Improving Influenza Vaccine Compliance Through Patient Education for Patients With Cystic Fibrosis

Tran, Catherine; Pitts, Judy

doi:10.1016/j.pedhc.2006.08.014

Cited by 3 publications

(4 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The studies that have dealt with the issue of strategies to increase vaccine compliance assure that patients who receive preventive care are more likely to get their influenza shot than those who do not receive; furthermore, the health professionals involved in the care of patients affected by chronic conditions should encourage patients and family members to get immunized to prevent infectious diseases or minimize the risk. 12,19,21,22 This consideration matches the conclusions of our study, as an effective vaccination counseling, with a careful education and training of the patient and the family members, involves a good adherence to the influenza immunization; furthermore, this compliance has been evidenced not only in the months after the counseling but also in the subsequent years.…”

Section: Discussionsupporting

confidence: 85%

“…These assertions match with the experience described in a 2007 study on a population of subjects affected by cystic fibrosis who had already been recommended to receive the influenza vaccination in the context of ad hoc counseling; subsequently, the authors called by phone part of the patients to remember them to carry out the vaccination and, at the end of the influenza season, they obtained a coverage of~96% in the called patients and~80% in the non-called subjects. 12 The personal choice appears to be one of the main determinants of refusing vaccination; even this concept is found in several studies that underline how the skepticism toward the vaccine, the perception that the disease is not dangerous and the underestimation of the severity of one's own chronic state are deterrents for the influenza vaccination. [13][14][15] Few patients reported the decision of the GP of not to execute vaccination, an evaluation that does not follow national and international guidelines and which puts the patient's health in concrete risk of danger; this event is consistent with general evidence from the literature that report that physicians are more likely to vaccinate chronic patients than healthy ones.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Influenza vaccination coverage among splenectomized patients: an Italian study on the role of active recall in the vaccination compliance

Bianchi

Rizzo

Nitto

et al. 2019

Human Vaccines & Immunotherapeutics

View full text Add to dashboard Cite

Patients with anatomical or functional hypo-/a-splenia have a 10- to 50-fold higher risk of developing severe infectious diseases than does the general population. Thus, it is recommended to adhere to a specific vaccination schedule, including receiving influenza vaccine. During 2014, Bari Policlinico General Hospital approved a specific protocol to ensure that vaccines are actively offered to all splenectomized patients during their hospitalizations. The aim of this study is to evaluate the efficacy of this active recall protocol for performing influenza vaccination in the years following splenectomy among patients still involved in a specific vaccination program carried out by the hospital’s Hygiene department. From May 2014 to October 2016, 96 patients were involved in the vaccination program of the Hygiene department. In November 2017, 46/96 (48%) of patients received a specific invitation by phone to receive the annual influenza vaccine (intervention group), while 50/96 (52%) did not receive any such invitation (control group). At the end of the 2017 influenza season, 73/96 (76%; 95%CI = 66–84%) of patients reported having received the influenza vaccine; no differences were observed in the extent of vaccine coverage between the groups (intervention group = 80% vs. control group = 72%; p = 0.33). Older age, more recent splenectomy, hemo-lymphopathy and receiving the previous years’ doses of influenza vaccine are associated with receiving influenza vaccination during the 2017 season. These data indicate how effective communication at the time of the vaccine counseling results in good adherence to the vaccination program even after several years. Indeed, vaccination should be an opportunity not only limited to the administration of the vaccine but also for providing patient care.

show abstract

Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Influenza vaccination coverage among splenectomized patients: an Italian study on the role of active recall in the vaccination compliance

Bianchi

Rizzo

Nitto

et al. 2019

Human Vaccines & Immunotherapeutics

View full text Add to dashboard Cite

show abstract

“…Children with neurological disorders show an increased risk of aspiration, and may experience respiratory failure associated with influenza infection [3,4]. Children affected by cystic fibrosis may show pulmonary exacerbations caused by the influenza virus [5,6]. Diabetic children are prone to metabolic failure during influenza infection [7].…”

Section: Introductionmentioning

confidence: 99%

The effect of physician’s recommendation on seasonal influenza immunization in children with chronic diseases

et al. 2012

View full text Add to dashboard Cite

BackgroundDespite recommendations by Health Authorities, influenza immunization coverage remains low in children with chronic diseases. Different medical providers involved in the management of children with chronic conditions may affect the pattern of influenza vaccine recommendations and coverage. The likelihood of vaccination by type of provider in children with chronic conditions is poorly understood. Therefore, the objectives of this study were to analyze the pattern and the effect of recommendations for seasonal influenza immunization provided by different physician profiles to families of children with chronic diseases and to measure the frequency of immunization in the study population.MethodsWe recruited children with chronic diseases aged 6 months–18 years who subsequently presented to specialty clinics for routine follow-up visits, during spring 2009, in three Italian Regions Families of children with chronic diseases were interviewed during routine visits at reference centers through a face-to-face interview. We analyzed the following immunization predictors: having received a recommendation toward influenza immunization by a health provider; child’s sex and age; mothers and fathers’ age; parental education and employment; underlying child’s disease; number of contacts with health providers in the previous year. Influenza immunization coverage was calculated as the proportion of children who received at least one dose of seasonal influenza vaccine in the previous season. We calculated prevalence ratios and we used a generalized linear model with Poisson family, log link and robust error variance to assess the effect of socio-demographic variables, underlying diseases, and recommendations provided by physicians on influenza immunization.ResultsWe enrolled 275 families of children with chronic diseases. Overall influenza coverage was 57.5%, with a low of 25% in children with neurological diseases and a high of 91.2% in those with cystic fibrosis. While 10.6% of children who did not receive any recommendation toward influenza immunization were immunized, among those who received a recommendation 87.5-94.7% did, depending on the health professional providing the recommendation. Receiving a recommendation by any provider is a strong predictor of immunization (PR = 8.5 95% CI 4.6;15.6) Most children received an immunization recommendation by a specialty (25.8%) or a family pediatrician (23.3%) and were immunized by a family pediatrician (58.7%) or a community vaccinator (55.2%).ConclusionsReceiving a specific recommendation by a physician is a strong determinant of being immunized against seasonal influenza in children with chronic diseases independently of other factors. Heterogeneity exists among children with different chronic diseases regarding influenza recommendation despite international guidelines. Increasing the frequency of appropriate recommendations toward influenza immunization by physicians is a single powerful intervention that may increase coverage in children with chronic conditions.

show abstract

“…19 In the US a telephone reminder to families where the CF centre did not have documentation of them receiving flu vaccine increased uptake from 83.3% to 95.8%. 20 Oxford data show 82% uptake in children in 2007.…”

Section: Influenza Vaccinationmentioning

confidence: 99%

Palivizumab, pneumococcal and influenza vaccination in cystic fibrosis

Jain

Thomson

2009

J R Soc Med

View full text Add to dashboard Cite

Improving Influenza Vaccine Compliance Through Patient Education for Patients With Cystic Fibrosis

Cited by 3 publications

References 6 publications

Influenza vaccination coverage among splenectomized patients: an Italian study on the role of active recall in the vaccination compliance

Influenza vaccination coverage among splenectomized patients: an Italian study on the role of active recall in the vaccination compliance

The effect of physician’s recommendation on seasonal influenza immunization in children with chronic diseases

Palivizumab, pneumococcal and influenza vaccination in cystic fibrosis

Contact Info

Product

Resources

About