“…As multiple studies have previously identified, efficacy and safety were identified both as perceived benefits and perceived risks 27 , 28 , 29 , 30 . Many of the parents who were hesitant in our sample believed the vaccines were effective, but were weighing the lower severity of the COVID-19 infection in children and the possibility of safety concerns related to the vaccine.…”
“…As multiple studies have previously identified, efficacy and safety were identified both as perceived benefits and perceived risks 27 , 28 , 29 , 30 . Many of the parents who were hesitant in our sample believed the vaccines were effective, but were weighing the lower severity of the COVID-19 infection in children and the possibility of safety concerns related to the vaccine.…”
“…A total of 957 studies were excluded based on the inclusion criteria. Finally, 53 studies were found to be eligible and included in the scoping review [ 12 , 16 , 20 – 69 ]. Fig.…”
Background
A comprehensive and agreed-upon definition of vaccine literacy (VL) could support the understanding of vaccination and help policy-makers and individuals make informed decisions about vaccines.
Methods
To shed some light on this debate and provide clarity, a scoping review was conducted to collect, summarize, and analyse available definitions of VL. Based on the findings of the scoping review, a new and comprehensive definition was proposed by a panel of experts.
Results
Fifty-three articles were included, and two of them appeared to be the milestones around which the other definitions were grouped. The new definition proposed by the panel of experts included not only the personal perspective, but also the community, population, and organizational perspectives. Moreover, due to the increasing complexity of the social context with respect to the ability to navigate, understand, and use information and services, the definition of organizational vaccine literacy and the attributes of a vaccine literate healthcare organization have been proposed.
Conclusion
The new definition can contribute to the overall paradigm of health literacy and its distinct component of vaccine literacy, possibly improving the implementation of public health strategies to allow vaccination to be understood as a social practice by the entire community. This study describes the conceptual foundations, the competencies, and the civic orientation to be considered when developing measurement tools devoted to assessing VL at the different levels and in different contexts.
“…These studies have potentially been built on a better understanding of parental vaccine hesitancy, since the reasons for vaccine hesitancy and HPV have previously been addressed through research, improved communication and the development of quality recommendations (( 25 )). An adapted intervention, such as motivational interviewing (( 18 )), is consequently viewed favourably in the literature and by healthcare professionals (( 6 , 26 – 28 )). Infant vaccination (excluding HPV), on the other hand, seems to require more research, as indicated by studies by Brewer et al .…”
Background
Good communication between healthcare professionals and their patients is essential to enlighten the benefits and risks of vaccination. Despite the availability of effective vaccines, reluctance prevails, sometimes fuelled by sub-optimal communication leading to a lack of trust. An evaluation of the effectiveness of a communication strategy for which healthcare professionals are trained has yet to be carried out.
Objective
Systematic review of studies with a randomized controlled trial (RCT) to define and evaluate the impact of healthcare professionals’ communication on patients’ vaccine adherence.
Methods
We performed a structured search on Medline, Embase, CENTRAL, PsycINFO and CINAHL. The studies selected include those involving healthcare professionals authorized to administer vaccines according to Canadian guidelines. Primary outcomes include vaccination rate or vaccine hesitancy rate.
Results
Nine articles were included. Five studies (n=5) reported intervention effectiveness according to vaccine adherence. The results are largely represented by parental vaccine hesitancy for human papillomavirus (HPV) or childhood vaccination, while three studies (n=3) target the general population. The risk of bias relative to the studies is either low (n=7) or of some concern (n=2).
Conclusion
The effectiveness of communication varies according to the studies and knowledge acquired through training. Future studies will need to examine communication with healthcare professionals in order to establish a consensus on optimal and appropriate training.
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