Countering vaccine hesitancy: a systematic review of interventions to strengthen healthcare professionals' action

Giuseppina Lo Moro; Maria Ferrara; Elisa Langiano; Davide Accortanzo; Toni Cappelletti; Aldo De Angelis; Maurizio Esposito; Alessandro Prinzivalli; Alessandra Sannella; Sara Sbaragli; Pia Vuolanto; Roberta Siliquini; Elisabetta De Vito

doi:10.1093/eurpub/ckad134

Countering vaccine hesitancy: a systematic review of interventions to strengthen healthcare professionals' action

Giuseppina Lo Moro, Maria Ferrara, Elisa Langiano, Davide Accortanzo, Toni Cappelletti, Aldo De Angelis, Maurizio Esposito, Alessandro Prinzivalli, Alessandra Sannella, Sara Sbaragli, Pia Vuolanto, Roberta Siliquini, Elisabetta De Vito

Unit of Social Research

Research output: Contribution to journal › Article › Scientific › peer-review

2 Citations (Scopus)

10 Downloads (Pure)

Abstract

Background: Vaccine hesitancy is relevant for healthcare professionals (HCPs) who face challenges in building trusting relationships with patients. Accordingly, the VAX-TRUST project has been developed to improve experiences of HCPs and patients dealing with vaccinations. To support VAX-TRUST, this work aimed to identify latest interventions targeted at HCPs to address hesitancy and increase vaccine uptake. Methods: A systematic review was conducted according to PRISMA by searching PubMed, Scopus and Embase. The protocol was registered on PROSPERO. Articles were eligible if evaluated interventions directly targeted at HCPs/healthcare students. The search was run on 26 January 2022. Articles published in 2016 or after were included. Results: A total of 17 492 records were identified; 139 articles were selected. Most articles were set in USA (n=110). Over half had a pre-post design without a control group (n=78). A total of 41 articles focused on single-component interventions, 60 on multicomponent interventions involving only HCPs and/or students and 38 on multi-component interventions involving also other professionals. Main components were in-person education (n=76), synchronous (n=10) and asynchronous (n=23) online learning, educational materials (n=26), performance assessment and feedback (n=33), electronic record changes (n=30), role play/simulation (n=21) and online games/apps (n=5). Educational sessions were mainly about scientific update or communication. Outcomes of interventions were grouped in: vaccination rates (n=69), knowledge (n=32), attitudes (n=26), confidence in counselling (n=30) and acceptability (n=16). Conclusions: Apps, gaming, role play/simulations could represent innovative interventions. This review highlighted the need of delving into communication strategies and using more robust evaluations, longer followup and standardized measurements.

Original language	English
Pages (from-to)	905-915
Number of pages	11
Journal	European Journal of Public Health
Volume	33
Issue number	5
DOIs	https://doi.org/10.1093/eurpub/ckad134
Publication status	Published - Oct 2023
Publication type	A1 Journal article-refereed

Publication forum classification

Publication forum level 2

ASJC Scopus subject areas

Public Health, Environmental and Occupational Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Countering vaccine hesitancyFinal published version, 379 KBLicence: CC BY

https://urn.fi/URN:NBN:fi:tuni-202311089472Licence: CC BY

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Moro, G. L., Ferrara, M., Langiano, E., Accortanzo, D., Cappelletti, T., De Angelis, A., Esposito, M., Prinzivalli, A., Sannella, A., Sbaragli, S., Vuolanto, P., Siliquini, R., & De Vito, E. (2023). Countering vaccine hesitancy: a systematic review of interventions to strengthen healthcare professionals' action. European Journal of Public Health, 33(5), 905-915. https://doi.org/10.1093/eurpub/ckad134

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title = "Countering vaccine hesitancy: a systematic review of interventions to strengthen healthcare professionals' action",

abstract = "Background: Vaccine hesitancy is relevant for healthcare professionals (HCPs) who face challenges in building trusting relationships with patients. Accordingly, the VAX-TRUST project has been developed to improve experiences of HCPs and patients dealing with vaccinations. To support VAX-TRUST, this work aimed to identify latest interventions targeted at HCPs to address hesitancy and increase vaccine uptake. Methods: A systematic review was conducted according to PRISMA by searching PubMed, Scopus and Embase. The protocol was registered on PROSPERO. Articles were eligible if evaluated interventions directly targeted at HCPs/healthcare students. The search was run on 26 January 2022. Articles published in 2016 or after were included. Results: A total of 17 492 records were identified; 139 articles were selected. Most articles were set in USA (n=110). Over half had a pre-post design without a control group (n=78). A total of 41 articles focused on single-component interventions, 60 on multicomponent interventions involving only HCPs and/or students and 38 on multi-component interventions involving also other professionals. Main components were in-person education (n=76), synchronous (n=10) and asynchronous (n=23) online learning, educational materials (n=26), performance assessment and feedback (n=33), electronic record changes (n=30), role play/simulation (n=21) and online games/apps (n=5). Educational sessions were mainly about scientific update or communication. Outcomes of interventions were grouped in: vaccination rates (n=69), knowledge (n=32), attitudes (n=26), confidence in counselling (n=30) and acceptability (n=16). Conclusions: Apps, gaming, role play/simulations could represent innovative interventions. This review highlighted the need of delving into communication strategies and using more robust evaluations, longer followup and standardized measurements.",

author = "Moro, {Giuseppina Lo} and Maria Ferrara and Elisa Langiano and Davide Accortanzo and Toni Cappelletti and {De Angelis}, Aldo and Maurizio Esposito and Alessandro Prinzivalli and Alessandra Sannella and Sara Sbaragli and Pia Vuolanto and Roberta Siliquini and {De Vito}, Elisabetta",

note = "Publisher Copyright: {\textcopyright} The Author(s) 2023.",

year = "2023",

month = oct,

doi = "10.1093/eurpub/ckad134",

language = "English",

volume = "33",

pages = "905--915",

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Moro, GL, Ferrara, M, Langiano, E, Accortanzo, D, Cappelletti, T, De Angelis, A, Esposito, M, Prinzivalli, A, Sannella, A, Sbaragli, S, Vuolanto, P, Siliquini, R & De Vito, E 2023, 'Countering vaccine hesitancy: a systematic review of interventions to strengthen healthcare professionals' action', European Journal of Public Health, vol. 33, no. 5, pp. 905-915. https://doi.org/10.1093/eurpub/ckad134

TY - JOUR

T1 - Countering vaccine hesitancy

T2 - a systematic review of interventions to strengthen healthcare professionals' action

AU - Moro, Giuseppina Lo

AU - Ferrara, Maria

AU - Langiano, Elisa

AU - Accortanzo, Davide

AU - Cappelletti, Toni

AU - De Angelis, Aldo

AU - Esposito, Maurizio

AU - Prinzivalli, Alessandro

AU - Sannella, Alessandra

AU - Sbaragli, Sara

AU - Vuolanto, Pia

AU - Siliquini, Roberta

AU - De Vito, Elisabetta

PY - 2023/10

Y1 - 2023/10

N2 - Background: Vaccine hesitancy is relevant for healthcare professionals (HCPs) who face challenges in building trusting relationships with patients. Accordingly, the VAX-TRUST project has been developed to improve experiences of HCPs and patients dealing with vaccinations. To support VAX-TRUST, this work aimed to identify latest interventions targeted at HCPs to address hesitancy and increase vaccine uptake. Methods: A systematic review was conducted according to PRISMA by searching PubMed, Scopus and Embase. The protocol was registered on PROSPERO. Articles were eligible if evaluated interventions directly targeted at HCPs/healthcare students. The search was run on 26 January 2022. Articles published in 2016 or after were included. Results: A total of 17 492 records were identified; 139 articles were selected. Most articles were set in USA (n=110). Over half had a pre-post design without a control group (n=78). A total of 41 articles focused on single-component interventions, 60 on multicomponent interventions involving only HCPs and/or students and 38 on multi-component interventions involving also other professionals. Main components were in-person education (n=76), synchronous (n=10) and asynchronous (n=23) online learning, educational materials (n=26), performance assessment and feedback (n=33), electronic record changes (n=30), role play/simulation (n=21) and online games/apps (n=5). Educational sessions were mainly about scientific update or communication. Outcomes of interventions were grouped in: vaccination rates (n=69), knowledge (n=32), attitudes (n=26), confidence in counselling (n=30) and acceptability (n=16). Conclusions: Apps, gaming, role play/simulations could represent innovative interventions. This review highlighted the need of delving into communication strategies and using more robust evaluations, longer followup and standardized measurements.

AB - Background: Vaccine hesitancy is relevant for healthcare professionals (HCPs) who face challenges in building trusting relationships with patients. Accordingly, the VAX-TRUST project has been developed to improve experiences of HCPs and patients dealing with vaccinations. To support VAX-TRUST, this work aimed to identify latest interventions targeted at HCPs to address hesitancy and increase vaccine uptake. Methods: A systematic review was conducted according to PRISMA by searching PubMed, Scopus and Embase. The protocol was registered on PROSPERO. Articles were eligible if evaluated interventions directly targeted at HCPs/healthcare students. The search was run on 26 January 2022. Articles published in 2016 or after were included. Results: A total of 17 492 records were identified; 139 articles were selected. Most articles were set in USA (n=110). Over half had a pre-post design without a control group (n=78). A total of 41 articles focused on single-component interventions, 60 on multicomponent interventions involving only HCPs and/or students and 38 on multi-component interventions involving also other professionals. Main components were in-person education (n=76), synchronous (n=10) and asynchronous (n=23) online learning, educational materials (n=26), performance assessment and feedback (n=33), electronic record changes (n=30), role play/simulation (n=21) and online games/apps (n=5). Educational sessions were mainly about scientific update or communication. Outcomes of interventions were grouped in: vaccination rates (n=69), knowledge (n=32), attitudes (n=26), confidence in counselling (n=30) and acceptability (n=16). Conclusions: Apps, gaming, role play/simulations could represent innovative interventions. This review highlighted the need of delving into communication strategies and using more robust evaluations, longer followup and standardized measurements.

U2 - 10.1093/eurpub/ckad134

DO - 10.1093/eurpub/ckad134

M3 - Article

AN - SCOPUS:85174895591

SN - 1101-1262

VL - 33

SP - 905

EP - 915

JO - European Journal of Public Health

JF - European Journal of Public Health

IS - 5

ER -

Countering vaccine hesitancy: a systematic review of interventions to strengthen healthcare professionals' action

Abstract

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UN SDGs

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