Maternal Knowledge of Pertussis and Tdap Vaccine and the Use of a Vaccine Information Statement

Autor/inn/en	Payakachat, Nalin; Hadden, Kristie B.; Hanner, Jeremy; Ragland, Denise
Titel	Maternal Knowledge of Pertussis and Tdap Vaccine and the Use of a Vaccine Information Statement
Quelle	In: Health Education Journal, 77 (2018) 3, S.322-331 (10 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0017-8969
DOI	10.1177/0017896917748458
Schlagwörter	Diseases; Immunization Programs; Health; Literacy; Pretests Posttests; Clinics; Obstetrics; Knowledge Level; Correlation; Scores; Predictor Variables; Mothers; Statistical Analysis; Surveys; Arkansas + Suchen Sie Ihr Suchwort? Disease; Krankheit; Immunisierung; Gesundheit; Alphabetisierung; Schreib- und Lesefähigkeit; Geburtshilfe; Wissensbasis; Korrelation; Prädiktor; Mother; Mutter; Statistische Analyse; Survey; Umfrage; Befragung
Abstract	Objective: This study explored maternal knowledge of pertussis and Tdap vaccine and the use of a Tdap Vaccine Information Statement (VIS) to improve that knowledge. Design: Prospective cohort study. Setting: Two outpatient obstetric clinics at a US academic medical centre. Methods: An electronic survey was administered to pregnant women who received care at the clinics. The survey included a test of knowledge of pertussis and Tdap vaccine, a health literacy instrument and demographic questions. A chart review was conducted to determine Tdap vaccination status. The knowledge test was administered before and immediately after participants read the VIS. Differences between pre- and post-knowledge test scores were determined using the Wilcoxon signed-rank test. The effects of two different versions of the VIS on participants' knowledge gained and associated factors were examined using a repeated-measures mixed model with random effects. Results: In total, 279 participants were analysed with an average age of 26.4 ± 5.7 years. The average post-test knowledge score was higher than the pre-test score (6.4 vs 4.2, p < 0.001). Health literacy score (p < 0.001), White race/ethnicity (p = 0.007) and higher education level (p < 0.001) were positively associated with improved knowledge scores. Both VIS versions improved participants' knowledge scores to a similar degree. However, knowledge scores were not a predictor of Tdap vaccination in our population. Conclusion: A Tdap VIS improved maternal knowledge and is an economical and easily accessible educational tool in clinical practice for promoting Tdap vaccine to pregnant women. (As Provided).
Anmerkungen	SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01