Luthy Karlen E, Anderson Alicia, Macintosh Janelle, Beckstrand Renea L, Eden Lacey M, Amy Ryan, Macintosh Christopher I
Karlen E. Luthy is an Associate Professor, Brigham Young University, Provo, UT. The author can be reached via e-mail at
MCN Am J Matern Child Nurs. 2017 Sep/Oct;42(5):283-288. doi: 10.1097/NMC.0000000000000358.
Clients in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) are required to complete education modules quarterly to maintain eligibility. The purposes of this project were to: (1) create a whooping cough vaccination education module for WIC clients; (2) evaluate baseline perceptions of WIC clients on the whooping cough vaccine and disease; and (3) evaluate whooping cough knowledge following completion of the module.
A decline in vaccination rates among infants and children using WIC services was reported by a local WIC program director who requested whooping cough vaccination education materials. This quality improvement project included development of a whooping cough education module and evaluation of learning.
Learning was evaluated using a pre- and posttest design. Client feedback was solicited via open-ended questions. Quantitative analysis was performed on visual analog-type questions with paired t-tests and a Cohen's d. Content analysis was conducted on open-ended items.
The module was designed by a team of vaccination experts and included general definitions, signs and symptoms during the three stages of disease, recommendations to prevent whooping cough, and vaccination recommendations. Learning of users of the module was then evaluated.
After using the module, clients indicated they were significantly more likely to vaccinate themselves and their child against whooping cough, and to recommend the vaccination to their family members. The greatest concern of participants about whooping cough was how it affected infants. Participants reported they learned new information on disease seriousness, recognition of symptoms, and treatment options but still requested additional information on the whooping cough disease and vaccine.
A whooping cough education module is an effective strategy to improve whooping cough knowledge and promote the whooping cough vaccine.
妇女、婴儿和儿童特殊补充营养项目（WIC）的参与者需要每季度完成教育模块以维持资格。本项目的目的是：（1）为WIC参与者创建一个百日咳疫苗接种教育模块；（2）评估WIC参与者对百日咳疫苗和疾病的基线认知；（3）评估模块完成后参与者的百日咳知识。
一位当地WIC项目主任报告称，使用WIC服务的婴幼儿疫苗接种率有所下降，他请求提供百日咳疫苗接种教育材料。这个质量改进项目包括开发一个百日咳教育模块并评估学习情况。
采用前后测试设计评估学习情况。通过开放式问题征求参与者的反馈。对视觉模拟类型的问题进行定量分析，采用配对t检验和科恩d值。对开放式问题进行内容分析。
该模块由一组疫苗接种专家设计，包括一般定义、疾病三个阶段的体征和症状、预防百日咳的建议以及疫苗接种建议。然后对该模块的使用者的学习情况进行评估。
使用该模块后，参与者表示他们更有可能为自己和孩子接种百日咳疫苗，并向家人推荐接种。参与者对百日咳最担心的是它对婴儿的影响。参与者报告说他们学到了关于疾病严重性、症状识别和治疗选择的新信息，但仍要求提供更多关于百日咳疾病和疫苗的信息。
百日咳教育模块是提高百日咳知识和推广百日咳疫苗的有效策略。
