Factors that influence vaccination communication during pregnancy: provider and patient perspectives using the theoretical domains framework.
Introduction: Vaccination during pregnancy is recommended but uptake is low and evidence on the topic is limited. Aims: This study aimed to identify the drivers of current behavior and barriers to change for health care practitioners (HCPs) and pregnant patients in Canada. Methods: This study is an...
| Publicado en: | JBI Evidence Implementation Vol. 23; no. 2; pp. 201 - 231 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Apr2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=184529987&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 184529987 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26913321 MO0F jtl: JBI Evidence Implementation issn: 26913321 maglogo: N pubinfo: dt: Apr2025 vid: 23 iid: 2 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 184529987 184529987 184529987 10.1097/XEB.0000000000000460 184529987 ppf: 201 ppct: 30 formats: tig: atl: Factors that influence vaccination communication during pregnancy: provider and patient perspectives using the theoretical domains framework. aug: au: Patey, Andrea M. Amarbayan, Mungunzul M. Lee, Kate Bruce, Marcia Bettinger, Julie A. Pringle, Wendy Donald, Maoliosa Castillo, Eliana affil: Centre for Implementation Research, Ottawa Hospital Research Institute, ON, Canada sug: subj: Immunization Psychosocial Factors Communication Patient Attitudes Evaluation Attitude of Health Personnel Evaluation Models, Theoretical Conceptual Framework Pregnancy Complications, Infectious Prevention and Control Health Personnel Psychosocial Factors Expectant Mothers Psychosocial Factors Human Funding Source Pregnancy Female Adolescence Adult Middle Age Qualitative Studies Vaccination Hesitancy Psychosocial Factors Canada COVID-19 Vaccines Administration and Dosage COVID-19 Vaccines Therapeutic Use COVID-19 Prevention and Control Perinatal Period Breast Feeding Psychosocial Factors Environment Health Resource Utilization Professional Knowledge Confidence Professional Competence Health Behavior Implementation Science Health Promotion Interviews Open-Ended Questionnaires Secondary Analysis Health Beliefs Emotions Descriptive Statistics Data Analysis Software Survey Research Professional Autonomy Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Female ab: Introduction: Vaccination during pregnancy is recommended but uptake is low and evidence on the topic is limited. Aims: This study aimed to identify the drivers of current behavior and barriers to change for health care practitioners (HCPs) and pregnant patients in Canada. Methods: This study is an in-depth qualitative investigation of the factors influencing HCPs' vaccination communication during pregnancy, as well as factors influencing pregnant patients' vaccination uptake in Canada using the Theoretical Domains Framework. Three data sources were used: (1) perinatal HCP interviews before COVID-19; (2) perinatal HCP interviews regarding vaccine communication after COVID-19; and (3) survey of pregnant or lactating women after COVID-19. Results: Forty-seven interviews and 169 participant responses were included. Perinatal HCPs reported limited information on vaccine communication or difficulty keeping up-to-date (Environmental context and resources ; Knowledge; Beliefs about capabilities). HCPs lacked confidence and struggled with lack of training to address vaccine hesitancy without alienating patients (Beliefs about capabilities; Skills). Pregnant or lactating women struggled with the amount of information they felt was imposed on them, had concerns about the perceived negative consequences of vaccination, and felt pressure to understand what was best for them and their babies (Knowledge; Beliefs about consequences; Social influences). Conclusions: Our study provides a theory-based approach to identify influencing factors that can be mapped to theory-based intervention components, improving the likelihood of intervention effectiveness. The study is the first step in adapting an existing intervention to improve vaccine communication during pregnancy, ultimately, increasing vaccination uptake. http://links.lww.com/IJEBH/A260 pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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