BMC Health Services Research,
Journal Year:
2023,
Volume and Issue:
23(1)
Published: May 2, 2023
Abstract
Background
While
many
healthcare
providers
(HCPs)
have
navigated
patients’
vaccine
concerns
and
questions
prior
to
the
rollout
of
COVID-19
vaccines,
sentiments
surrounding
vaccines
presented
new
distinct
challenges.
Objective
To
understand
provider
experience
counseling
patients
about
vaccinations,
aspects
pandemic
environment
that
impacted
trust,
communication
strategies
found
supportive
patient
education.
Methods
7
focus
groups
were
conducted
recorded
during
December
2021
January
2022,
at
height
Omicron
wave
in
United
States.
Recordings
transcribed,
iterative
coding
analysis
was
applied.
Results
44
group
participants
representing
24
US
states
with
majority
(80%)
fully
vaccinated
time
data
collection.
Most
doctors
(34%)
or
physician’s
assistants
nurse
practitioners
(34%).
The
negative
impact
misinformation
on
patient-provider
both
intrapersonal
interpersonal
levels
as
well
barriers
facilitators
uptake
are
reported.
People
sources
play
a
role
health
(“messengers”)
persuasive
messages
behavior
attitudes
towards
vaccination
(“messages”)
described.
Providers
expressed
frustration
need
continuously
address
clinical
appointments
among
who
remained
unvaccinated.
Many
value
resources
provided
up-to-date
evidence-based
information
guidelines
continued
change.
Additionally,
indicated
patient-facing
materials
designed
support
education
not
frequently
available,
but
they
most
valuable
changing
environment.
Conclusions
decision-making
is
complex
hinges
diverse
factors
such
care
access
(i.e.,
convenience,
expense)
individual
knowledge,
can
major
navigating
these
their
patients.
But
strengthen
promote
uptake,
comprehensive
infrastructure
must
be
sustained
dyad.
findings
provide
recommendations
maintain
an
facilitates
effective
provider-patient
community,
organizational
policy
levels.
There
for
unified
multisectoral
response
reinforce
settings.
Vaccine,
Journal Year:
2022,
Volume and Issue:
40(6), P. 833 - 836
Published: Jan. 5, 2022
Vaccination
of
youth
could
be
key
to
preventing
future
outbreaks
SARS-CoV-2.
Given
the
limited
direct
health
benefit
for
young
people,
it
is
important
understand
how
themselves
perceive
obtaining
a
vaccination.
This
survey
study
in
representative
sample
Dutch
aged
12–18
showed
that
73%
were
willing
get
vaccinated
against
COVID-19.
In
regression
analyses,
vaccination
willingness
was
strongly
related
age,
perceived
personal
(protect
own
health)
and
societal
benefits
(to
rid
restrictive
policies),
their
peers'
parents'
uptake.
Negative
associations
with
side-effects
potential
unknown
long
term
consequences.
On-going
transparent
communication
up-to-date
information
about
safety
risks,
delivered
by
independent
trusted
experts
(as
recipients)
seems
addressing
questions
concerns.
Local
sessions
parents
where
can
obtained
without
appointment
have
merit
addition
mass
media
communication.
Journal of Medical Internet Research,
Journal Year:
2023,
Volume and Issue:
25, P. e43873 - e43873
Published: March 20, 2023
Background
Over
1
million
people
in
the
United
States
have
died
of
COVID-19.
In
response
to
this
public
health
crisis,
US
Department
Health
and
Human
Services
launched
We
Can
Do
This
education
campaign
April
2021
increase
vaccine
confidence.
The
uses
a
mix
digital,
television,
print,
radio,
out-of-home
channels
reach
target
audiences.
However,
impact
on
uptake
has
not
yet
been
assessed.
Objective
aimed
address
gap
by
assessing
association
between
COVID-19
campaign’s
digital
impressions
likelihood
first-dose
vaccination
among
adults.
Methods
A
nationally
representative
sample
3642
adults
recruited
from
probability
panel
was
surveyed
over
3
waves
(wave
1:
January
February
2021;
wave
2:
May
June
3:
September
November
2021)
regarding
vaccination,
confidence,
sociodemographics.
Survey
data
were
merged
with
weekly
paid
delivered
each
respondent’s
media
market
(designated
area
[DMA])
during
that
period.
unit
analysis
survey
respondent–broadcast
week,
respondents
nested
DMA.
Data
analyzed
using
multilevel
logit
model
varying
intercepts
DMA
time-fixed
effects.
Results
successful
encouraging
vaccination.
findings
robust
multiple
modeling
specifications,
independent
effect
change
dose
remaining
practically
unchanged
across
all
models.
Increases
DMA-level
given
week
–30,000
30,000
increased
125%.
Conclusions
study
provide
initial
evidence
uptake.
size
length
make
it
uniquely
situated
examine
which
may
help
inform
future
communication
efforts
broader
efforts.
These
suggest
is
positively
associated
adults;
research
reduced
COVID-19–attributed
morbidity
mortality
other
benefits
recommended.
indicates
played
an
important
role
pandemic
response.
Digital
outreach
be
integral
addressing
pandemics
could
even
play
nonpandemic
crises.
JAMA Network Open,
Journal Year:
2023,
Volume and Issue:
6(3), P. e234732 - e234732
Published: March 27, 2023
Importance
Uptake
of
vaccination
against
COVID-19
is
strongly
affected
by
concerns
about
adverse
effects.
Research
on
nocebo
effects
suggests
that
these
can
amplify
symptom
burden.
Objective
To
investigate
whether
positive
and
negative
expectations
prior
to
are
associated
with
systemic
Design,
Setting,
Participants
This
prospective
cohort
study
analyzed
the
association
expected
benefits
risks
vaccination,
at
first
observed
in
close
contacts
severity
among
adults
receiving
a
second
dose
messenger
RNA
(mRNA)–based
vaccines
between
August
16
28,
2021.
A
total
7771
individuals
state
center
Hamburg,
Germany,
were
invited
participate;
these,
5370
did
not
respond,
535
provided
incomplete
information,
188
excluded
retrospectively.
The
mobile
application
m-Path
was
used
for
data
collection.
Main
Outcomes
Measures
Primary
outcome
composite
index
12
areas
measured
once
daily
an
electronic
diary
over
7
consecutive
days.
Data
mixed-effects
multivariable
ordered
logistic
regression
adjusted
prevaccine
levels
observation
times.
Results
10
447
observations
from
1678
vaccinations
(BNT162b2
[Pfizer
BioNTech]
1297
[77.3%]
mRNA-1273
[Moderna]
381
[22.7%])
collected.
participants’
median
age
34
(IQR,
27-44)
years,
862
(51.4%)
women.
risk
more
severe
higher
persons
expecting
lower
benefit
(odds
ratio
[OR]
expectations,
0.72
[95%
CI,
0.63-0.83];
P
<
.001),
(OR,
1.39
1.23-1.58];
having
experienced
burden
1.60
1.42-1.82];
scoring
Somatosensory
Amplification
Scale
1.21
1.06-1.38];
=
.004),
if
vaccine
given
rather
than
BNT162b2
2.45
2.01-2.99];
.001).
No
associations
seen
experiences.
Conclusions
Relevance
In
this
study,
several
occurred
week
after
vaccination.
only
vaccine-specific
reactogenicity
but
also
experiences
regarding
tendency
catastrophize
instead
normalize
benign
bodily
sensations.
Clinician-patient
interactions
public
campaigns
may
both
insights
optimizing
contextualizing
information
vaccines.
BMC Health Services Research,
Journal Year:
2023,
Volume and Issue:
23(1)
Published: May 2, 2023
Abstract
Background
While
many
healthcare
providers
(HCPs)
have
navigated
patients’
vaccine
concerns
and
questions
prior
to
the
rollout
of
COVID-19
vaccines,
sentiments
surrounding
vaccines
presented
new
distinct
challenges.
Objective
To
understand
provider
experience
counseling
patients
about
vaccinations,
aspects
pandemic
environment
that
impacted
trust,
communication
strategies
found
supportive
patient
education.
Methods
7
focus
groups
were
conducted
recorded
during
December
2021
January
2022,
at
height
Omicron
wave
in
United
States.
Recordings
transcribed,
iterative
coding
analysis
was
applied.
Results
44
group
participants
representing
24
US
states
with
majority
(80%)
fully
vaccinated
time
data
collection.
Most
doctors
(34%)
or
physician’s
assistants
nurse
practitioners
(34%).
The
negative
impact
misinformation
on
patient-provider
both
intrapersonal
interpersonal
levels
as
well
barriers
facilitators
uptake
are
reported.
People
sources
play
a
role
health
(“messengers”)
persuasive
messages
behavior
attitudes
towards
vaccination
(“messages”)
described.
Providers
expressed
frustration
need
continuously
address
clinical
appointments
among
who
remained
unvaccinated.
Many
value
resources
provided
up-to-date
evidence-based
information
guidelines
continued
change.
Additionally,
indicated
patient-facing
materials
designed
support
education
not
frequently
available,
but
they
most
valuable
changing
environment.
Conclusions
decision-making
is
complex
hinges
diverse
factors
such
care
access
(i.e.,
convenience,
expense)
individual
knowledge,
can
major
navigating
these
their
patients.
But
strengthen
promote
uptake,
comprehensive
infrastructure
must
be
sustained
dyad.
findings
provide
recommendations
maintain
an
facilitates
effective
provider-patient
community,
organizational
policy
levels.
There
for
unified
multisectoral
response
reinforce
settings.