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Exploring COVID-19 education to support vaccine confidence amongst the general adult population with special considerations for healthcare and long-term care staff: A scoping review - PubMed

  • ️Sun Jan 01 2023

. 2023 Aug 13;19(3):e1352.

doi: 10.1002/cl2.1352. eCollection 2023 Sep.

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Exploring COVID-19 education to support vaccine confidence amongst the general adult population with special considerations for healthcare and long-term care staff: A scoping review

Maya Murmann et al. Campbell Syst Rev. 2023.

Abstract

Background: Despite the demonstrated efficacy of approved COVID-19 vaccines, high levels of hesitancy were observed in the first few months of the COVID-19 vaccines' rollout. Factors contributing to vaccine hesitancy are well-described in the literature. Among the various strategies for promoting vaccine confidence, educational interventions provide a foundationally and widely implemented set of approaches for supporting individuals in their vaccine decisions. However, the evidence around the measurable impact of various educational strategies to improve vaccine confidence is limited. We conducted a scoping review with the aim of exploring and characterizing educational interventions delivered during the pandemic to support COVID-19 vaccine confidence in adults.

Methods: We developed a search strategy with a medical information scientist and searched five databases, including Ovid MEDLINE and Web of Science, as well as grey literature. We considered all study designs and reports. Interventions delivered to children or adolescents, interventions on non-COVID-19 vaccines, as well as national or mass vaccination campaigns without documented interaction(s) between facilitator(s) and a specific audience were excluded. Articles were independently screened by three reviewers. After screening 4602 titles and abstracts and 174 full-text articles across two rounds of searches, 22 articles met our inclusion criteria. Ten additional studies were identified through hand searching. Data from included studies were charted and results were described narratively.

Results: We included 32 studies and synthesized their educational delivery structure, participants (i.e., facilitators and priority audience), and content. Formal, group-based presentations were the most common type of educational intervention in the included studies (75%). A third of studies (34%) used multiple strategies, with many formal group-based presentations being coupled with additional individual-based interventions (29%). Given the novelty of the COVID-19 vaccines and the unique current context, studies reported personalized conversations, question periods, and addressing misinformation as important components of the educational approaches reviewed.

Conclusions: Various educational interventions were delivered during the COVID-19 pandemic, with many initiatives involving multifaceted interventions utilizing both formal and informal approaches that leveraged community (cultural, religious) partnerships when developing and facilitating COVID-19 vaccine education. Train-the-trainer approaches with recognized community members could be of value as trust and personal connections were identified as strong enablers throughout the review.

© 2023 The Authors. Campbell Systematic Reviews published by John Wiley & Sons Ltd on behalf of The Campbell Collaboration.

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Figures

Figure 1
Figure 1

Nine principles for supporting vaccination confidence and uptake in health care workers. We focused on Principles 1 through 6 as these were relevant to the decision to be vaccinated and within the scope of this study. Source: Presseau et al. (2021).

Figure 2
Figure 2

PRISMA flowchart. Source: Page et al. (2021).

Figure 3
Figure 3

Geographic distribution of included studies on educational interventions for COVID‐19 vaccine uptake Published Between February 2021 and February 2022.

Figure 4
Figure 4

Delivery format of educational interventions examined in included studies on educational interventions for COVID‐19 vaccine uptake published February 2021 and February 2022. Categories were not mutually exclusive.

Figure 5
Figure 5

Number of educational interventions introduced in included studies on educational interventions for COVID‐19 vaccine uptake published Between February 2021 and February 2022.

Figure 6
Figure 6

Number of studies that supplemented presentations with additional interventions in included studies on educational interventions for COVID‐19 vaccine uptake published Between February 2021 and February 2022.

Figure 7
Figure 7

Setting (virtual or in‐person) of interventions in included studies on educational interventions for COVID‐19 vaccine uptake published between February 2021 and February 2022. One study from Round 1 (Takamatsu et al., 2021) and two studies from Round 2 (Abou Leila et al., ; Spelman et al., 2022a) included two educational interventions, one of which was unclear whether it was conducted in‐person or virtually.

Figure 8
Figure 8

Priority population of interventions in included studies on educational interventions for COVID‐19 vaccine uptake published between February 2021 and February 2022. Categories were not mutually exclusive.

Figure 9
Figure 9

Type of interventions facilitators in included studies on educational interventions for COVID‐19 vaccine uptake published between February 2021 and February 2022. Categories were not mutually exclusive.

Figure 10
Figure 10

Number of intervention facilitators in included studies on educational interventions for COVID‐19 vaccine uptake published between February 2021 and February 2022.

Figure 11
Figure 11

Facilitators stratified by priority population in included studies on educational interventions for COVID‐19 vaccine uptake published between February 2021 and February 2022.

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