Science-based communication to decrease disparities in adult pneumococcal vaccination rates

Krueger, Brian S.; Hutchison, Marc L.; Bodo, Emily C; Orr, Kelly; DeAngelis, Jennifer M.; Caffrey, Aisling R.; LaPlante, Kerry L.

doi:10.1016/j.japh.2020.05.020

Cited by 5 publications

(4 citation statements)

References 2 publications

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“…More research is therefore necessary to better understand the core values of different populations and investigate how they were made “vulnerable” to adapt how we reach these patients. Our review highlights the importance of a strong recommendation for vaccination by pharmacists and was confirmed in a recent review on vaccine acceptance [ 43 ]. Although the efficiency of many strategies lacks proof, utilizing a combination of different strategies and providing a strong recommendation from a health provider are known as the most effective ways to encourage vaccination [ 116 ].…”

Section: Discussionsupporting

confidence: 62%

“… Pharmacists were offered a training, patients were reached through promotion endeavors (poster, social media, leaflet) and verbal conversation. Facilitators: convenience, access, proactivity, interest, qualified staff, communication with other health providers, promotion Barriers: too busy lack of training, insufficient staff, interest, reaching prospective patients, vaccine distribution 17 Krueger et al [ 43 ] b 2020 Quantitative: randomized controlled trial Impact of a science-based communication on attitude towards pneumococcal vaccination in a community pharmacy USA Pneumo-coccal Non-White adults Community/family duty and combination messages showed significant influence on attitude for non-Whites. Combining duty to family and friends, fatality and safety significantly improved the intention to ask a medical professional about the vaccine.…”

Section: Resultsmentioning

confidence: 99%

“…Promotional efforts made by pharmacists are complementary to governmental, public health and pharmacy chains advertising. The effect of different communications according to race on attitudes towards pneumococcal vaccination was investigated [ 43 ]. Non-White adults were less likely to follow medical recommendations and more likely to desire vaccination when the message combined duty to family and friends, fatality or safety [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

“…The effect of different communications according to race on attitudes towards pneumococcal vaccination was investigated [ 43 ]. Non-White adults were less likely to follow medical recommendations and more likely to desire vaccination when the message combined duty to family and friends, fatality or safety [ 43 ]. More research is therefore necessary to better understand the core values of different populations and investigate how they were made “vulnerable” to adapt how we reach these patients.…”

Section: Discussionmentioning

confidence: 99%

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Vaccine promotion strategies in community pharmacy addressing vulnerable populations: a scoping review

Chadi,

Thirion,

David

2023

BMC Public Health

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Context Social determinants of health are drivers of vaccine inequity and lead to higher risks of complications from infectious diseases in under vaccinated communities. In many countries, pharmacists have gained the rights to prescribe and administer vaccines, which contributes to improving vaccination rates. However, little is known on how they define and target vulnerable communities. Objective The purpose of this study is to describe how vulnerable communities are targeted in community pharmacies. Methods We performed a systematic search of the Embase and MEDLINE database in August 2021 inspired by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocols (PRISMA ScR). Articles in English, French or Spanish addressing any vaccine in a community pharmacy context and that target a population defined as vulnerable were screened for inclusion. Results A total of 1039 articles were identified through the initial search, and 63 articles met the inclusion criteria. Most of the literature originated from North America (n = 54, 86%) and addressed influenza (n = 29, 46%), pneumococcal (n = 14, 22%), herpes zoster (n = 14, 22%) or human papilloma virus vaccination (n = 14, 22%). Lifecycle vulnerabilities (n = 48, 76%) such as age and pregnancy were most often used to target vulnerable patients followed by clinical factors (n = 18, 29%), socio-economical determinants (n = 16, 25%) and geographical vulnerabilities (n = 7, 11%). The most frequently listed strategy was providing a strong recommendation for vaccination, promotional posters in pharmacy, distributing leaflet/bag stuffers and providing staff training. A total of 24 barriers and 25 facilitators were identified. The main barriers associated to each vulnerable category were associated to effective promotional strategies to overcome them. Conclusion Pharmacists prioritize lifecycle and clinical vulnerability at the expense of narrowing down the definition of vulnerability. Some vulnerable groups are also under targeted in pharmacies. A wide variety of promotional strategies are available to pharmacies to overcome the specific barriers experienced by various groups.

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Section: Discussionsupporting

confidence: 62%