Abstract
Background
Health care professionals (HCPs) (eg, nurses, doctors) play a key role in vaccine
uptake. Few studies describe HCP influenza vaccine communication with parents of hospitalized
children.
Methods
This study included English- and Spanish-speaking parents of influenza vaccine-eligible
children hospitalized at a tertiary care pediatric hospital between October 2018 and
May 2019. A survey was completed online or via telephone 2 to 15 weeks (median 4 weeks)
after discharge. It examined parental intent to vaccinate their child during hospitalization
and parent-reported inpatient HCP communication practices (eg, vaccine recommendation
strength, format for initiating the recommendation). Multivariable logistic regression
examined the associations between HCP communication practices and influenza vaccination
during hospitalization, adjusting for demographic, clinical, and visit characteristics.
Results
Parents (n = 194; 63.0% response rate) were mostly white (66.8%) and English-speaking
(97.4%). Their children were primarily 5 through 17 years (67.0%) with chronic disease
(68.6%); 24.7% were vaccinated before discharge. Most parents initially had no plan
(55.6%) or planned to decline (31.1%) influenza vaccine for their child during hospitalization.
Of these parents, 22.2% decided to accept the vaccine, 66.7% citing a HCP conversation
as the main reason for changing their mind. Overall, 75.3% recalled a HCP conversation
about influenza vaccination. Of these parents, 61.0% reported a HCP recommendation
(53.8% described it as “very strong”; 11.1% noted a presumptive initiation format).
A parent-reported HCP conversation (adjusted odds ratio [AOR] 5.23, 95% confidence
interval [CI] 1.64–16.68) and recommendation (AOR 5.59, 95% CI 2.01–15.51) were associated
with influenza vaccination during hospitalization.
Conclusion
This study highlights the importance of discussing and recommending influenza vaccination
with parents of hospitalized children.
Keywords
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Article Info
Publication History
Published online: July 01, 2021
Accepted:
June 27,
2021
Received:
November 23,
2020
Footnotes
Conflict of Interest: Dr Janet Englund receives research support from AstraZeneca, Merck, Pfizer, and GlaxoSmithKline. Dr Englund is also a consultant for Meissa Vaccines and Sanofi Pasteur. The other authors have indicated they have no potential conflicts of interest to disclose.
Identification
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