Interventions to Improve Adolescent Vaccination

Dempsey, Amanda F.; Zimet, Gregory D.

doi:10.1016/j.amepre.2015.04.013

Cited by 41 publications

(12 citation statements)

References 112 publications

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“…82,163 Involving the target audience, in this case Travellers, to co-produce information is key to success. 17,157 Our interview findings, consistent with other research, 17,20 demonstrated that Travellers with low levels of literacy struggle to understand immunisation information, and the routine translation of NHS resources into minority ethnic languages is therefore unhelpful, particularly for Roma people, for whom these languages, for example Romanian, are their second language. There are many examples of good practice of developing accessible health information for Travellers 17 as well as guidance on communicating about immunisation 167 on which to draw to deliver this prioritised intervention.…”

Section: Promoting Awareness and Understanding Of Immunisation In Thesupporting

confidence: 86%

“…48 Carr et al 86 suggest that this should be a 'minimum acceptable action to facilitate access to healthcare' for Travellers. There is an increasing body of evidence on the effectiveness of different recall, reminder and appointment systems for childhood and adult vaccinations 78,83,84,134,157 to draw on. Clearly, exactly how this is done should be informed by the particular needs of each Traveller community and could be informed by local joint strategic needs assessments.…”

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confidence: 99%

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UNderstanding uptake of Immunisations in TravellIng aNd Gypsy communities (UNITING): a qualitative interview study

Jackson

Dyson

Bedford

et al. 2016

Health Technol Assess

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Background: Gypsies, Travellers and Roma (referred to as Travellers) are less likely to access health services, including immunisation. To improve immunisation rates, we need to understand what helps and hinders individuals in these communities in taking up immunisations. Aims: (1) Investigate the barriers to and facilitators of acceptability and uptake of immunisations among six Traveller communities across four UK cities; and (2) identify possible interventions to increase uptake of immunisations in these Traveller communities that could be tested in a subsequent feasibility study. Methods: Three-phase qualitative study underpinned by the social ecological model. Phase 1: interviews with 174 Travellers from six communities: Romanian Roma (Bristol); English Gypsy/Irish Traveller (Bristol); English Gypsy (York); Romanian/Slovakian Roma (Glasgow); Scottish Showpeople (Glasgow); and Irish Traveller (London). Focus on childhood and adult vaccines. Phase 2: interviews with 39 service providers. Data were analysed using the framework approach. Interventions were identified using a modified intervention mapping approach. Phase 3: 51 Travellers and 25 service providers attended workshops and produced a prioritised list of potentially acceptable and feasible interventions. Results: There were many common accounts of barriers and facilitators across communities, particularly across the English-speaking communities. Scottish Showpeople were the most similar to the general population. Roma communities experienced additional barriers of language and being in a new country. Men, women and service providers described similar barriers and facilitators. There was widespread acceptance of childhood and adult immunisation, with current parents perceived as more positive than their elders. A minority of English-speaking Travellers worried about multiple/combined childhood vaccines, adult flu and whooping cough. Cultural concerns about vaccines offered during pregnancy and about human papillomavirus were most evident in the Bristol English Gypsy/Irish Traveller community. Language, literacy, discrimination, poor school attendance, poverty and housing were identified by Travellers and service providers as barriers for some. Trustful relationships with health professionals were important and continuity of care was valued. A few English-speaking Travellers described problems of booking and attending for immunisation. Service providers tailored their approach to Travellers, particularly the Roma. Funding cuts, NHS reforms and poor monitoring challenged their work. Five ‘top-priority’ interventions were agreed across communities and service providers to improve the immunisation among Travellers who are housed or settled on an authorised site: (1) cultural competence training for health professionals and frontline staff; (2) identification of Travellers in health records to tailor support and monitor uptake; (3) provision of a named frontline person in general practitioner practices to provide respectful and supportive service; (4) flexib...

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Section: Promoting Awareness and Understanding Of Immunisation In Thesupporting

confidence: 86%

mentioning

confidence: 99%

UNderstanding uptake of Immunisations in TravellIng aNd Gypsy communities (UNITING): a qualitative interview study

Jackson

Dyson

Bedford

et al. 2016

Health Technol Assess

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“…This contributes to the literature on choice architecture [ 32 ] by offering a simple intervention that health systems and health insurance providers can implement in their email messaging to improve vaccination rates. It also contributes to the call for further research into ways in which influenza vaccination uptake can be increased in various areas [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

Increasing influenza vaccination rates via low cost messaging interventions

Baskin

2018

PLoS ONE

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This article tests low cost interventions to increase influenza vaccination rates. By changing an email announcement sent out to employees in 2014 (n > 30,000), the following interventions are tested: incentives, attention to the negative impacts of not get vaccinated, and showing a map to the vaccination centers at the end of the email announcement. Only the map condition helped increase influenza vaccination rates. The use of low-cost interventions can improve influenza vaccination rates though not all interventions work as well as others in the field. In particular, while including maps helped increase vaccination rates, other factors such as negative impact reminders and incentives, which previous studies have found to be successful in the laboratory, did not.

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“…Given the demonstrated success of adult vaccination in pharmacies, 18 it is reasonable to think that similar approaches to increasing vaccine uptake would work for adolescents and their parents. 20 Promotion of the advantages of pharmacy vaccination services, including longer and more convenient hours compared to traditional physician offices 10 and no need for appointments 16 may appeal to parents of vaccine-eligible adolescents. Many pharmacies already implement low-cost promotion strategies that could be adopted for HPV vaccine, such as advertising on interior and exterior store signage, receipts, and shopping bags.…”

Section: Discussionmentioning

confidence: 99%

Are state laws granting pharmacists authority to vaccinate associated with HPV vaccination rates among adolescents?

Trogdon

Shafer

Shah

et al. 2016

Vaccine

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Objectives We explored whether state laws allowing pharmacists to administer human papillomavirus (HPV) vaccinations to adolescents are associated with a higher likelihood of HPV vaccine uptake. Methods We examined provider-reported HPV vaccination among 13 to 17 year olds in the National Immunization Survey-Teen: 2008–2014 for girls (N=48,754) and 2010–2014 for boys (N=31,802). Outcome variables were HPV vaccine initiation (≥ 1 dose) and completion (≥ 3 doses). The explanatory variable of interest was a categorical variable for the type of pharmacist authority regarding HPV vaccination for adolescents (< 18 years) in the state: not permitted (reference), by prescription, by collaborative practice protocol, or independent authority. We ran separate difference-in-difference regression models by sex. Results During 2008–2014, 15 states passed laws allowing pharmacists to administer HPV vaccine to adolescents. Pharmacist authority laws were not statistically significantly associated with increased HPV vaccine initiation or completion. Conclusions As currently implemented, state laws allowing pharmacists to administer HPV vaccine to adolescents were not associated with uptake. Possible explanations that need further research include restrictions on pharmacists’ third-party billing ability and the lack of promotion of pharmacy vaccination services to age-eligible adolescents.

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Interventions to Improve Adolescent Vaccination

Cited by 41 publications

References 112 publications

UNderstanding uptake of Immunisations in TravellIng aNd Gypsy communities (UNITING): a qualitative interview study

UNderstanding uptake of Immunisations in TravellIng aNd Gypsy communities (UNITING): a qualitative interview study

Increasing influenza vaccination rates via low cost messaging interventions

Are state laws granting pharmacists authority to vaccinate associated with HPV vaccination rates among adolescents?

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