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Effectiveness of a digital intervention in increasing flu vaccination–related risk appraisal, intention to vaccinate and vaccination behaviour among pregnant women

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Parsons, Joanne, Grimley, Catherine and Newby, Katie (2022) Effectiveness of a digital intervention in increasing flu vaccination–related risk appraisal, intention to vaccinate and vaccination behaviour among pregnant women. Health Education & Behavior . 109019812210779. doi:10.1177/10901981221077935 ISSN 1090-1981. [ 🗎 Public]. [ (✓) hoa:511 ]

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Official URL: https://doi.org/10.1177/10901981221077935

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Abstract

Background
Pregnant women are at increased risk of complications from flu, but uptake of flu vaccination is below 75% targets. Evidence suggests that changing illness risk appraisals may increase vaccination behaviour. In 2018–2019, researchers, public health specialists, and pregnant women co-designed a short animation targeting (unhelpful) beliefs underlying pregnant women’s flu risk appraisals aiming t0 promote vaccination uptake.

Aims
This study aimed to examine effectiveness of a digital intervention (animation) in increasing flu vaccination among pregnant women through changing illness risk appraisals.

Method
A prospective study design was used, involving convenience sampling of unvaccinated pregnant women recruited via a Qualtrics Online Panel. Participants received small payments via the panel for survey completion. Risk appraisals and intention to vaccinate were measured at baseline and immediately after intervention presentation (follow-up one). Six months later, a further survey (follow-up two) was administered measuring vaccination behaviour.

Results
Baseline and first follow-up surveys were completed by 411 participants. Watching the animation led to increased appraisals of likelihood of getting flu while pregnant and severity of flu during pregnancy, and increased intentions to accept flu vaccination during pregnancy. Of the 67 respondents who completed follow-up survey two, 38 reported having the vaccination while pregnant.

Conclusions
This study provides evidence supporting the promise of the intervention. Randomized controlled trials are required to produce definitive efficacy evidence. Should such a study prove intervention effectiveness, it could be readily embedded within existing campaigns at national and local levels by public health organizations.

Item Type: Journal Article
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Influenza -- Vaccination, Health behavior, Health behavior -- Psychological aspects, Vaccination
Journal or Publication Title: Health Education & Behavior
Publisher: Sage Publications Ltd.
ISSN: 1090-1981
Official Date: 7 March 2022
Dates:
DateEvent
7 March 2022Available
8 February 2022Accepted
Article Number: 109019812210779
DOI: 10.1177/10901981221077935
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Date of first compliant deposit: 8 March 2022
Date of first compliant Open Access: 9 March 2022
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
UNSPECIFIEDCoventry Universityhttp://dx.doi.org/10.13039/501100001313

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