a Centre de Recherche du Centre hospitalier universitaire de Sherbrooke , Sherbrooke , Quebec , Canada.
b Eastern Townships Public Health Department , Sherbrooke , Quebec , Canada.
Hum Vaccin Immunother. 2019;15(3):732-739. doi: 10.1080/21645515.2018.1549451. Epub 2019 Jan 4.
Delayed vaccinations at 2, 4, and 6 months are associated with a higher probability of delayed age-appropriate vaccination during childhood. This study aimed to assess the effectiveness of an information session on immunization during infancy.
An individual educational information session with motivational interview techniques for immunization of infants was conducted (experimental group) or not conducted (control group) during postpartum stay in a quasi-experimental cohort study. Immunization data were collected from the Eastern Townships Public Health registry at 3, 5, 7, 13, 19, and 24 months of age. Logistic regressions with repeated measures were performed to assess the intervention's impact. Relative risks (RR) were estimated. A multivariate model was obtained adjusted for confounding factors.
The experimental and control groups included 1140 and 1249 families, respectively. In per protocol analysis, a significant increase in VC of 3.2, 4.9, 7.3, 6.7, 10.6, and 5.1% was observed at 3, 5, 7, 13, 19, and 24 months. Children from experimental group had 9% more chance at a complete vaccination status between 3 and 24 months compared to children from control group (RR (95% CI): 1.09 (1.05-1.13), p < .001). Children with complete vaccination status at 3 months were more likely to have a complete vaccination status at 24 months (82.3 vs. 48.1%, RR (95% CI): 2.72 (2.28-3.24), p < .001). After adjustment, the estimated RR of the intervention's impact was 1.05 (1.02-1.07), p < .001.
An educational information session about immunization based on motivational interview techniques conducted during postpartum hospitalization could improve immunization during infancy.
在 2、4 和 6 个月时延迟接种疫苗与儿童时期更有可能延迟接受适龄疫苗接种有关。本研究旨在评估婴儿期免疫接种信息会议的效果。
在一项准实验队列研究中，在产后住院期间对婴儿进行了（实验组）或未进行（对照组）基于动机访谈技术的免疫接种个别教育信息会议。在 3、5、7、13、19 和 24 个月时，从东镇公共卫生登记处收集免疫接种数据。采用重复测量的逻辑回归来评估干预的影响。估计相对风险 (RR)。获得了调整混杂因素的多变量模型。
实验组和对照组分别纳入了 1140 户和 1249 户家庭。在按方案分析中，在 3、5、7、13、19 和 24 个月时，VC 分别显著增加了 3.2%、4.9%、7.3%、6.7%、10.6%和 5.1%。与对照组相比，实验组的儿童在 3 至 24 个月时完全接种疫苗的可能性增加了 9%（RR（95%CI）：1.09（1.05-1.13），p < 0.001）。在 3 个月时完全接种疫苗的儿童在 24 个月时更有可能完全接种疫苗（82.3%比 48.1%，RR（95%CI）：2.72（2.28-3.24），p < 0.001）。调整后，干预措施影响的估计 RR 为 1.05（1.02-1.07），p < 0.001。
在产后住院期间进行基于动机访谈技术的免疫接种教育信息会议可以改善婴儿期的免疫接种。
