ArticlePaediatrics & child health2019
Involving stakeholders in informing the development of a Knowledge Translation (KT) intervention to improve the vaccination experience at school.
Article in Paediatrics & child health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- Reducing distress during vaccine injections: 2026 clinical practice guideline update.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026Guideline
- A Systematic Review and Meta-Analysis of the Effectiveness of Procedural Interventions for Reducing Distress During Vaccine Injections.The Clinical journal of pain · 2026Pooled it
- Effect of a School-Based Educational Intervention About the Human Papillomavirus Vaccine on Psychosocial Outcomes Among Adolescents: Analysis of Secondary Outcomes of a Cluster Randomized Trial.JAMA network open · 2021Trial
- "It Could Become a Standard"-A Qualitative Study of the CARDChildren (Basel, Switzerland) · 2026Article
- Online environmental scan and content analysis of social stories about needle procedures.Journal of pediatric psychology · 2025Article
- Uptake and hesitancy of the second booster dose of COVID-19 vaccine among the general population in China after the surge period of the COVID-19 pandemic: a large-scale national study.BMC public health · 2025Article
- Characteristics of immunisation support programmes in Canada: a scoping review and environmental scan.BMJ open · 2023Article
- Children's Perceptions of Dental Experiences and Ways to Improve Them.Children (Basel, Switzerland) · 2022Article
- Managing pain and fear: Playing your CARDs to improve the vaccination experience.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2021Article
- Student Feedback to Tailor the CARD™ System for Improving the Immunization Experience at School.Children (Basel, Switzerland) · 2020Article
- The CARD™ System for improving the vaccination experience at school: Results of a small-scale implementation project on student symptoms.Paediatrics & child health · 2019Article
- The CARD™ System for improving the vaccination experience at school: Results of a small-scale implementation project on program delivery.Paediatrics & child health · 2019Article
- Piloting The CARD™ System for education of students about vaccination: Does it improve the vaccination experience at school?Paediatrics & child health · 2019Article
- Stakeholder feedback on The CARD™ System to improve the vaccination experience at school.Paediatrics & child health · 2019Article
- Overview of a Knowledge Translation (KT) Project to improve the vaccination experience at school: The CARD™ System.Paediatrics & child health · 2019Article
- Pain Pain Go Away: Improving the vaccination experience at school.Paediatrics & child health · 2019Article
- CARD (Comfort Ask Relax Distract) for community pharmacy vaccinations in children: Effect on immunization stress-related responses and satisfaction.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPCArticle
- Community pharmacists' perceptions of the CARD (Comfort Ask Relax Distract) system for use during vaccinations.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPCArticle
- Integration of CARD (Comfort Ask Relax Distract) for COVID-19 community pharmacy vaccination in children: Effect on implementation outcomes.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPCArticle
Corrections and comments
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Authors and funding
9 authors at 8 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivePain, fear, and fainting management during school-based vaccinations is suboptimal. The objective was to examine stakeholder perceptions of barriers and facilitators to better practices. Method: Six semi-structured focus groups were conducted in Niagara Region, Ontario: two parent groups (n=7); one grade 7 to 8 student group (n=9); two nurse groups (n=12); and one school staff group (n=6). Participants shared perceptions about school vaccination clinics and the implementation of specific strategies and tools. Focus groups were audio recorded and transcribed. The Consolidated Framework for Implementation Research (CFIR) was used as the framework for analysis.
resultsFeedback from stakeholders was categorized into four domains of CFIR: intervention characteristics, inner setting, outer setting, and characteristics of individuals. Intervention characteristics included: vaccine educational materials, vaccination accommodations, distraction techniques, topical anaesthetics, and food. Inner setting factors included: school vaccination procedures, relationships between school staff and nurses, assessment and documentation of student fear, and factors that contribute to a chaotic vaccination clinic. Outer setting factors were: the social environment and addressing parent and student needs. Stakeholder roles were discussed in characteristics of individuals.
conclusionThis study identified elements that can facilitate and challenge pain and fear mitigation tools and strategies; these elements should be considered in the development of a Knowledge Translation (KT) intervention to improve the school vaccination experience.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.