Desjardins Chloé, Denis-LeBlanc Manon, Cannalonga Christine Paquette, Rahmani Malek, Gawargy Teresa A, Dion Pierre-Marc, Harasym Jennifer Lacroix, Fotsing Salomon, Cherba Maria, Langlois Nigèle, Boet Sylvain
Francophone Affairs, Faculty of Medicine, University of Ottawa, Ottawa, ON.
Department of Family Medicine, University of Ottawa, Ottawa, ON.
Can Commun Dis Rep. 2023 Aug 1;49(7-8):331-341. doi: 10.14745/ccdr.v49i78a05.
Good communication between healthcare professionals and their patients is essential to enlighten the benefits and risks of vaccination. Despite the availability of effective vaccines, reluctance prevails, sometimes fuelled by sub-optimal communication leading to a lack of trust. An evaluation of the effectiveness of a communication strategy for which healthcare professionals are trained has yet to be carried out.
Systematic review of studies with a randomized controlled trial (RCT) to define and evaluate the impact of healthcare professionals' communication on patients' vaccine adherence.
We performed a structured search on Medline, Embase, CENTRAL, PsycINFO and CINAHL. The studies selected include those involving healthcare professionals authorized to administer vaccines according to Canadian guidelines. Primary outcomes include vaccination rate or vaccine hesitancy rate.
Nine articles were included. Five studies (n=5) reported intervention effectiveness according to vaccine adherence. The results are largely represented by parental vaccine hesitancy for human papillomavirus (HPV) or childhood vaccination, while three studies (n=3) target the general population. The risk of bias relative to the studies is either low (n=7) or of some concern (n=2).
The effectiveness of communication varies according to the studies and knowledge acquired through training. Future studies will need to examine communication with healthcare professionals in order to establish a consensus on optimal and appropriate training.
医疗保健专业人员与其患者之间的良好沟通对于阐明疫苗接种的益处和风险至关重要。尽管有有效的疫苗，但疫苗接种犹豫现象仍然普遍存在，有时是由于沟通欠佳导致缺乏信任所致。尚未对医疗保健专业人员接受培训的沟通策略的有效性进行评估。
通过随机对照试验（RCT）对研究进行系统评价，以界定和评估医疗保健专业人员的沟通对患者疫苗接种依从性的影响。
我们在Medline、Embase、CENTRAL、PsycINFO和CINAHL上进行了结构化检索。所选研究包括那些涉及根据加拿大指南被授权接种疫苗的医疗保健专业人员的研究。主要结局包括疫苗接种率或疫苗犹豫率。
纳入9篇文章。5项研究（n = 5）根据疫苗接种依从性报告了干预效果。结果主要以父母对人乳头瘤病毒（HPV）疫苗或儿童疫苗接种的犹豫态度为代表，而3项研究（n = 3）针对的是普通人群。相对于这些研究的偏倚风险为低（n = 7）或有些担忧（n = 2）。
沟通的有效性因研究以及通过培训获得的知识而异。未来的研究需要考察与医疗保健专业人员的沟通，以便就最佳和适当的培训达成共识。
