Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Parkville, VIC, Australia.
Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Parkville, VIC, Australia; Murdoch Children's Research Institute, Parkville, VIC, Australia.
Vaccine. 2024 Oct 24;42(24):126104. doi: 10.1016/j.vaccine.2024.07.005. Epub 2024 Jul 19.
Catch-up vaccination is a personalised process through which children with missing recommended vaccinations or incomplete vaccination records are brought up to date with the Australian vaccination schedule. Navigating childhood catch-up vaccination can be difficult for migrant parents with inadequate health system knowledge and competing priorities during settlement. This study aimed to understand the experiences of migrant parents with childhood catch-up vaccination and co-design an intervention to improve the process.
We recruited migrant parents who had attended the City of Melbourne Immunisation Service in Melbourne, Australia to participate in a qualitative co-design study between June and August 2022. Expression of interest emails were sent by the service, and we recruited eligible participants. In Phase One, we conducted group interviews with parents to understand their experiences and preferences for an intervention, these were analysed using inductive and framework analysis. In Phase Two, we designed prototype interventions based on parents' preferences and suggestions. In Phase Three, parents shared their feedback on each prototype.
Fourteen migrant parents participated in the study. Most parents did not discover the need for catch-up vaccination until childcare or kindergarten enrolment. The lack of information received about vaccination requirements and difficulty navigating the health system made the process challenging and time-consuming. Based on these Phase One themes, we designed a printout, mobile application, and website prototype. All three were well-received in Phase Three. Overall, parents' top three considerations for any intervention were 1) digital and online accessibility, 2) inclusion of step-by-step processes outlining catch-up vaccination; and 3) inclusion of a checklist.
Migrant parents lack information about childhood catch-up vaccination in Australia. A relatively simple intervention could help parents more easily navigate the process, thereby saving time and stress. The next steps are to seek funding to pilot such an intervention to assess practicality and usefulness.
补种疫苗是一个个性化的过程，通过该过程，缺失推荐疫苗接种或疫苗接种记录不完整的儿童可以按照澳大利亚的疫苗接种时间表进行补种。对于那些健康系统知识不足且在定居期间有其他优先事项的移民父母来说，让孩子进行补种疫苗可能会很困难。本研究旨在了解移民父母在儿童补种疫苗方面的经验，并共同设计一项干预措施来改善这一过程。
我们招募了在澳大利亚墨尔本市接种服务中心接种疫苗的移民父母，以参与 2022 年 6 月至 8 月期间的一项定性共同设计研究。该服务发送了表达兴趣的电子邮件，并招募了符合条件的参与者。在第一阶段，我们对父母进行了小组访谈，以了解他们对干预措施的体验和偏好，这些访谈使用归纳和框架分析进行了分析。在第二阶段，我们根据父母的偏好和建议设计了原型干预措施。在第三阶段，父母对每个原型提出了反馈意见。
14 名移民父母参加了这项研究。大多数父母直到入托或幼儿园注册时才发现需要进行补种疫苗。他们收到的关于疫苗接种要求的信息很少，而且难以在医疗系统中找到所需信息，这使得整个过程既具有挑战性又费时。基于这些第一阶段的主题，我们设计了一个打印输出、移动应用程序和网站原型。在第三阶段，所有这些原型都得到了很好的反馈。总的来说，父母对任何干预措施的三个首要考虑因素是：1）数字和在线可访问性；2）包含逐步概述补种疫苗的过程；3）包含清单。
移民父母在澳大利亚缺乏关于儿童补种疫苗的信息。相对简单的干预措施可以帮助父母更轻松地完成这一过程，从而节省时间和压力。下一步是寻求资金来试点这种干预措施，以评估其实用性和有用性。
