Impact of a vaccination promotion intervention using motivational interview techniques on long-term vaccine coverage: the PromoVac strategy
Impact of a vaccination promotion intervention using motivational interview techniques on long-term vaccine coverage: the PromoVac strategy
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DOI：
10.1080/21645515.2018.1549451
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发表时间：
2019-03-04
影响因子：
4.8
通讯作者：
Gagneur, Arnaud
中科院分区：
文献类型：
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作者：
Lemaitre, Thomas;Carrier, Nathalie;Gagneur, Arnaud
背景：在2、4和6个月时延迟接种疫苗与儿童期延迟接种适龄疫苗的可能性较高相关。这项研究的目的是评估婴儿免疫信息会议的有效性。方法：采用准实验队列研究方法，在产后住院期间对婴儿进行免疫接种动机访谈技术的个体教育信息交流（实验组）或不进行教育信息交流（对照组）。从东部乡镇公共卫生登记处收集了3、5、7、13、19和24个月大的免疫数据。采用重复测量的逻辑回归来评估干预的影响。估计相对危险度（RR）。对混杂因素进行校正，得到一个多变量模型。结果：实验组包括1140个科，对照组包括1249个科。在每个方案分析中，在3、5、7、13、19和24个月时，VC显著增加了3.2、4.9、7.3、6.7、10.6和5.1%。实验组儿童在3 ~ 24个月间完全接种疫苗的机会比对照组儿童高9% (RR （95% CI): 1.09 (1.05 ~ 1.13), p < 0.001）。在3个月时完全接种疫苗的儿童更有可能在24个月时完全接种疫苗(82.3比48.1%,RR （95% CI): 2.72 (2.28-3.24), p < .001）。经调整后，干预影响的估计RR为1.05 (1.02-1.07)，p结论：在产后住院期间进行基于动机访谈技术的免疫教育信息会可以提高婴儿期的免疫水平。
Background: Delayed vaccinations at 2, 4, and 6 months are associated with a higher probability of delayed age-appropriate vaccination during childhood. This study aimed to assess the effectiveness of an information session on immunization during infancy. Methods: An individual educational information session with motivational interview techniques for immunization of infants was conducted (experimental group) or not conducted (control group) during postpartum stay in a quasi-experimental cohort study. Immunization data were collected from the Eastern Townships Public Health registry at 3, 5, 7, 13, 19, and 24 months of age. Logistic regressions with repeated measures were performed to assess the intervention's impact. Relative risks (RR) were estimated. A multivariate model was obtained adjusted for confounding factors. Results: The experimental and control groups included 1140 and 1249 families, respectively. In per protocol analysis, a significant increase in VC of 3.2, 4.9, 7.3, 6.7, 10.6, and 5.1% was observed at 3, 5, 7, 13, 19, and 24 months. Children from experimental group had 9% more chance at a complete vaccination status between 3 and 24 months compared to children from control group (RR (95% CI): 1.09 (1.05-1.13), p < .001). Children with complete vaccination status at 3 months were more likely to have a complete vaccination status at 24 months (82.3 vs. 48.1%, RR (95% CI): 2.72 (2.28-3.24), p < .001). After adjustment, the estimated RR of the intervention's impact was 1.05 (1.02-1.07), p Conclusions: An educational information session about immunization based on motivational interview techniques conducted during postpartum hospitalization could improve immunization during infancy.