Nivel, Netherlands Institute for Health Services Research, Utrecht, The Netherlands.
Unit of PharmacoTherapy, -Epidemiology & -Economics, Groningen Research Institute of Pharmacy, University of Groningen, Groningen, The Netherlands.
Health Expect. 2023 Apr;26(2):806-817. doi: 10.1111/hex.13706. Epub 2023 Feb 3.
The aim of this study was to understand the provision and need, quality of and trust in COVID-19 vaccines information from the perspectives of people who have had COVID-19 infection.
People who have had a COVID-19 infection were approached via their general practice and invited to participate in the Nivel Corona Cohort. They completed questionnaires at baseline (Q1), and at three months (Q2). Outcome measures were based on health information-seeking behaviour, as used in the Comprehensive Model of Information Seeking. Antecedents (i.e., gender, age, education level, health literacy) were used from Q1, and one's beliefs and experiences (i.e., trust in the information and healthcare system, how applicable the information is), information carrier factors (i.e., information quality perceptions and via which sources), health-information seeking actions (i.e., decision to vaccinate and information sufficiency) and vaccination status from Q2. Data were analysed using descriptive analyses, analysis of variance tests (F-tests) and χ tests with the statistical software STATA.
Of the respondents (N = 314), 96% were vaccinated at least once, mostly after having had the virus. Most retrieved information about COVID-19 vaccines on the website of the National Institute for Public Health and the Environment (79%), broader via the internet (56%), or from family and friends (35%). Almost all had trust in the information (89%) and healthcare system (94%). Most found the information applicable to their situation (67%). Moreover, most perceived the information as correct (71%) and did not perceive the information to be misleading (85%), while fewer people found the information reliable (59%) and clear (58%). Overall, the majority indicated that the information met their expectations to make a well-informed decision to vaccinate (89%).
Different characteristics of people who had COVID-19 and sought information were identified, which is important to offer tailored information. People who had COVID-19 in this study, mainly middle-aged, vaccinated and highly educated, were generally positive about the vaccines information, but overall the reliability and clarity could be improved. This is important for a high vaccination uptake, booster programs and coming pandemics.
The questionnaire was reviewed by patients who had COVID-19, one of whom is a health services researcher.
本研究旨在从感染过 COVID-19 的人群的角度了解 COVID-19 疫苗的供应和需求、质量以及对疫苗的信任情况。
通过他们的常规医疗途径联系感染过 COVID-19 的人群，并邀请他们参与 Nivel Corona 队列研究。他们在基线时（Q1）和三个月时（Q2）完成了问卷。研究结果基于健康信息搜索行为，这是综合信息搜索模型中使用的方法。自变量（即性别、年龄、教育程度、健康素养）来自 Q1，以及一个人的信念和经验（即对信息和医疗保健系统的信任、信息的适用性）、信息载体因素（即信息质量感知和来源）、健康信息搜索行为（即接种疫苗的决定和信息充足性）以及 Q2 中的接种状况。使用 STATA 统计软件进行描述性分析、方差分析检验（F 检验）和 χ 检验来分析数据。
在受访者（N=314）中，96%的人至少接种过一次疫苗，大多数是在感染病毒后接种的。大多数人在国家公共卫生和环境研究所（79%）的网站上检索有关 COVID-19 疫苗的信息，通过互联网检索（56%），或从家人和朋友处检索（35%）。几乎所有人都对信息（89%）和医疗保健系统（94%）表示信任。大多数人认为信息适用于他们的情况（67%）。此外，大多数人认为信息是正确的（71%），并且认为信息没有误导性（85%），而认为信息可靠的人较少（59%），认为信息清晰的人较少（58%）。总体而言，大多数人表示信息满足了他们做出知情决策的期望（89%）。
确定了感染 COVID-19 并寻求信息的人群的不同特征，这对于提供针对性的信息很重要。在这项研究中，感染过 COVID-19 的人主要是中年、受过高等教育、接种过疫苗的人群，他们对疫苗信息总体上持积极态度，但信息的可靠性和清晰度仍需提高。这对于提高疫苗接种率、加强剂计划和即将到来的大流行非常重要。
患者审查了调查问卷，其中一位是健康服务研究人员。
