Immunizations in Children With Chronic Diseases: A State of the Science Review With Implications for Practice Change

Reingold, Elishua L B; Bennion, Miyuki; Meyer, Mary

doi:10.1016/j.pedhc.2021.11.001

Cited by 4 publications

(3 citation statements)

References 19 publications

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“…The prevalence of chronic diseases in children has risen dramatically during the last several decades (Perrin et al., 2007; Van Cleave et al., 2010). In the United States, over 25% of children have been affected by chronic diseases (Reingold et al., 2022), while approximately 10%–20% of Chinese children have been diagnosed with chronic illnesses (Chan & Zhang, 2013). Due to their young age, limited self‐care abilities, and unique growth and development stages, children with chronic diseases often struggle to manage the challenges of self‐care, financial burden and behavioural training.…”

Section: Introductionmentioning

confidence: 99%

Interventions to address parenting stress among caregivers of children with chronic diseases: An umbrella review

Yang,

Gao,

Wang

et al. 2024

Journal of Clinical Nursing

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BackgroundCaregivers of children with chronic diseases suffer from great parenting pressure, which directly affects the treatment and rehabilitation of children, reduces the quality of life of caregivers and damages family functioning. Existing reviews have not systematically summarized and evaluated interventions for parenting stress in caregivers of children with chronic diseases.Data SourcesEmbase, PubMed, Web of Science, OVID, CNKI, CBM, Wan Fang and Cochrane Library were searched for eligible reviews in November 2021 and October 2022.MethodsTwo reviewers independently screened titles and abstracts, reviewed full texts of articles for eligibility, and appraised the quality of reviews using JBI. The quality of the evidence was assessed using GRADE. Findings are reported in accordance with PRISMA checklist. Narrative summaries grouped findings by intervention types.ResultsOut of 2632 records, we included 21 systematic reviews for a synthesis. Interventions for parenting stress in children with chronic diseases were divided into seven categories. Cognitive behavioural interventions, psychosocial interventions, child behavioural and/or developmental parent interventions and synthesized interventions have shown high‐level evidence in reducing parenting stress for caregivers of children with chronic diseases. Furthermore, outcome measures and intervention protocols were highly heterogeneous across interventions.ConclusionsThis umbrella review suggest that reducing the parenting stress of caregivers of children with chronic diseases can directly target caregivers' parenting stress through cognitive behavioural interventions/psychosocial interventions and/or provide guidance to parents on the behavioural and developmental problems of children with chronic diseases. A more standardized approach to outcome measures is essential to assess efficacy and compare interventions across studies.Relevance to Clinical PracticeThe findings provide information and evidence for reducing parenting stress among caregivers of children with chronic diseases to guide the development of comprehensive intervention strategies.Patient or Public ContributionPatient or public contribution does not apply to this study.

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Section: Introductionmentioning

confidence: 99%

Interventions to address parenting stress among caregivers of children with chronic diseases: An umbrella review

Yang,

Gao,

Wang

et al. 2024

Journal of Clinical Nursing

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“… 4 Thus, such individuals would benefit from targeted vaccination interventions and should therefore be the subject of specific programs (PNPV 2017–19). 5 Their immunization strategy, coverage and timeliness of immunization vaccines need to be monitored. Measurements of coverage and of timeliness, the types of vaccines administered, immunization schedules, and diagnostic criteria for at-risk populations generally differ depending on the study setting, methodology, and year of study.…”

Section: Introductionmentioning

confidence: 99%

Policy of vaccination of “fragile children”: Results of a survey of 14 Italian children’s hospitals

Caselli,

Aricò,

Fiasca

et al. 2023

Human Vaccines & Immunotherapeutics

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Children with chronic disease are at higher risk of invasive infectious disease, including several vaccine-preventable infections. The Italian Association of Pediatric Hospitals (AOPI) carried out a survey of immunization practices: 14/16 AOPI hospitals completed the survey; 50% of them include 100–199 beds, while 21% have <100 beds. In 12/14 hospitals (86%) all vaccinations included in the National Immunization Plan (plus influenza e COVID-19 vaccines) are available for inpatients, in selected wards ( n = 4), on single pediatrician initiative ( n = 3), by a centralized in-hospital immunization service ( n = 2), and the remaining 3 in a “protected vaccination area” or in a COVID-19 pathway. The wards in which vaccination is more frequently offered to in-patients are: General Pediatrics, Neonatology, Pediatric Hematology & Oncology, Pediatric Diabetology, Pediatric Cardiology, and Pediatric Infectious Diseases (range, 58% to 83%). In 58% of vaccinating hospitals, <500 vaccinations/year are reported, while in 17% this number is >2,000/year. A COVID-19 vaccination team is in place for any inpatient child older than 12 years in 42% of hospitals, in 42% only for “fragile” children. A centralized in-hospital immunization service is an emerging model that may contribute to increase compliance to vaccination of fragile patients and to fight against vaccination hesitancy.

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“…Over the past decades, the prevalence of chronic conditions in children has increased (2, 3). Chronic diseases afflict more than 25% of American children (4). In China, about 10-20% of children suffer from chronic diseases (5).…”

Section: Introductionmentioning

confidence: 99%

Interventions and strategies to improve social support for caregivers of children with chronic diseases: An umbrella review

et al. 2022

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BackgroundSocial support is an important approach to improve the psychosocial health status and promote positive coping for caregivers of children with chronic diseases. Such an approach can reduce parenting stress, help resolve parenting difficulties through the use of various social support relationships.MethodsWe performed an umbrella review methodology using the method of examination, analysis and synthesis of systematic reviews. A PRISMA flow diagram was used to show the search process. The Joanna Briggs Institute was used to appraise the quality of papers and a narrative synthesis was undertaken. Relevant English and Chinese systematic reviews were searched in Embase, PubMed, Web of science, OVID, CNKI, CBM, Wan Fang and Cochrane Library databases, until November 2021, June 2022.ResultsOut of 1,905 records, we included fourteen systematic reviews for a synthesis. Evidence to promote social support for caregivers of children with chronic diseases was identified from four key aspects: (i) Intervention content; (ii) Intervention forms; (iii) Intervention time; and (iv) Sources of support.ConclusionsThe findings of this review suggest that a combination of differing interventions, especially for early family, including the content of parenting training or education, attitude building and resource provision, which can implement online is recommend. More interventional studies and quantitative evidence syntheses are still needed.ImpactAdequate social support is essential to promote the psychological wellbeing of caregivers of children with chronic diseases. In the early stage of children's diseases, integrating different content and forms of interventions for caregivers' families and actively helping caregivers to identify available support resources can improve social support. The findings from this review can be used to guide caregivers of children with chronic diseases and provide evidence for healthcare professionals and social workers to carry out relevant interventions.

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Immunizations in Children With Chronic Diseases: A State of the Science Review With Implications for Practice Change

Cited by 4 publications

References 19 publications

Interventions to address parenting stress among caregivers of children with chronic diseases: An umbrella review

Interventions to address parenting stress among caregivers of children with chronic diseases: An umbrella review

Policy of vaccination of “fragile children”: Results of a survey of 14 Italian children’s hospitals

Interventions and strategies to improve social support for caregivers of children with chronic diseases: An umbrella review

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