Increasing pneumococcal vaccine uptake in older adults: a scoping review of interventions in high-income countries
Abstract Background There is low uptake of the pneumococcal vaccination in eligible older adults, even in high-income countries that offer routine and universal vaccination programs. Objective To systematically characterize interventions aimed at improving pneumococcal vaccine uptake in older adults...
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| Format: | Article |
| Language: | English |
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BMC
2023-01-01
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| Series: | BMC Geriatrics |
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| Online Access: | https://doi.org/10.1186/s12877-022-03653-9 |
| _version_ | 1797958525130899456 |
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| author | Abirami Kirubarajan Meghan Lynch Sharifa Nasreen Gebremedhin B. Gebretekle Shaza A. Fadel Natasha S. Crowcroft Sara Allin |
| author_facet | Abirami Kirubarajan Meghan Lynch Sharifa Nasreen Gebremedhin B. Gebretekle Shaza A. Fadel Natasha S. Crowcroft Sara Allin |
| author_sort | Abirami Kirubarajan |
| collection | DOAJ |
| description | Abstract Background There is low uptake of the pneumococcal vaccination in eligible older adults, even in high-income countries that offer routine and universal vaccination programs. Objective To systematically characterize interventions aimed at improving pneumococcal vaccine uptake in older adults. Design We conducted a scoping review following PRISMA-SCr guidelines of five interdisciplinary databases: Medline-Ovid, Embase, CINAHL, PsychInfo, and Cochrane Library. Databases were searched from January 2015 until April 2020. The interventions were summarized into three pillars according to the European Union Conceptional Framework for Action: information campaigns, prioritization of vaccination schemes, and primary care interventions. Results Our scoping review included 39 studies that summarized interventions related to pneumococcal vaccine uptake for older adults, encompassing 2,481,887 study participants (945 healthcare providers and 2,480,942 older adults) across seven countries. Examples of interventions that were associated with increased pneumococcal vaccination rate included periodic health examinations, reminders and decision-making tools built into electronic medical records, inpatient vaccination protocols, preventative health checklists, and multimodal educational interventions. When comparing the three pillars, prioiritization of vaccination schemes had the highest evidence for improved rates of vaccination (n = 14 studies), followed by primary care interventions (n = 8 studies), then information campaigns (n = 5 studies). Conclusion Several promising interventions were associated with improved outcomes related to vaccine uptake, although controlled study designs are needed to determine which interventions are most effective. |
| first_indexed | 2024-04-11T00:21:19Z |
| format | Article |
| id | doaj.art-ec42c59a194844db9bf1c9f3c65c76aa |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-04-11T00:21:19Z |
| publishDate | 2023-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-ec42c59a194844db9bf1c9f3c65c76aa2023-01-08T12:20:21ZengBMCBMC Geriatrics1471-23182023-01-0123111110.1186/s12877-022-03653-9Increasing pneumococcal vaccine uptake in older adults: a scoping review of interventions in high-income countriesAbirami Kirubarajan0Meghan Lynch1Sharifa Nasreen2Gebremedhin B. Gebretekle3Shaza A. Fadel4Natasha S. Crowcroft5Sara Allin6Temerty Faculty of Medicine, University of TorontoInstitute of Health Policy Management and Evaluation, University of TorontoCentre for Vaccine Preventable Diseases, Dalla Lana School of Public Health, University of TorontoInstitute of Health Policy Management and Evaluation, University of TorontoCentre for Vaccine Preventable Diseases, Dalla Lana School of Public Health, University of TorontoCentre for Vaccine Preventable Diseases, Dalla Lana School of Public Health, University of TorontoInstitute of Health Policy Management and Evaluation, University of TorontoAbstract Background There is low uptake of the pneumococcal vaccination in eligible older adults, even in high-income countries that offer routine and universal vaccination programs. Objective To systematically characterize interventions aimed at improving pneumococcal vaccine uptake in older adults. Design We conducted a scoping review following PRISMA-SCr guidelines of five interdisciplinary databases: Medline-Ovid, Embase, CINAHL, PsychInfo, and Cochrane Library. Databases were searched from January 2015 until April 2020. The interventions were summarized into three pillars according to the European Union Conceptional Framework for Action: information campaigns, prioritization of vaccination schemes, and primary care interventions. Results Our scoping review included 39 studies that summarized interventions related to pneumococcal vaccine uptake for older adults, encompassing 2,481,887 study participants (945 healthcare providers and 2,480,942 older adults) across seven countries. Examples of interventions that were associated with increased pneumococcal vaccination rate included periodic health examinations, reminders and decision-making tools built into electronic medical records, inpatient vaccination protocols, preventative health checklists, and multimodal educational interventions. When comparing the three pillars, prioiritization of vaccination schemes had the highest evidence for improved rates of vaccination (n = 14 studies), followed by primary care interventions (n = 8 studies), then information campaigns (n = 5 studies). Conclusion Several promising interventions were associated with improved outcomes related to vaccine uptake, although controlled study designs are needed to determine which interventions are most effective.https://doi.org/10.1186/s12877-022-03653-9PneumococcalVaccineSeniorUptakeOlder adultsVaccine hesitancy |
| spellingShingle | Abirami Kirubarajan Meghan Lynch Sharifa Nasreen Gebremedhin B. Gebretekle Shaza A. Fadel Natasha S. Crowcroft Sara Allin Increasing pneumococcal vaccine uptake in older adults: a scoping review of interventions in high-income countries BMC Geriatrics Pneumococcal Vaccine Senior Uptake Older adults Vaccine hesitancy |
| title | Increasing pneumococcal vaccine uptake in older adults: a scoping review of interventions in high-income countries |
| title_full | Increasing pneumococcal vaccine uptake in older adults: a scoping review of interventions in high-income countries |
| title_fullStr | Increasing pneumococcal vaccine uptake in older adults: a scoping review of interventions in high-income countries |
| title_full_unstemmed | Increasing pneumococcal vaccine uptake in older adults: a scoping review of interventions in high-income countries |
| title_short | Increasing pneumococcal vaccine uptake in older adults: a scoping review of interventions in high-income countries |
| title_sort | increasing pneumococcal vaccine uptake in older adults a scoping review of interventions in high income countries |
| topic | Pneumococcal Vaccine Senior Uptake Older adults Vaccine hesitancy |
| url | https://doi.org/10.1186/s12877-022-03653-9 |
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