Face to face interventions for informing or educating parents about early childhood vaccination

Kaufman, Jessica; Ryan, Rebecca; Walsh, Louisa; Horey, Dell; Leask, Julie; Robinson, Priscilla; Hill, Sophie

doi:10.1002/14651858.cd010038.pub2

Cited by 136 publications

(58 citation statements)

References 124 publications

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“…The search strategy yielded 15 literature reviews or metaanalysis that met the eligibility criteria [12][13][14][15][16][17][18][19][20][21][22][23][24][25][26]. The majority of these were published in the last 3 years (9/15).…”

Section: Resultsmentioning

confidence: 99%

“…Globally, most of the interventions analysed in the reviews that were examined for the present study were primarily to inform or to educate about vaccination [13,14,16,17,20,21,25]. Brief written educational interventions (e.g.…”

Section: Resultsmentioning

confidence: 99%

“…None of the reviews included any recommendation for a particular type of informational or educational intervention as an effective strategy to increase vaccine uptake or to reduce vaccine hesitancy. For instance, Odone et al reviewed interventions that apply new media (Internet and social media) to promote vaccine uptake and increase vaccination coverage [16]. These authors concluded that text messaging, accessing vaccination campaign websites, using patient-held web-based portals and computerised reminders may increase vaccine uptake, whereas there was insufficient evidence to determine effectiveness of use of social networks, email communication and smartphone applications [17].…”

Section: Resultsmentioning

confidence: 99%

“…However, because many communication interventions were part of multi-component strategies, the net contribution of communication in improving vaccine uptake was difficult to assess [13]. The conclusions of two Cochrane reviews examining interventions to inform and educate about early childhood vaccination also indicate that the evidence that this type of interventions may increase vaccine uptake is of low quality [16,21].…”

Section: Resultsmentioning

confidence: 99%

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Strategies intended to address vaccine hesitancy: Review of published reviews

Dubé

Gagnon

MacDonald

2015

Vaccine

465

377

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When faced with vaccine hesitancy, public health authorities are looking for effective strategies to address this issue. In this paper, the findings of 15 published literature reviews or meta-analysis that have examined the effectiveness of different interventions to reduce vaccine hesitancy and/or to enhance vaccine acceptance are presented and discussed. From the literature, there is no strong evidence to recommend any specific intervention to address vaccine hesitancy/refusal. The reviewed studies included interventions with diverse content and approaches that were implemented in different settings and targeted various populations. Few interventions were directly targeted to vaccine hesitant individuals. Given the paucity of information on effective strategies to address vaccine hesitancy, when interventions are implemented, planning a rigorous evaluation of their impact on vaccine hesitancy/vaccine acceptance will be essential.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Strategies intended to address vaccine hesitancy: Review of published reviews

Dubé

Gagnon

MacDonald

2015

Vaccine

465

377

View full text Add to dashboard Cite

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“…The effectiveness of interventions to increase immunisation uptake among children 48,[78][79][80][81][82] and adults 68,78,83,84 have also been reviewed and there are many examples of innovative health-and social-care provisions aimed at improving the health of Travellers. 17,18,85,86 Some target immunisation specifically (e.g.…”

Section: Interventions To Increase the Uptake Of Immunisationmentioning

confidence: 99%

UNderstanding uptake of Immunisations in TravellIng aNd Gypsy communities (UNITING): a qualitative interview study

Jackson

Dyson

Bedford

et al. 2016

Health Technol Assess

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Background: Gypsies, Travellers and Roma (referred to as Travellers) are less likely to access health services, including immunisation. To improve immunisation rates, we need to understand what helps and hinders individuals in these communities in taking up immunisations. Aims: (1) Investigate the barriers to and facilitators of acceptability and uptake of immunisations among six Traveller communities across four UK cities; and (2) identify possible interventions to increase uptake of immunisations in these Traveller communities that could be tested in a subsequent feasibility study. Methods: Three-phase qualitative study underpinned by the social ecological model. Phase 1: interviews with 174 Travellers from six communities: Romanian Roma (Bristol); English Gypsy/Irish Traveller (Bristol); English Gypsy (York); Romanian/Slovakian Roma (Glasgow); Scottish Showpeople (Glasgow); and Irish Traveller (London). Focus on childhood and adult vaccines. Phase 2: interviews with 39 service providers. Data were analysed using the framework approach. Interventions were identified using a modified intervention mapping approach. Phase 3: 51 Travellers and 25 service providers attended workshops and produced a prioritised list of potentially acceptable and feasible interventions. Results: There were many common accounts of barriers and facilitators across communities, particularly across the English-speaking communities. Scottish Showpeople were the most similar to the general population. Roma communities experienced additional barriers of language and being in a new country. Men, women and service providers described similar barriers and facilitators. There was widespread acceptance of childhood and adult immunisation, with current parents perceived as more positive than their elders. A minority of English-speaking Travellers worried about multiple/combined childhood vaccines, adult flu and whooping cough. Cultural concerns about vaccines offered during pregnancy and about human papillomavirus were most evident in the Bristol English Gypsy/Irish Traveller community. Language, literacy, discrimination, poor school attendance, poverty and housing were identified by Travellers and service providers as barriers for some. Trustful relationships with health professionals were important and continuity of care was valued. A few English-speaking Travellers described problems of booking and attending for immunisation. Service providers tailored their approach to Travellers, particularly the Roma. Funding cuts, NHS reforms and poor monitoring challenged their work. Five ‘top-priority’ interventions were agreed across communities and service providers to improve the immunisation among Travellers who are housed or settled on an authorised site: (1) cultural competence training for health professionals and frontline staff; (2) identification of Travellers in health records to tailor support and monitor uptake; (3) provision of a named frontline person in general practitioner practices to provide respectful and supportive service; (4) flexib...

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The Evidence-Based Metaphor

Trogen

2017

JAMA

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The Evidence-Based Metaphor "Grace and I are trying to keep the vaccines minimal for Annie, if we can."Jeremy, the man sitting in front of me, is tall, slender, and politely tattooed. Despite appearing distinctly well rested, he's every bit the new parent: exhilarated and, equally, terrified."There are just so many of them," he says. "I was concerned about overloading her system."It's a situation that many pediatricians encounter on a regular basis: a parent who is resistant to the idea of childhood vaccinations for a son or daughter. The only difference here is that Jeremy isn't really an anxious parent but a standardized patient-an actor trained to re-create this scenario-and I'm not a physician but a medical student. We're in the midst of an OSCE, an "objective structured clinical examination," designed to train medical students in the real-life practice of medicine.Sitting in a perfect replica of an examination room, wearing a white coat and stethoscope, I'm tasked with changing Jeremy's mind. I launch into my carefully prepared talking points, explaining that vaccines are remarkably safe and effective, that they won't overstrain his daughter's immune system. The vaccine we're discussing doesn't even contain living virus, I tell him. "It's more like a fingerprint of the germ," I explain. "When Annie's body sees it, she learns to recognize that tiny fragment so she can attack it if she ever encounters it again."Later, in the debriefing, Jeremy reviews the case with me, providing lengthy feedback on everything from eye contact and posture to professionalism."I've done this scenario hundreds of times," he says, finally, "and I've heard a lot of explanations of how vaccines work. I thought the fingerprint analogy worked well."This statement came almost as an afterthought, a high note to close the encounter. Yet as I left the examination, I began to wonder about the hundreds of other medical students stretching back through the years, each armed with their own individual script, each trying to accomplish the same task with different metaphors. Just how dissimilar were our explanations?Curious, I asked around. One of my classmates had described the vaccine as a "personal trainer" for the immune system, "pumping up" the patient's natural immunity. Another portrayed vaccination as a kind of insurance policy against future illness. In a case where we had all carefully memorized the same statistics, cellular pathways, and adverse effects, it occurred to me that our patient explanations seemed wildly, and perhaps unwisely, variable.Metaphor and analogy are necessary mainstays in medicine. Starting in medical school-where we learn to recognize strawberry tongues, barking seal coughs, and

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Face to face interventions for informing or educating parents about early childhood vaccination

Cited by 136 publications

References 124 publications

Strategies intended to address vaccine hesitancy: Review of published reviews

Strategies intended to address vaccine hesitancy: Review of published reviews

UNderstanding uptake of Immunisations in TravellIng aNd Gypsy communities (UNITING): a qualitative interview study

The Evidence-Based Metaphor

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