Departments of Pediatrics.
NewYork-Presbyterian Hospital, New York, New York.
Pediatrics. 2019 Aug;144(2). doi: 10.1542/peds.2018-2580. Epub 2019 Jul 10.
To assess the impact of a parent educational intervention about influenza disease on child vaccine receipt.
A convenience sample of parents of children ≥6 months old with a visit at 2 New York City pediatric clinics between August 2016 and March 2017 were randomly assigned (1:1:1) to receive either usual care, an educational handout about influenza disease that was based on local data, or an educational handout about influenza disease that was based on national data. Parents received the handout in the waiting room before their visit. Primary outcomes were child influenza vaccine receipt on the day of the clinic visit and by the end of the season. A multivariable logistic regression was used to assess associations between intervention and vaccination, with adjustment for variables that were significantly different between arms.
Parents who received an intervention (versus usual care) had greater odds of child influenza vaccine receipt by the end of the season (74.9% vs 65.4%; adjusted odds ratio 1.68; 95% confidence interval: 1.06-2.67) but not on the day of the clinic visit. Parents who received the national data handout (versus usual care) had greater odds of child influenza vaccine receipt on the day of the clinic visit (59.0% vs 52.6%; adjusted odds ratio 1.79; 95% confidence interval: 1.04-3.08) but not by the end of the season.
Providing an educational intervention in the waiting room before a pediatric provider visit may help increase child influenza vaccine receipt.
评估关于流感疾病的家长教育干预对儿童疫苗接种的影响。
2016 年 8 月至 2017 年 3 月期间,在纽约市 2 家儿科诊所就诊的≥6 月龄儿童的家长,采用便利抽样法,按 1:1:1 的比例随机分配(1:1:1)接受常规护理、基于当地数据的流感疾病教育手册或基于全国数据的流感疾病教育手册。家长在就诊前在候诊室收到教育手册。主要结局为就诊当天和整个流感季节结束时儿童流感疫苗的接种情况。采用多变量逻辑回归评估干预与接种之间的关联,并对组间存在显著差异的变量进行调整。
与常规护理相比,接受干预(而不是常规护理)的家长在整个流感季节结束时儿童流感疫苗接种的可能性更高(74.9% vs. 65.4%;调整后的优势比 1.68;95%置信区间:1.06-2.67),但就诊当天并非如此。与常规护理相比,接受全国数据手册(而不是常规护理)的家长在就诊当天儿童流感疫苗接种的可能性更高(59.0% vs. 52.6%;调整后的优势比 1.79;95%置信区间:1.04-3.08),但在整个流感季节并非如此。
在儿科就诊前在候诊室提供教育干预可能有助于提高儿童流感疫苗的接种率。