scholarly journals Parents and health professionals’ opinions on information tools on mandatory childhood vaccines

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
C H Hennequin ◽  
C V Vergelys ◽  
L C Chauvet ◽  
S C Cortaredona ◽  
E D Dube ◽  
...  
Keyword(s):  
Health Professionals ◽  
Economic Status ◽  
Qualitative Evaluation ◽  
Vaccine Hesitancy ◽  
Scientific Language ◽  
Individual Interviews ◽  
Patient Profile ◽  
Information Tools ◽  
Qualitative Survey ◽  
Childhood Vaccines

Abstract Background South-eastern France is marked by insufficient vaccination coverage for several vaccines and some mistrust of its population towards vaccination. In this context and given the application of new vaccination obligations for early childhood, we carried out a qualitative survey to study opinions of parents and health professionals (HPs) on information tools on vaccination (ITV). Methods An inventory of French existing ITV was conducted to select a diverse set of 17 ITV for our qualitative evaluation. In 2018, we carried out 26 individual interviews with parents of young children (recruited in nurseries and kindergartens) and 5 focus groups with HPs (nurses, general practitioners, midwives and pediatricians; n = 33). Results Most parents appreciated videos for their convenience: they used them to discover new/complex subjects in an entertaining way. Paper ITV remained essential mostly among parents with high socio-economic status (SES) or marked vaccine hesitancy, who also requested detailed information and scientific sources. Some parents of low SES considered ITV difficult to understand because of their length, quantity of information and scientific language. For HPs, giving their patients a paper ITV is a way to show the importance they attach to their patient’s questions. HPs reported reluctance using videos during consultations. Some HPs stated their need for guidance on two aspects: 1) key discussion points to use when giving an ITV to parents and 2) most appropriate timing to give ITVs: prescription, injection… Conclusions In the pool of tested ITV, articulation and formatting of arguments are not always optimal for HP and parents use. Tailored ITV should be available for the different needs of HP and parents, especially, for the latter, according to their SES and hesitancy profiles. ITV adapted to use during consultation are necessary. Key messages Information tools on vaccination (ITV) are not always optimal for HP and parents use. ITV should be tested and better adapted to the patient profile and consultation context.

Qualitative Survey of Graduate Practice — An Intervention for Young Unemployed Jobseekers in Slovakia

2019 ◽  
Vol 10 (9) ◽  
pp. 910-918
Author(s):  
Lucia Svabova ◽  
◽  
Vladimir Borik ◽  
Marek Durica ◽  
Johanna Grudin ◽  
...  
Keyword(s):  
Labour Market ◽  
Qualitative Evaluation ◽  
Work Experiences ◽  
The European Union ◽  
State Budget ◽  
Active Labour Market Policy ◽  
Potential Employer ◽  
Qualitative Survey ◽  
Ex Post ◽  
Active Labour

Active labour market policy interventions are vide used tool of a government against unemployment. One of the most frequently used intervention for young jobseekers in Slovakia is a Contribution for Graduate practice. This measure is intended for young unemployed jobseekers as a tool of gaining first contact with the open labour market and with potential employer and gaining first work experiences. In this paper we present a qualitative survey of Graduate practice that was made as an ex-post evaluation of this intervention by its participants in Slovakia. This evaluation of the intervention was carried out at the request of the European Commission not only in Slovakia but also in several countries of the European Union. The qualitative evaluation, as a part of this rigorous intervention evaluation, provides feedback from the real intervention participants and brings some suggestions to improve the parameters and conditions of Graduate practice intervention and its realization. These improvements are useful not only for participants themselves, for companies in which young graduates are employed but also for the state budget in the form of returned or saved invested funds because of better functioning of the intervention. Based on the results of this feedback from its real participants, some parameters, conditions and details of the Graduate practice intervention have been changed and added in Slovakia.

scholarly journals The Role of Emotional Competences in Parents’ Vaccine Hesitancy

Vaccines ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 298
Author(s):  
Teresa Gavaruzzi ◽  
Marta Caserotti ◽  
Irene Leo ◽  
Alessandra Tasso ◽  
Leonardo Speri ◽  
...  
Keyword(s):  
Emotional Competence ◽  
Vaccine Safety ◽  
Vaccine Hesitancy ◽  
Mental Images ◽  
Emotional Competencies ◽  
Vaccine Refusal ◽  
Behavior Study ◽  
Childhood Vaccines ◽  
Role Of Parents

The role of parents’ emotional competencies on vaccine hesitancy and decision making has been seldom examined. Two studies investigated the relationship between parents’ attitudes towards childhood vaccines and self-reported behavior (Study 1) and between parents’ emotional competence and attitudes towards vaccines (Study 2). In Study 1, predictors of temporal, partial, or complete vaccine refusal (having voluntarily postponed/forgone some/all vaccines) were examined in 2778 parents. In Study 2, psychological predictors of the attitude towards vaccines were examined in 593 parents, using the Profile of Emotional Competence and the valence of mental images spontaneously associated with the term “vaccine”. In Study 1, attitudes were aggregated in three independent factors (concerns about vaccine safety; diseases prevented by vaccines; and naturalistic views) that independently predicted vaccine refusal. In Study 2, a significant mediational analysis showed a positive indirect effect of intrapersonal emotional competences on attitudes towards vaccines, through mental images associated with the word “vaccine”. Parents’ intrapersonal emotional competences affected all dimensions of attitudes towards vaccines, suggesting that being able to manage, identify, and recognize one’s own emotions is central to vaccine acceptance. These findings suggest that intervention strategies, rather than stressing the pro-social benefits of vaccinating, should focus on aspects related to one’s own emotions.

Understanding vaccine hesitancy: the evidence

2021 ◽  
Vol 32 (7) ◽  
pp. 282-287
Author(s):  
Alison While
Keyword(s):  
Public Health ◽  
Health Professionals ◽  
Herd Immunity ◽  
Public Health Intervention ◽  
Health Intervention ◽  
Vaccine Hesitancy ◽  
Important Public Health ◽  
Positive Attitudes ◽  
The Uk

Vaccine hesitancy is a concern both globally and within the UK. Alison While reviews the evidence relating to vaccine hesitancy, its underlying factors and the sociodemographic variations Vaccination is an important public health intervention, but its effectiveness depends upon the uptake of vaccination reaching sufficient levels to yield ‘herd’ immunity. While the majority of the UK hold positive attitudes about vaccination, some people, including health professionals, decline vaccinations. This article reviews the evidence relating to vaccine hesitancy, its underlying factors and the sociodemographic variations.

scholarly journals Evaluating Student Preparedness and Conceptual Change in Introductory Biology Students Studying Gene Expression

2010 ◽  
Vol 3 (1) ◽  
pp. 21-34
Author(s):  
Kelly McDonald ◽  
Joseph Gomes
Keyword(s):  
Gene Expression ◽  
Conceptual Change ◽  
Teaching And Learning ◽  
Qualitative Evaluation ◽  
Assessment Instrument ◽  
Scientific Language ◽  
Introductory Biology ◽  
Student Preparedness ◽  
Biology Students ◽  
Post Test

Conceptual difficulties experienced by introductory college biology students studying gene expression are explored in this empirical study. We used an open-ended assessment instrument and a pre-test/post-test design to measure prior knowledge and conceptual change over the course of one semester. Our findings suggest that introductory biology students struggle with the basic terminology necessary to understand complex biological systems at the molecular and genetic level. While conceptual growth from the beginning to the end of the semester was less than expected, learning gains were significant for all concepts examined by our assessment strategy. Qualitative evaluation of pre- and post-tests further highlighted the difficulty students have articulating their knowledge using scientific language. In our discussion, we emphasize the importance of assessing conceptual understanding, developing instructional strategies to promote conceptual change, and the need for closer alignment of curriculum between and within institutions. Ultimately, educational and institutional resources to support faculty development in the area of teaching and learning are critical for the retention and preparation of a diverse student population in the biological sciences.

scholarly journals 1172. SARS-CoV-2 Vaccine Hesitancy in Caregivers of Hospitalized Children

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S677-S677
Author(s):  
Marisa Orbea ◽  
Rachel Cunningham ◽  
C Mary Healy ◽  
Julie A Boom ◽  
Claire Bocchini
Keyword(s):  
Vaccine Uptake ◽  
Vaccine Hesitancy ◽  
Hospitalized Children ◽  
Parent Attitudes ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Vaccine Acceptance ◽  
And Behaviors ◽  
Childhood Vaccines ◽  
To Receive

Abstract Background SARS-CoV-2 vaccine hesitancy (VH) is hindering nationwide vaccination efforts; little is known about caregiver SARS-CoV-2 vaccine acceptance for children. We aimed to identify associations with SARS-CoV-2 VH in caregivers of hospitalized children. Methods We conducted a prospective cross-sectional survey in English and Spanish of caregiver COVID-19 knowledge, attitudes, behaviors, and associated VH among hospitalized children 6 months - 18 years at a large pediatric medical institution. Parents were approached daily, averaging 4-5 days/week, from 12/8/2020--4/5/2021. VH was assessed using the Parent Attitudes about Childhood Vaccines (PACV) survey; PACV score ≥50 denoted VH. Descriptive statistics and multivariable logistic regression were used. Responses were categorized. Results 295/307 (96%) of approached caregivers enrolled; 79% were ≥ 30 years, 68% were married/ living with a partner, and 57% had at least some college. 36% identified as white, 19% Black, and 46% Hispanic/ Latino. 53% of caregiver children had public insurance. 91% of caregivers self-reported their children were up to date with routine vaccines. 17% of caregivers were vaccine-hesitant overall. 50% of caregivers were willing to receive COVID-19 vaccine themselves. Figure 1 shows intention to vaccinate their child by PACV score. 65% knew someone who was hospitalized for COVID-19. 67% were scared of their child getting COVID-19. However, 49% were scared of their child getting the vaccine, 28% did not want to vaccinate their child and 27% were neutral in the intention to vaccinate their child. Caregivers who did not intend to vaccinate their child were more likely to be Black (27% vs. 16%, p=0.04) and less likely to be Hispanic/ Latino (33% vs. 49%, p=0.02). Table 1 shows attitudes, beliefs, and behaviors surrounding the COVID-19 pandemic and vaccine in caregivers who did or did not intend to vaccinate their child. Figure 1 COVID-19 vaccine uptake by PACV score Table 1 Caregiver attitudes, beliefs, and behaviors surrounding the COVID-19 pandemic and the COVID-19 vaccine Conclusion The majority of caregivers believe that SARS-CoV-2 vaccine will help control the pandemic, but less than half plan to vaccinate their children. A quarter of caregivers expressed uncertainty regarding the vaccine and therefore may be amenable to education and discussion. COVID-19 VH is different from VH towards routine vaccinations. More research is needed to address COVID-19 specific VH. Disclosures C. Mary Healy, MD, Dexcom (Shareholder)Intuitive (Shareholder)Quidel Corporation (Shareholder)Up to Date (Other Financial or Material Support, Honorarium)Vapotherm (Shareholder)

Role of Socio-Economic Status in Cigarette Smoking Tendency of Youths

2016 ◽  
Vol 3 (4) ◽  
Author(s):  
Purnima Awasthi ◽  
Ravi P. Pandey
Keyword(s):  
Cigarette Smoking ◽  
Health Professionals ◽  
Urban Areas ◽  
Active Drug ◽  
Economic Status ◽  
Recreational Drug ◽  
Rural And Urban Areas ◽  
Socio Economic Status ◽  
Rural And Urban

Smoking is considered as one of the most common health impairing behaviors involving recreational drug use, in which tobacco is burned and the smoke is tasted or inhaled. Health professionals have identified cigarette smoking (in which the active drug is nicotine) as a most serious preventive health problem of youths worldwide. The study examines the role of socioeconomic status (SES) in smoking tendency of youths. The study was carried out with 75 male youths, who represented lower, middle, and high SES. The age of participants ranged from 19 to 25 years, and they resided in the rural and urban areas of Varanasi. Participants were given the measures of socio-economic status and smoking urges. Analysis revealed that youths of lower and higher SES, exhibited greater smoking tendencies as compared to those of middle SES. The findings are discussed and their implications are pointed out.

Is immunisation for children and young people in statutory care in Victoria 'all too hard'? A qualitative study with health professionals

2019 ◽  
Vol 25 (2) ◽  
pp. 131 ◽  
Author(s):  
Katherine Thornton ◽  
Susan Webster ◽  
Meredith Temple-Smith
Keyword(s):  
Home Care ◽  
Health Professionals ◽  
Vaccine Hesitancy ◽  
Structured Interviews ◽  
Enabling Factors ◽  
Children And Young People ◽  
Factors Affecting ◽  
Roles And Responsibilities ◽  
Out Of Home Care ◽  
Legal Consent

This formative study aimed to identify health professionals’ perspectives on vaccination issues among children in statutory out-of-home care in Victoria. Eight health professionals, drawn from a purposive Victorian sample known to be proactive in addressing the vaccination needs of children in out-of-home care, took part in semi-structured interviews. Questions addressed participants’ views about roles and responsibilities, barriers and enabling factors affecting vaccination, and ideas about systems improvements. Interview transcripts were analysed thematically. The main themes that emerged were health professionals’ observations about vaccine hesitancy among significant adults in the out-of-home care sector, the paucity of child medical history information available and diffuse responsibility for the provision of legal consent to vaccination. More accurate immunisation status monitoring appears warranted for children in out-of-home care. Unless the collection and maintenance of child medical records improves and vaccination consent processes are streamlined, health professionals will be limited in their capacity to provide efficient vaccination services to these children. Research on vaccine hesitancy among staff and carers in the statutory care sector may be of value. This study supports other Australian research that indicates these children may require more targeted, inter-sectoral immunisation approaches.

scholarly journals Are midwives ready to fight vaccine hesitancy? First results from an Italian cross-sectional study

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Massimi ◽  
A Rosso ◽  
C De Vito ◽  
C Marzuillo ◽  
V Baccolini ◽  
...  
Keyword(s):  
Ad Hoc ◽  
Care Pathway ◽  
Herd Immunity ◽  
Vaccine Hesitancy ◽  
Accurate Information ◽  
Teachable Moment ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Level Of Knowledge ◽  
Childhood Vaccines

Abstract Background Pregnancy is widely recognized as a ’teachable moment’ since attitudes and beliefs about childhood vaccines are not completely structured. Among healthcare workers (HCWs), midwives play a pivotal role in the maternal care pathway and should have a key role also in promoting opportunities of discussion and correct information about vaccinations. Methods We conducted a cross-sectional survey to assess knowledge and attitudes of a sample of Italian midwives towards vaccinations. A questionnaire was designed ad hoc and sent electronically to midwives members of the professional register of Rome. Results Preliminary results on data collected from 140 midwives (mean age 37.32, DS ± 11.61; mean years on the job: 11.94 DS ± 12.78) who completed the survey showed a heterogeneous level of knowledge: only 50% of the sample indicated the correct threshold of vaccination coverage for herd immunity, while safety of multiple shots and of the additives contained in vaccines was reported by 61% and 31% of respondents, respectively. Only 41% of midwives had identified the pertussis vaccine as one of the vaccinations recommended during pregnancy. Attitudes were generally positive: 84% of respondents recognized recommended vaccines as effective and 86% as one of the safest health interventions. However, vaccinations against MMR and Varicella were perceived as useful by 86% and 71% of the midwives, while 89% and 77%, respectively, would recommend them to parents (compared to 96% in case of hexavalent). Globally, 79% of respondents would agree with the introduction of mandatory vaccinations for HCWs in maternity wards. Conclusions Midwives show some gaps in the knowledge on vaccinations. The final results of this study will be used to build specific and tailored training programs directed to midwives involved in pregnancy management. This may help them to transfer the correct vaccination information for the empowerment and the growth of vaccine literacy. Key messages Pregnancy is a strategic teachable moment to influence attitudes regarding childhood vaccinations and healthcare professionals must be trained to be the vehicle of the most accurate information. Specific under- and post-graduate training courses on vaccinations directed to midwives are strongly needed to ensure good level of knowledge on this topic.

scholarly journals Parental concerns and uptake of childhood vaccines in rural Tanzania – a mixed methods study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Lavanya Vasudevan ◽  
Joy Noel Baumgartner ◽  
Sara Moses ◽  
Esther Ngadaya ◽  
Sayoki Godfrey Mfinanga ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Vaccine Coverage ◽  
Mitigation Strategies ◽  
Mixed Methods Study ◽  
Sub Saharan Africa ◽  
Vaccine Hesitancy ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Parental Concerns ◽  
Childhood Vaccines

Abstract Background Vaccine hesitancy has been recognized as an important barrier to timely vaccinations around the world, including in sub-Saharan Africa. In Tanzania, 1 in 4 children is not fully vaccinated. The objective of this mixed methods study was to describe and contextualize parental concerns towards vaccines in Tanzania. Methods Between 2016 and 2017, we conducted a cross-sectional survey (n = 134) and four focus group discussions (FGDs, n = 38) with mothers of children under 2 years of age residing in Mtwara region in Southern Tanzania. The survey and FGDs assessed vaccination knowledge and concerns and barriers to timely vaccinations. Vaccination information was obtained from government-issued vaccination cards. Results In the cross-sectional survey, 72% of mothers reported missed or delayed receipt of vaccines for their child. Although vaccine coverage was high, timeliness of vaccinations was lower and varied by vaccine. Rural mothers reported more vaccine-related concerns compared to urban mothers; literacy and access to information were identified as key drivers of the difference. Mothers participating in FGDs indicated high perceived risk of vaccine-preventable illnesses, but expressed concerns related to poor geographic accessibility, unreliability of services, and missed opportunities for vaccinations resulting from provider efforts to minimize vaccine wastage. Conclusions Findings from our cross-sectional survey indicate the presence of vaccination delays and maternal concerns related to childhood vaccines in Tanzania. In FGDs, mothers raised issues related to convenience more often than issues related to vaccine confidence or complacency. Further research is necessary to understand how these issues may contribute to the emergence and persistence of vaccine hesitancy and to identify effective mitigation strategies.

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