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Increasing pneumococcal vaccine uptake in older adults: a scoping review of interventions in high-income countries

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. DESIG...

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Autores principales: Kirubarajan, Abirami, Lynch, Meghan, Nasreen, Sharifa, Gebretekle, Gebremedhin B., Fadel, Shaza A., Crowcroft, Natasha S., Allin, Sara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9807101/
https://www.ncbi.nlm.nih.gov/pubmed/36593474
http://dx.doi.org/10.1186/s12877-022-03653-9
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author Kirubarajan, Abirami
Lynch, Meghan
Nasreen, Sharifa
Gebretekle, Gebremedhin B.
Fadel, Shaza A.
Crowcroft, Natasha S.
Allin, Sara
author_facet Kirubarajan, Abirami
Lynch, Meghan
Nasreen, Sharifa
Gebretekle, Gebremedhin B.
Fadel, Shaza A.
Crowcroft, Natasha S.
Allin, Sara
author_sort Kirubarajan, Abirami
collection PubMed
description 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-022-03653-9.
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spelling pubmed-98071012023-01-04 Increasing pneumococcal vaccine uptake in older adults: a scoping review of interventions in high-income countries Kirubarajan, Abirami Lynch, Meghan Nasreen, Sharifa Gebretekle, Gebremedhin B. Fadel, Shaza A. Crowcroft, Natasha S. Allin, Sara BMC Geriatr Research 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-022-03653-9. BioMed Central 2023-01-02 /pmc/articles/PMC9807101/ /pubmed/36593474 http://dx.doi.org/10.1186/s12877-022-03653-9 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Kirubarajan, Abirami
Lynch, Meghan
Nasreen, Sharifa
Gebretekle, Gebremedhin B.
Fadel, Shaza A.
Crowcroft, Natasha S.
Allin, Sara
Increasing pneumococcal vaccine uptake in older adults: a scoping review of interventions in high-income countries
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 Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9807101/
https://www.ncbi.nlm.nih.gov/pubmed/36593474
http://dx.doi.org/10.1186/s12877-022-03653-9
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