Brief education to promote maternal influenza vaccine uptake: A randomized controlled trial

Wong, Valerie Wing Yu; Fong, Daniel Yee Tak; Lok, Kris Yuet Wan; Wong, Janet Yuen Ha; Sing, Chu; Choi, Alice Y.Y.; Yuen, Carol Yuet Sheung; Tarrant, Marie

doi:10.1016/j.vaccine.2016.09.019

Cited by 30 publications

(46 citation statements)

References 54 publications

(75 reference statements)

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“…Specifically, of the 40% that received a recommendation and an offer of influenza vaccination, 95% were vaccinated; however, among those who received neither a vaccination recommendation nor an offer, only 5% were vaccinated. This finding supports the literature that healthcare provider recommendation and offer of influenza vaccination are leading predictors of vaccination among pregnant women [6–12] and substantiates that healthcare providers with up-to-date knowledge, good practices and attitudes towards influenza vaccination foster acceptance of the vaccine among pregnant women [13,14]. …”

Section: Discussionsupporting

confidence: 85%

Knowledge, attitudes and practices about influenza vaccination among pregnant women and healthcare providers serving pregnant women in Managua, Nicaragua

Arriola

Vasconez²,

Bresee

et al. 2018

Vaccine

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Background Nicaragua implemented an influenza vaccination program for pregnant women with high-risk obstetric conditions in 2007. In 2014, the recommendation of influenza vaccination expanded to include all pregnant women. Given the expansion in the recommendation of vaccination, we evaluated knowledge, attitudes and practices of pregnant women and their healthcare providers towards influenza vaccination and its recommendation. Methods We conducted surveys among pregnant women and their healthcare providers from June to August 2016 at two hospitals and 140 health facilities in Managua. The questions were adapted from the U.S. national CDC influenza survey and related to knowledge, attitudes and practices about influenza vaccination and barriers to vaccination. We analyzed reasons for not receiving vaccination among pregnant women as well as receipt of vaccination recommendation and offer by their healthcare providers. Results Of 1,303 pregnant women enrolled, 42% (5 4 5) reported receiving influenza vaccination in the 2016 season. Of those who reported not receiving vaccination, 46% indicated barriers to vaccination. Pregnant women who were vaccinated were more likely to be aware of the recommendation for vaccination and the risks of influenza illness during pregnancy and to perceive the vaccine as safe and effective, compared to unvaccinated pregnant women (p-values < 0.001). Of the 619 health workers enrolled, over 89% recalled recommending influenza vaccination to all pregnant women, regardless of obstetric risk. Of the 1,223 women who had a prenatal visit between the start date of the influenza vaccination and the time of interview, 44% recalled receiving a recommendation for influenza vaccination and 43% were offered vaccination. Vaccination rates were higher for those receiving a recommendation and offer of vaccination compared with those who received neither (95% vs 5%, p-value < 0.001). Conclusion Pregnant women in Managua had positive perceptions of influenza vaccine and were receptive to receiving influenza vaccination, especially after the offer and recommendation by their healthcare providers.

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Section: Discussionsupporting

confidence: 85%

Knowledge, attitudes and practices about influenza vaccination among pregnant women and healthcare providers serving pregnant women in Managua, Nicaragua

Arriola

Vasconez²,

Bresee

et al. 2018

Vaccine

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show abstract

“…Of the nine RCTs, three were assessed as 'strong' [28,29,30], three 'moderate' [31,32,33] and three 'weak' [34,35,36] in quality. The weak-quality studies had methodological flaws with allocation concealment, blinding and power.…”

Section: Randomised Control Trialsmentioning

confidence: 99%

“…Information and education was important for both staff and patients separately. Information for patients was found to be effective at increasing vaccine coverage when administered through education sessions, posters or pamphlets [30,32,38,40].…”

Section: Information and Education For Patientsmentioning

confidence: 99%

Strategies for increasing uptake of vaccination in pregnancy in high-income countries: A systematic review

Bisset

Paterson

2018

Vaccine

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Twenty-two articles were included in the review. The majority of the papers included were conducted in the USA and looked at strategies to increase influenza vaccination in pregnancy. There is limited high quality evidence for strategies in high-income countries to increase coverage of pertussis and influenza vaccination in pregnancy. A number of strategies have been found to be effective; reminders about vaccination on antenatal healthcare records, midwives providing vaccination, and education and information provision for healthcare staff and patients. Future interventions to increase vaccination in pregnancy should be evaluated to ensure efficacy and to contribute to the evidence base.

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“…Pregnant women are a priority group for vaccination, but vaccination rates among this risk group are reportedly low in the EMR (7). A randomized clinical trial revealed that brief one-on-one education of pregnant women on vaccine safety and availability as well as the potential complications from influenza substantially improved vaccine acceptance and coverage in this risk group (15). This type of advocacy and education is likely to prove effective among other risk groups.…”

mentioning

confidence: 99%

Harnessing the power of advocacy to improve seasonal influenza vaccination coverage in the Eastern Mediterranean Region

Zaraketa

Abubakar

2020

East Mediterr Health J

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Brief education to promote maternal influenza vaccine uptake: A randomized controlled trial

Abstract: www.clinicaltrials.gov (NCT01772901).

Cited by 30 publications

References 54 publications

Knowledge, attitudes and practices about influenza vaccination among pregnant women and healthcare providers serving pregnant women in Managua, Nicaragua

Knowledge, attitudes and practices about influenza vaccination among pregnant women and healthcare providers serving pregnant women in Managua, Nicaragua

Strategies for increasing uptake of vaccination in pregnancy in high-income countries: A systematic review

Harnessing the power of advocacy to improve seasonal influenza vaccination coverage in the Eastern Mediterranean Region

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