Maternal Influenza Vaccination: Evaluation of a Patient-Centered Pamphlet Designed to Increase Uptake in Pregnancy.

We developed and tested a theoretically-based pamphlet entitled 'Influenza in Pregnancy,' specifically designed to increase pregnant women's knowledge, reduce barriers to maternal vaccination, and subsequently improve vaccine uptake. A randomized control trial was conducted on pregnant women (n = 13...

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Publicado en:Maternal & Child Health Journal Vol. 18; no. 5; pp. 1205 - 1215
Autores principales: Meharry, Pamela, Cusson, Regina, Stiller, Robert, Vázquez, Marietta
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Springer Nature Jul2014
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10995-013-1352-4
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        atl: Maternal Influenza Vaccination: Evaluation of a Patient-Centered Pamphlet Designed to Increase Uptake in Pregnancy.
      aug:
        au:
          Meharry, Pamela
          Cusson, Regina
          Stiller, Robert
          Vázquez, Marietta
        affil: Department of Pediatrics, Middlesex Hospital, Middletown USA
      sug:
        subj:
          Influenza Vaccine Administration and Dosage
          Patient Centered Care
          Pamphlets
          Patient Education
          Health Knowledge
          Human
          Pregnancy
          Female
          Connecticut
          Randomized Controlled Trials
          Analysis of Variance
          Repeated Measures
          Chi Square Test
          Questionnaires
          Content Validity
          Summated Rating Scaling
          Data Analysis Software
          Adolescence
          Adult
          Parity
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Female
      ab: We developed and tested a theoretically-based pamphlet entitled 'Influenza in Pregnancy,' specifically designed to increase pregnant women's knowledge, reduce barriers to maternal vaccination, and subsequently improve vaccine uptake. A randomized control trial was conducted on pregnant women (n = 135) at three locations in Connecticut during the 2011-2012 season to evaluate the impact of the patient-centered pamphlet. The women were randomized to one of three groups: the pamphlet; pamphlet/benefit statement (vaccinating the pregnant woman also benefits the young infant); or control. A Chi square analysis compared the intervention with control using the primary outcome of vaccination. A secondary outcome of the perceptions of health beliefs of maternal vaccination were measured through General Linear Model/ANOVA model for repeated measures. Overall 66.9 % (89/133) were vaccinated. Both the pamphlet group 72.9 % (35/48) (χ² = 6.81, df = 1 p = .009), and the pamphlet/benefit statement group 86.1 % (31/36) (χ² = 13.74, df = 1, p < .001), had significantly higher vaccine uptake than the control group 46.9 % (23/49). The potential barrier, perception of vaccine safety (F = 4.973, df = 2, p < .01), and benefit of vaccination to mother and infant (F = 6.690, df = 2, p < .01) significantly improved for the intervention groups compared to control group. The pamphlet significantly increased the pregnant women's perceptions of the safety and benefit of the vaccine, and the overall uptake.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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