Healthy young and middle age adults: What will it take to vaccinate them for influenza?

Uscher‐Pines, Lori; Maurer, Jürgen; Kellerman, Arthur L.; Harris, Katherine M.

doi:10.1016/j.vaccine.2010.08.095

Cited by 23 publications

(31 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…8 Evidence in the medical literature suggests that pharmacies have the capacity to influence previously difficult-to-reach populations, including the medically underserved. [9][10][11][12][13] Pharmacies may be especially effective in immunizing high-risk older adults, who are more likely to use pharmacy services for prescription medication than the general population.…”

Section: Vaccinat Ions Dur Ing O F F -Cl Inic Hour Smentioning

confidence: 99%

Vaccinations Administered During Off-Clinic Hours at a National Community Pharmacy: Implications for Increasing Patient Access and Convenience

Goad

Taitel

Fensterheim

et al. 2013

The Annals of Family Medicine

156

129

View full text Add to dashboard Cite

PURPOSE Approximately 50,000 adults die annually from vaccine-preventable diseases in the United States. Most traditional vaccine providers (eg, physician offices) administer vaccinations during standard clinic hours, but community pharmacies offer expanded hours that allow patients to be vaccinated at convenient times. We analyzed the types of vaccines administered and patient populations vaccinated during off-clinic hours in a national community pharmacy, and their implications for vaccination access and convenience. METHODSWe retrospectively reviewed data for all vaccinations given at the Walgreens pharmacy chain between August 2011 and July 2012. The time of vaccination was categorized as occurring during traditional hours (9:00 am-6:00 pm weekdays) or off-clinic hours, consisting of weekday evenings, weekends, and federal holidays. We compared demographic characteristics and types of vaccine. We used a logistic regression model to identify predictors of being vaccinated during off-clinic hours.RESULTS During the study period, pharmacists administered 6,250,402 vaccinations, of which 30.5% were provided during off-clinic hours: 17.4% were provided on weekends, 10.2% on evenings, and 2.9% on holidays. Patients had significantly higher odds of off-clinic vaccination if they were younger than 65 years of age, were male, resided in an urban area, and did not have any chronic conditions.CONCLUSIONS A large proportion of adults being vaccinated receive their vaccines during evening, weekend, and holiday hours at the pharmacy, when traditional vaccine providers are likely unavailable. Younger, working-aged, healthy adults, in particular, accessed a variety of immunizations during off-clinic hours. With the low rates of adult and adolescent vaccination in the United States, community pharmacies are creating new opportunities for vaccination that expand access and convenience.

show abstract

Section: Vaccinat Ions Dur Ing O F F -Cl Inic Hour Smentioning

confidence: 99%

Vaccinations Administered During Off-Clinic Hours at a National Community Pharmacy: Implications for Increasing Patient Access and Convenience

Goad

Taitel

Fensterheim

et al. 2013

The Annals of Family Medicine

156

129

View full text Add to dashboard Cite

show abstract

“…These low levels are caused in part by fear of needles and inconvenience for patients. Needle phobia causes at least 7–8% of vaccination non-compliance [4], and inconvenience ranks as high as second as a reason for skipping influenza vaccination [5–7]. …”

Section: Introductionmentioning

confidence: 99%

Microneedle patches: Usability and acceptability for self-vaccination against influenza

Norman¹,

Arya²,

McClain³

et al. 2014

Vaccine

233

205

View full text Add to dashboard Cite

While therapeutic drugs are routinely self-administered by patients, there is little precedent for self-vaccination. Convenient self-vaccination may expand vaccination coverage and reduce administration costs. Microneedle patches are in development for many vaccines, but no reports exist on usability or acceptability. We hypothesized that naïve patients could apply patches and that self-administered patches would improve stated intent to receive an influenza vaccine. We conducted a randomized, repeated measures study with 91 venue-recruited adults. To simulate vaccination, subjects received placebo microneedle patches given three times by self-administration and once by the investigator, as well as an intramuscular injection of saline. Seventy participants inserted patches with thumb pressure alone and the remainder used snap-based devices that closed shut at a certain force. Usability was assessed by skin staining and acceptability was measured with an adaptive-choice analysis. The best usability was seen with the snap device, with users inserting a median value of 93–96% of microneedles over three repetitions. When a self-administered microneedle patch was offered, intent to vaccinate increased from 44% to 65% (CI: 55–74%). The majority of those intending vaccination would prefer to self-vaccinate: 64% (CI: 51–75%). There were no serious adverse events associated with use of microneedle patches. The findings from this initial study indicate that microneedle patches for self-vaccination against influenza are usable and may lead to improved vaccination coverage.

show abstract

“…Adequate vaccine supplies, timely distribution, easy access to vaccine and health care provider involvement are critical. A strong infrastructure, in turn, usually also requires effective influenza vaccination promotion and communication, including messaging that takes into account the knowledge, concerns and beliefs of both targeted population(s) and the health care professionals counted on to recommend and provide the vaccinations—with the goal in both cases being to foster favorable attitudes and intentions [12–15]. Messages and materials that are not informed or guided by audience or population research not only decrease the likelihood of success, they can dissuade people from taking recommended actions.…”

Section: Introductionmentioning

confidence: 99%

Promoting influenza vaccination: Insights from a qualitative meta-analysis of 14 years of influenza-related communications research by U.S. Centers for Disease Control and Prevention (CDC)

Nowak

Sheedy

Bursey³

et al. 2015

Vaccine

128

111

View full text Add to dashboard Cite

Introduction A primary mission of the U.S. Centers for Disease Control and Prevention's (CDC) is promoting immunization against seasonal influenza. As with most education efforts, CDCs influenza-related communications are often informed by formative research. Methods A qualitative meta-analysis of 29 unpublished, primarily qualitative CDC-sponsored studies related to flu and flu vaccination knowledge, attitudes and beliefs (KABs). The studies, undertaken between 2000 and 2013, involved focus groups, in-depth interviews, message testing and surveys. Some involved health care professionals, while others involved members of the public, including sub-populations at risk for severe illness. Findings The themes that emerged suggested progress in terms of KABs related to influenza and influenza vaccination, but also the persistence of many barriers to vaccine acceptance. With respect to the public, recurring themes included limited understanding of influenza and immunization recommendations, indications of greater sub-group recognition of the value of flu vaccination, continued resistance to vaccination among many, and overestimation of the effectiveness of non-vaccine measures. Seven cognitive facilitators of vaccination were identified in the studies along with six cognitive barriers. For health care providers, the analysis suggests greater knowledge and more favorable beliefs, but many misperceptions persist and are similar to those held by the public. KABs often differed by type or category of health care provider. Conclusions The themes identified in this qualitative analysis illustrate the difficulty in changing KABs related to influenza and influenza vaccine, particularly on the scope and scale needed to greatly improve uptake. Even with an influenza pandemic and more vaccine options available, public and some health care provider perceptions and beliefs are difficult and slow to change. This meta-analysis does, however, provide important insights from previously unpublished information that can help those who are promoting influenza vaccination to health care providers, the general public and specific populations within the general population.

show abstract

Healthy young and middle age adults: What will it take to vaccinate them for influenza?

Cited by 23 publications

References 4 publications

Vaccinations Administered During Off-Clinic Hours at a National Community Pharmacy: Implications for Increasing Patient Access and Convenience

Vaccinations Administered During Off-Clinic Hours at a National Community Pharmacy: Implications for Increasing Patient Access and Convenience

Microneedle patches: Usability and acceptability for self-vaccination against influenza

Promoting influenza vaccination: Insights from a qualitative meta-analysis of 14 years of influenza-related communications research by U.S. Centers for Disease Control and Prevention (CDC)

Contact Info

Product

Resources

About