Influenza Vaccine Hesitancy

Stephens, Ashley; Hofstetter, Annika M.; Stockwell, Melissa S.

doi:10.1016/j.pcl.2022.11.003

Cited by 6 publications

(2 citation statements)

References 88 publications

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“…These interventions often involve various strategies such as training sessions, webinars, and informational materials tailored to address specific vaccination-related concerns [17][18]. By equipping pediatricians with up-to-date information and addressing any misconceptions or uncertainties they may have, these interventions have been shown to positively influence pediatricians' attitudes towards vaccination and enhance their confidence in recommending vaccines to parents [19][20]. As a result, they play a vital role in improving vaccination coverage rates among children, ultimately contributing to public health efforts to prevent vaccine-preventable diseases.…”

Section: Discussionmentioning

confidence: 99%

Increased adherence to influenza vaccination among family paediatricians of the Palermo Local Health Authority, Italy: a study on safety and compliance of Nasal Spray Live Attenuated influenza quadrivalent vaccine (qLAIV)

Costantino,

Tramuto,

Bonaccorso

et al. 2024

Preprint

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Background: Influenza represents a serious public health threat, especially for the management of severe cases and complications of the disease, requiring the implementation of control measures. We aimed to assess the acceptance and impact of qLAIV vaccination among a representative sample of family paediatricians (FPs) operating in Palermo Local Health Authority (LHA). To this end we evaluated vaccination coverage rates, comparing it with that observed in Sicilian context, while actively monitoring possible adverse reactions and their severity. Methods: An observational descriptive non-controlled study was conducted in two phases, from September 2022 to June 2023. The first phase involved a formative and educational intervention with a pre-intervention questionnaire to assess the knowledge and attitudes of FPs on paediatric influenza vaccination. The second phase consisted of an active surveillance on qLAIV safety and acceptance among the paediatric population assisted by the participating FPs, from October 2022 to April 2023. Frequencies, chi-squared tests, and comparisons statistics were performed using Stata/MP 14.1. Results: The overall coverage rate among the paediatric population involved in the intervention was 13.2%, with an I.M./qLAIV ratio of vaccine administered of 1/4.25. This coverage rate was significantly higher (p-value <0.001) when compared to the average values reported in the population under the Palermo Local Health Authority (LHA) (6.7%) and in the entire Sicily (5.9%). Adverse events in the qLAIV group were mild, with only 3.3% experiencing them, primarily presenting as a feverish rise (3.2%). No severe adverse reaction was reported. Conclusions: The educational intervention significantly raised paediatric influenza vaccination rates among the participating FPs, and in general improved influenza vaccination coverage rates in the Palermo’s LHU. Minimal, non-serious adverse events underscored the vaccine's safety. Training sessions ensured paediatricians stayed informed, enabling them to provide comprehensive information to parents for secure and informed vaccination decisions in their practices.

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Section: Discussionmentioning

confidence: 99%

Increased adherence to influenza vaccination among family paediatricians of the Palermo Local Health Authority, Italy: a study on safety and compliance of Nasal Spray Live Attenuated influenza quadrivalent vaccine (qLAIV)

Costantino,

Tramuto,

Bonaccorso

et al. 2024

Preprint

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“…Despite our key interventions of educational materials focused on both influenza and COVID vaccine safety, many patient families remained hesitant and declined influenza vaccination, which seems consistent with experiences reported elsewhere in the healthcare community. 26 This will require ongoing focus as our program matures.…”

Section: Discussionmentioning

confidence: 99%

Pediatric influenza vaccination in the perioperative setting: A quality improvement project

Meyer,

Smith,

Wright

et al. 2023

Pediatric Anesthesia

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Introduction/BackgroundUnmet need for seasonal influenza vaccination administration to pediatric patients exists at national and local levels. Vaccination during the perioperative period remains controversial, though opportunity exists to meet vaccination need through perioperative programs. The initial SMART Aim of this quality improvement initiative was to establish and increase seasonal influenza vaccination rate in eligible patients during in person preoperative clinic visits in a pediatric perioperative surgical home (PSH) to 10%. Informed by each prior season's experience, we increased our SMART Aim target for vaccinations in seasons two and three to 15 and 18%, respectively.MethodsFollowing the Model for Improvement methodology, the PSH team developed and implemented a perioperative pediatric influenza vaccination program. Across three influenza seasons, key interventions included updates to organizational perioperative vaccination policy, obtaining material influenza vaccination supplies, development of EHR tools, PSH staff education, and communication with patient–families. Rate of eligible patients receiving influenza vaccination at their PSH clinic appointment was tracked over time. Influenza vaccination rates were reported monthly during Season 1, then weekly during seasons two and three. The balancing measure was same day surgery case cancellations related to influenza vaccination given at PSH clinic appointment. Statistical analysis methods utilized include Shewart's control chart and statistical process control (SPC) standards. Special cause variation was determined by eight or more consecutive data points above or below the centerline.ResultsThe influenza vaccination rates in each of the three influenza seasons exceeded vaccination rate goals of 10, 15, and 18%, respectively. A total of 695 vaccines have been administered since program inception. No same day surgical case cancellations were observed as balancing measure.ConclusionsOver three consecutive influenza vaccination seasons, we safely established and met vaccination rate goals of 10, 15, and 18% to eligible patients during preoperative clinic visits within a pediatric PSH system. Through iterative PDSA cycles, we continue to identify opportunities for future improvement. This suggests that the perioperative period presents opportunity for seasonal influenza vaccination with potential program expansion to include routine vaccines of childhood.

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Pediatric practice experiences with second dose influenza vaccination: An AAP Pediatric Research in Office Settings (PROS) Study

Wynn,

Stockwell,

Nekrasova

et al. 2024

Public Health

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Influenza Vaccine Hesitancy

Cited by 6 publications

References 88 publications

Increased adherence to influenza vaccination among family paediatricians of the Palermo Local Health Authority, Italy: a study on safety and compliance of Nasal Spray Live Attenuated influenza quadrivalent vaccine (qLAIV)

Increased adherence to influenza vaccination among family paediatricians of the Palermo Local Health Authority, Italy: a study on safety and compliance of Nasal Spray Live Attenuated influenza quadrivalent vaccine (qLAIV)

Pediatric influenza vaccination in the perioperative setting: A quality improvement project

Pediatric practice experiences with second dose influenza vaccination: An AAP Pediatric Research in Office Settings (PROS) Study

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