Congenital Cytomegalovirus Reference Material: A Content Analysis of Coverage and Accuracy

Thackeray, Rosemary; Wright, Allison; Chipman, Katherine

doi:10.1007/s10995-013-1275-0

Cited by 13 publications

(11 citation statements)

References 31 publications

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“…In addition, programs are not required to teach students about cCMV, specifically. A study of CMV information contained in books and pregnancy websites, demonstrated that these sources contain accurate, but not adequate CMV information [ 76 ]. CMV prevention was included in such references only 50% the time.…”

Section: Discussionmentioning

confidence: 99%

Knowledge of congenital cytomegalovirus (cCMV) among physical and occupational therapists in the United States

2017

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Congenital cytomegalovirus (cCMV) infections cause more children to have permanent disabilities than Down Syndrome, Fetal Alcohol Syndrome, Spina Bifida, and pediatric HIV/AIDS combined. The risk of infection during pregnancy can be significantly decreased using universal precautions, such as thorough handwashing and cleansing of surfaces and objects that have come into contact with infected body fluids. Children under 3 years of age are commonly asymptomatic excretors of CMV, with the highest viral loads present in saliva. Pediatric therapists have regular close contact with young children, and are thus likely at elevated occupational risk of acquiring CMV. Our objective was to evaluate therapist knowledge of cCMV and its transmission. We recruited American Occupational Therapy Association (AOTA) and American Physical Therapy Association (APTA) members via electronic newsletters and printed flyers from April to September 2015. Participants completed an online, anonymous 24-question survey using Survey Monkey. We compared responses between groups and previously published CMV awareness data using binomial tests of difference of proportions and multiple logistic regression. Our study identified both a low level of therapist awareness and poor demonstrated understanding of cCMV. Self-reported cCMV awareness amongst therapists was greater than awareness in the general population, and equivalent to awareness amongst health care professionals. Whereas 52% of participants self-reported awareness of cCMV, only 18% demonstrated understanding of the behavioral modes of CMV transmission. Fewer therapists reported awareness of cCMV than other, less prevalent conditions. Higher levels of health risk knowledge were associated with greater contact with children. Most participants reported learning about cCMV from the workplace. The knowledge gaps between self-reported awareness of cCMV and demonstrated understanding of modes of transmission described by our results emphasize the need for additional training of therapists. cCMV is preventable, and accurate knowledge of modes of transmission is crucial for the health of practitioners and clients.

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Section: Discussionmentioning

confidence: 99%

Knowledge of congenital cytomegalovirus (cCMV) among physical and occupational therapists in the United States

2017

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“…Moreover, some authors have reported a paucity of CMV information in pregnancy-related reference books and websites [ 23 , 24 ]. This aspect should be investigated in more depth in future Italian studies.…”

Section: Discussionmentioning

confidence: 99%

What people know about congenital CMV: an analysis of a large heterogeneous population through a web-based survey

et al. 2016

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BackgroundCongenital CMV (cCMV) infection is a serious public health issue due to both its worldwide prevalence and the severe and permanent impairments it causes. However, awareness of this infection is low in the general population and among pregnant women, and it also seems to be generally disregarded by healthcare providers. The identification of factors behind this inadequate level of knowledge could provide a basis for future preventive measures. This study aimed at evaluating awareness of CMV and cCMV infection and its correlation with socio-demographic variables in a general population.MethodsThe survey was carried out by computer-assisted web interviewing (CAWI). A questionnaire was sent via e-mail to the 70,975 individuals who comprised the whole population (students, administrative staff, teaching staff) of Milan University, Italy in 2015.ResultsOut of the 10,190 respondents, 5,351 (52.5 %) had already heard of CMV but only 3,216 (31.8 %) knew that this virus could be implicated in congenital infection. Urine and breastfeeding were the least recognized transmission routes for CMV infection; less than half of respondents accurately identified the right symptoms and sequelae caused by cCMV infection. The correct hygienic measures against cCMV infection were identified in percentages ranging from 55.6 to 75 % depending on the measures proposed but about one in three of interviewees deemed those measures unnecessary in the event of a pregnant woman already being CMV seropositive. From the mean knowledge scores the most complete quality of awareness of CMV turned out to be linked to childbearing-age (25–40 year) and with not having children, even if results for non-parents showed less of them having heard of cCMV than parents.ConclusionOur results indicate a limited and confused awareness of cCMV infection in a large, fairly young and well-educated Italian population.

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“…Public health communication campaigns in addition to provider counseling could be useful. In addition, ensuring that CMV information is available on pregnancy websites and reference books is important ( Thackeray et al, 2014 ). Further research regarding best practices for how to frame and communicate CMV prevention messages, particularly about the efficacy of these behaviors to reduce risk, and the most effective methods for delivering this information in healthcare and public health settings is needed.…”

Section: Discussionmentioning

confidence: 99%

Women's attitudes toward practicing cytomegalovirus prevention behaviors

Thackeray

Magnusson

2016

Preventive Medicine Reports

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Congenital cytomegalovirus (CMV) infection causes severe disabilities and developmental delays. Women's awareness of CMV is low. Only about half of healthcare providers report counseling women about behaviors to reduce CMV risk and public health education is limited. Routine CMV counseling is not recommend. Providers may lack time to counsel women; other conditions may take priority for counseling; there may be a perception that women are reluctant to follow advice. This cross-sectional descriptive study examined women's attitudes toward CMV prevention behaviors. Data were collected from an online panel of 840 U.S. women 18–40 years of age, who had a child < 5 years of age, and were pregnant or planning a pregnancy in the next 12 months. Questions assessed CMV awareness, frequency of past behaviors that transmit CMV, and attitudes toward eight CMV prevention behaviors. Only 15.5% of women were somewhat or very familiar with CMV. Very few women (6.1%) reported hearing from their provider about CMV. Women held positive attitudes toward the CMV prevention behaviors and perceived them as feasible. Least positive attitudes were toward not kissing a child on the lips and not sharing foods. Predictors of positive attitudes were CMV awareness, past behavior, talking to a healthcare provider, and perceived risk reduction. Healthcare providers and public health practitioners should collaborate to increase CMV awareness. Encouraging behaviors to reduce saliva sharing may result in greater gains in reducing CMV infection.

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Congenital Cytomegalovirus Reference Material: A Content Analysis of Coverage and Accuracy

Cited by 13 publications

References 31 publications

Knowledge of congenital cytomegalovirus (cCMV) among physical and occupational therapists in the United States

Knowledge of congenital cytomegalovirus (cCMV) among physical and occupational therapists in the United States

What people know about congenital CMV: an analysis of a large heterogeneous population through a web-based survey

Women's attitudes toward practicing cytomegalovirus prevention behaviors

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