School of Nursing, University of Ottawa, Ottawa, Ontario, Canada; Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, Ontario, Canada.
School of Nursing, University of Ottawa, Ottawa, Ontario, Canada; Ottawa Hospital Research Institute, Ontario, Ottawa, Ontario, Canada.
Vaccine. 2019 Dec 3;37(51):7493-7500. doi: 10.1016/j.vaccine.2019.09.075. Epub 2019 Oct 4.
Early childhood vaccination is one of the most important public health interventions. However, the injections are usually painful. Clinical practice guidelines recommend using pain management strategies for infants during vaccination. Public access to online health information has increased due to the advent of internet. Parents are likely to find thousands of websites, and online video platforms of variable quality. This study aims to identify and critically appraise the quality of online parent-targeted resources concerning early childhood vaccination and determine inclusion of recommended infant pain management strategies.
An environmental scan of two main internet sources was conducted: (a) Google, (b) Social Media networks. Resources including information relating to infant vaccination and available to Canadians were included. Characteristics of resources were collected. Resource quality was evaluated using the CDC Clear Communication Index. A CDC index score of 90% and above indicates the resource is as an acceptable public communication material. Means and standard deviations were used for normally distributed data; median and interquartile range (IQR) or numbers and proportions were used for data not normally distributed or presented in categorical format.
We found 55 online resources in website format and 10 resources in video format. Overall, the mean score for the quality of resources was 60% ± 0.19. Most resources were scored as moderate to low quality (33-87%). Only 5% of material scored as acceptable quality. In terms of content, 30 (46%) resources presented information about pain management strategies during vaccination, including breastfeeding (24, 37%), holding (27, 42%), and sweet solutions (22, 34%). The remaining 35 (54%) resources made no clear statement regarding any pain management strategies during vaccination.
Most publicly accessible online parent-targeted vaccination resources were of poor quality and did not contain information related to the use of recommended pain management strategies during vaccination.
儿童早期疫苗接种是最重要的公共卫生干预措施之一。然而，接种通常会引起疼痛。临床实践指南建议在接种疫苗时为婴儿使用疼痛管理策略。由于互联网的出现，公众可以访问在线健康信息。父母可能会发现成千上万的网站，以及质量参差不齐的在线视频平台。本研究旨在识别和批判性评价针对儿童早期疫苗接种的面向家长的在线资源的质量，并确定是否包含推荐的婴儿疼痛管理策略。
对两个主要互联网来源（a）谷歌和（b）社交媒体网络进行环境扫描。包括与婴儿疫苗接种相关且可供加拿大人使用的信息的资源都被包含在内。收集资源的特征。使用疾病预防控制中心明确沟通指数（CDC Clear Communication Index）评估资源质量。疾病预防控制中心指数得分为 90%及以上表示该资源是一种可以接受的公共传播材料。正态分布数据使用均值和标准差；非正态分布或分类格式的数据使用中位数和四分位距（IQR）或数字和比例。
我们发现了 55 个网站格式的在线资源和 10 个视频格式的资源。总体而言，资源质量的平均得分为 60%±0.19。大多数资源的质量评分中等偏低（33-87%）。只有 5%的材料评分为可接受质量。就内容而言，30 个（46%）资源介绍了接种疫苗期间的疼痛管理策略信息，包括母乳喂养（24，37%）、抱持（27，42%）和甜溶液（22，34%）。其余 35 个（54%）资源没有明确说明接种疫苗期间是否使用任何疼痛管理策略。
大多数可公开访问的面向家长的在线疫苗接种资源质量较差，并且不包含与接种疫苗期间使用推荐的疼痛管理策略相关的信息。
