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Designing a multi‐component intervention (P3‐MumBubVax) to promote vaccination in antenatal care in Australia
Author(s) -
Kaufman Jessica,
Attwell Katie,
Hauck Yvonne,
Leask Julie,
Omer Saad B.,
Regan Annette,
Danchin Margie
Publication year - 2021
Publication title -
health promotion journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.515
H-Index - 32
eISSN - 2201-1617
pISSN - 1036-1073
DOI - 10.1002/hpja.382
Subject(s) - medicine , psychological intervention , intervention (counseling) , vaccination , family medicine , public health , influenza vaccine , nursing , immunology
Issue addressed Coverage of maternal influenza and pertussis vaccines remains suboptimal in Australia, and pockets of low childhood vaccine coverage persist nationwide. Maternal vaccine uptake is estimated to be between 35% and 60% for influenza vaccination and between 65% and 80% for pertussis vaccination. Australian midwives are highly trusted and ideally placed to discuss vaccines with expectant parents, but there are no evidence‐based interventions to optimise these discussions and promote maternal and childhood vaccine acceptance in the Australian public antenatal setting. Methods We gathered qualitative data from Australian midwives, reviewed theoretical models, and adapted existing vaccine communication tools to develop the multi‐component P3‐MumBubVax intervention. Through 12 interviews at two Australian hospitals, we explored midwives’ vaccination attitudes and values, perceived role in vaccine advocacy and delivery, and barriers and enablers to intervention implementation. Applying the theory‐based P3 intervention model, we designed intervention components targeting the Practice, Provider and Parent levels. Midwives provided feedback on prototype intervention features through two focus groups. Results The P3‐MumBubVax intervention includes practice‐level prompts and identification of a vaccine champion. Provider‐level components are a vaccine communication training module, learning exercise, and website with printable fact sheets. Parent‐level intervention components include text message reminders to receive influenza and pertussis vaccines in pregnancy, as well as online information on vaccine safety, effectiveness and disease severity. Conclusions The P3‐MumBubVax intervention is the first Australian antenatal intervention designed to support both maternal and childhood vaccine uptake. A pilot study is underway to inform a planned cluster randomised controlled trial. So what? Barriers to vaccine acceptance and uptake are complex. The P3 model is a promising evidence‐informed multi‐component intervention strategy targeting all three levels influencing health care decision‐making.