Interventions to increase COVID-19 vaccine uptake: a scoping review

Andreas, Marike; Iannizzi, Claire; Bohndorf, Emma; Monsef, Ina; Piechotta, Vanessa; Meerpohl, Joerg J; Skoetz, Nicole

doi:10.1002/14651858.cd015270

Cited by 22 publications

(33 citation statements)

References 153 publications

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“…Trust in the processes and systems that develop, approve, and monitor the safety of vaccines, as well as the people and agencies who recommend and endorse vaccination, cannot be overlooked when designing vaccine promotion interventions. Accordingly, continuous trust-building interventions during crises are of utmost importance [ 65 , 66 , 67 ]. Community engagement strategies that are based on the long-term collaborative process have been identified as more effective in building trust than short-term interventions such as public campaigns [ 68 ].…”

Section: Discussionmentioning

confidence: 99%

Qualitative Insights into Vaccine Uptake of Nursing Staff in Long-Term Care Facilities in Finland

et al. 2023

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Vaccine hesitancy and refusal have undermined COVID-19 vaccination efforts of nursing staff. This study aimed to identify behavioral factors associated with COVID-19 vaccine uptake among unvaccinated nursing staff in long-term care facilities (LTCF) in Finland. Methodology: The study was based on the Theoretical Domains Framework. Data were collected through qualitative in-depth interviews among nursing staff and managers of LTCFs. The analysis was based on thematic analysis. We identified seven behavioral domains, with several themes, that reduced the staff’s intention to get vaccinated: knowledge (information overload, inability to identify trustworthy information sources, lack of vaccine-specific and understandable scientific information), beliefs about consequences (incorrect perceptions about the vaccine effectiveness, and lack of trust in the safety of the vaccine), social influences (influence of family and friends), reinforcement (limited abilities of the management to encourage vaccination), beliefs about capabilities (pregnancy or desire to get pregnant), psychological factors (coping with changing opinion), and emotions (confusion, suspicion, disappointment, and fatigue). We also identified three behavioral domains that encouraged vaccine uptake: social influences (trust in health authorities), environmental context and resources (vaccination logistics), and work and professional role (professional pride). The study findings can help authorities to develop tailored vaccine promotion strategies for healthcare workers in LTCFs.

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Section: Discussionmentioning

confidence: 99%

Qualitative Insights into Vaccine Uptake of Nursing Staff in Long-Term Care Facilities in Finland

et al. 2023

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“…The most substantive is a Cochrane scoping review of interventions for COVID-19 vaccine hesitancy. [37] This was not limited to minoritised or vulnerable groups although some included studies focused on them.…”

Section: Strengths and Limitations: Scope Of Reviewmentioning

confidence: 99%

Interventions to increase vaccination in vulnerable groups: rapid overview of reviews

Norman

Kletter

Dumville

2023

Preprint

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Objective Groups which are marginalised, disadvantaged or otherwise vulnerable have lower uptake of vaccinations. This differential has been amplified in COVID-19 vaccination compared to (e.g.) influenza vaccination. This overview assessed the effectiveness of interventions to increase vaccination in underserved, minority or vulnerable groups. Methods In November 2022 we searched four databases for systematic reviews including RCTs of interventions to increase vaccination in underserved, minority or vulnerable groups. We used rapid review methods to screen, extract data and assess risk of bias in identified reviews. We undertook narrative synthesis using an approach modified from SWiM guidance. We categorised interventions as being high, medium or low intensity, and as targeting vaccine demand, access, or providers. Results We included 23 systematic reviews, including studies in high and low or middle income countries, focused on children, adolescents and adults. Groups were vulnerable based on socioeconomic status, minority ethnicity, migrant/refugee status, age, location or LGBTQ identity. Pregnancy/maternity sometimes intersected with vulnerabilities. Evidence supported interventions including: home visits to communicate/educate and to vaccinate, and facilitator visits to practices (high intensity); telephone calls to communicate/educate, remind/book appointments (medium intensity); letters, postcards or text messages to communicate/educate, remind/book appointments and reminder/recall interventions for practices (low intensity). Many studies used multiple interventions or components. Conclusion There was considerable evidence supporting the effectiveness of communication in person, by phone or in writing to increase vaccination. Both high and low intensity interventions targeting providers showed effectiveness. Limited evidence assessed additional clinics or targeted services for increasing access; only home visits had higher confidence evidence showing effectiveness. There was no evidence for interventions for some communities, such as religious minorities which may intersect with gaps in evidence for additional services. None of the evidence related to COVID-19 vaccination where inequalities of outcome are exacerbated. Prospero registration: CRD42021293355

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“…Numerous efforts were made to promote COVID-19 vaccination at the population level, such as financial incentives, mandatory vaccination, and social media advertising campaigns [20,21]. However, the outcomes of these interventions were mixed [20,22].…”

Section: Introductionmentioning

confidence: 99%

Important Barriers to COVID-19 Vaccination Among African Americans in Black Belt Region

Yang

Poudel

Simpson

et al. 2023

J. Racial and Ethnic Health Disparities

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Background To identify important barriers to COVID-19 vaccination among African Americans living in the Black Belt region. Methods A cross-sectional, web-based questionnaire survey was conducted using best–worst scaling case 1 (the object case). Thirty-two potential barriers to COVID-19 vaccination were identified from the literature and confirmed by an expert. A nested balanced incomplete block design was used to generate 62 sets of 16 choice tasks. Each choice task included six barriers. Participants were asked to choose the most and least important barriers to their COVID-19 vaccination in each choice task of one set. The natural logarithm of the square root of best counts divided by the worst counts of each barrier was calculated to rank the importance of barriers. Results Responses from a total of 808 participants were included. Among 32 barriers to COVID-19 vaccination, the five most important barriers were “safety concern of COVID-19 vaccines,” “rapid mutation of COVID-19,” “ingredients of COVID-19 vaccines,” “Emergency Use Authorization (Fast-track approval) of COVID-19 vaccines,” and “inconsistent information of COVID-19 vaccines.” On the other hand, the five least important barriers were “religious reasons,” “lack of time to get COVID-19 vaccine,” “no support from my family and friends,” “political reasons,” and “fear of the needle.” Conclusions Important barriers to the COVID-19 vaccination for African Americans living in the Black Belt region centered around the issues that could be resolved by communication strategies. Supplementary Information The online version contains supplementary material available at 10.1007/s40615-023-01583-9.

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Interventions to increase COVID-19 vaccine uptake: a scoping review

Cited by 22 publications

References 153 publications

Qualitative Insights into Vaccine Uptake of Nursing Staff in Long-Term Care Facilities in Finland

Qualitative Insights into Vaccine Uptake of Nursing Staff in Long-Term Care Facilities in Finland

Interventions to increase vaccination in vulnerable groups: rapid overview of reviews

Important Barriers to COVID-19 Vaccination Among African Americans in Black Belt Region

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