (tick poison) to deer's ears and heads. Low-quality evidence suggests that personal protective strategies, that limit exposure to ticks, should continue to be recommended, as should education to encourage the adoption of personal protective strategies; further investigation of education interventions for children, vaccination and deer programmes is needed.

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“…Those who were vaccinated indicated multiple reasons for vaccination with the main reason a risk of tick exposure. Those who declined vaccination cited reasons of vaccine safety, vaccine novelty and vaccine efficacy [Nolan and Mauer, 2006]. …”

Section: Introductionmentioning

confidence: 99%

Intentions to receive a potentially available Lyme disease vaccine in an urban sample

Fogel

Kusz

2016

Therapeutic Advances in Vaccines

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Objectives:The only human Lyme disease vaccine of LYMErix was voluntarily removed from the market in the United States in 2002 for a number of reasons. A new human Lyme disease vaccine is currently being developed. We would like any future approved human Lyme disease vaccine to be of interest and marketable to consumers. Methods: We surveyed 714 participants to determine variables associated with intentions to receive a Lyme disease vaccine. Predictor variables included demographics, protection motivational theory, Lyme disease knowledge, Lyme disease preventive behaviors, beliefs and perceived health. Results: We found in multivariate linear regression analyses that Asian/Asian American race/ ethnicity (p < 0.001), South Asian race/ethnicity (p = 0.01) and coping appraisal variables of response efficacy (p < 0.001) and self-efficacy (p < 0.001) were each significantly associated with increased intentions. The belief that vaccines are typically not safe was significantly associated with decreased intentions (p = 0.03). Conclusions: Asian/Asian American and South Asian race/ethnicities have a strong interest in receiving a Lyme disease vaccine. Although pharmaceutical companies may benefit by advertising a Lyme disease vaccine to Asian/Asian Americans and South Asians, marketers need to address and use approaches to interest those from other race/ethnicities. Also, marketers need to address the erroneous belief that vaccines are typically not safe in order to interest those with such beliefs to use a Lyme disease vaccine.

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An Evaluation of a Lyme Disease Prevention Program in a Working Population

Abstract: The results suggest that when a vaccine-related disease-prevention program is undertaken, (1) attitudes about disease risks and vaccine risks influence decisions to accept vaccination, and (2) in-person education should be a mandatory element of the program.

Cited by 11 publications

References 4 publications

Ticking All the Boxes? A Systematic Review of Education and Communication Interventions to Prevent Tick-Borne Disease

Ticking All the Boxes? A Systematic Review of Education and Communication Interventions to Prevent Tick-Borne Disease

Interventions to prevent Lyme disease in humans: A systematic review

Intentions to receive a potentially available Lyme disease vaccine in an urban sample

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