A postpartum vaccination promotion intervention using motivational interviewing techniques improves short-term vaccine coverage: PromoVac study.
A postpartum vaccination promotion intervention using motivational interviewing techniques improves short-term vaccine coverage: PromoVac study.
复制标题
利用动机访谈技术的产后疫苗接种干预改善了短期疫苗覆盖范围：Promovac研究。
DOI：
10.1186/s12889-018-5724-y
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发表时间：
2018-06-28
影响因子：
4.5
通讯作者：
De Wals P
中科院分区：
文献类型：
--
作者：
Gagneur A;Lemaître T;Gosselin V;Farrands A;Carrier N;Petit G;Valiquette L;De Wals P
由于越来越多的父母对疫苗犹豫不决，需要制定新的有效的免疫促进策略，以提高婴儿的疫苗覆盖率（VC）。本研究旨在评估基于动机访谈（MI）技术的疫苗接种推广教育策略对3、5和7个月大的VC婴儿的影响。一个单独的教育信息会议，管理使用MI技术，关于免疫接种的婴儿年龄为2，4，6个月（实验组）或不（对照组）提出的父母在产后留在产科病房。通过东部乡镇公共卫生登记处获得3、5和7个月大婴儿的免疫接种数据。计算实验组在3、5和7个月时的绝对VC增加，并使用单变量logistic回归和广义估计方程（GEE）程序计算相对风险及其95%置信区间。使用GEE的多变量回归用于调整混杂变量。在实验组和对照组中，分别包括1140和1249名新生儿。在3、5和7月龄时观察到VC分别显著增加3.2%、4.9%和7.3%（P < 0.05）。干预措施对7月龄时疫苗接种状况影响的校正相对风险为1.08（95%置信区间：1.03-1.14）（P = 0.002）。在产科病房使用MI技术的教育策略可能有效地增加3、5和7个月龄婴儿的VC。MI可能是克服疫苗犹豫的有效工具。本文的在线版本（10.1186/s12889-018-5724-y）包含补充材料，可供授权用户使用。
Due to the increasing number of vaccine-hesitant parents, new effective immunization promotion strategies need to be developed to improve the vaccine coverage (VC) of infants. This study aimed to assess the impact of an educational strategy of vaccination promotion based on motivational interviewing (MI) techniques targeting parents and delivered at the maternity ward, for the VC of infants at 3, 5, and 7 months of age. An individual educational information session, administered using MI techniques, regarding immunization of infants aged 2, 4, and 6 months was (experimental group) or was not (control group) proposed to parents during the postpartum stay at the maternity ward. Immunization data were obtained through the Eastern Townships Public Health registry for infants at 3, 5, and 7 months of age. Absolute VC increases at 3, 5, and 7 months in the experimental group were calculated and the relative risks with the respective 95% confidence intervals were computed using univariate logistic regression with the generalized estimating equations (GEE) procedure. Multivariate regression using GEE was used to adjust for confounding variables. In the experimental and control groups, 1140 and 1249 newborns were included, respectively. A significant increase in VC of 3.2, 4.9, and 7.3% was observed at 3, 5, and 7 months of age (P < 0.05), respectively. The adjusted relative risk of the intervention’s impact on vaccination status at 7 months of age was 1.08 (95% confidence interval: 1.03–1.14) (P = 0.002). An educational strategy using MI techniques delivered at the maternity ward may be effective in increasing VC of infants at ages 3, 5, and 7 months. MI could be an effective tool to overcome vaccine hesitancy. The online version of this article (10.1186/s12889-018-5724-y) contains supplementary material, which is available to authorized users.
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影响因子：
3.5
作者：
Britt, E;Hudson, SM;Blampied, NM
通讯作者：
Blampied, NM
影响因子：
8
作者：
Nyhan, Brendan;Reifler, Jason;Freed, Gary L.
通讯作者：
Freed, Gary L.
影响因子：
5
作者：
Dayan, GH;Shaw, KM;Strebel, P
通讯作者：
Strebel, P
影响因子：
8
作者：
Cooper, Louis Z.;Larson, Heidi J.;Katz, Samuel L.
通讯作者：
Katz, Samuel L.
影响因子：
12.7
作者：
Des Jarlais, DC;Lyles, C;Crepaz, N
通讯作者：
Crepaz, N