Evidence map›Paper›PMID 36570400›Full record

ArticlePublic health in practice (Oxford, England)2022

Design and implementation of tailored intervention to increase vaccine acceptance in a Somali community in Stockholm, Sweden - based on the Tailoring Immunization Programmes approach.

Asha Jama, Emma Appelqvist, Asli Kulane, Susanne Karregård, Johanna Rubin, Sahar Nejat, Katrine Bach Habersaat, Cath Jackson, Robb Butler, Ann Lindstrand and 1 more

Open access · goldAbstract read
In one paragraph

Article in Public health in practice (Oxford, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 3 countries.

Asha JamaPublic Health Agency of Sweden, Department of Public Health Analysis and Data Management, Nobels väg 18, SE-171 82, Stockholm, Sweden.
Emma AppelqvistPublic Health Agency of Sweden, Department of Public Health Analysis and Data Management, Nobels väg 18, SE-171 82, Stockholm, Sweden.
Asli KulaneKarolinska Institutet, Department of Global Public Health, Tomtebodavägen 18A, SE-171 77, Stockholm, Sweden.
Susanne KarregårdPublic Health Agency of Sweden, Department of Communication, Nobels väg 18, SE-171 82, Solna, Stockholm, Sweden.
Johanna RubinPublic Health Agency of Sweden, Department of Public Health Analysis and Data Management, Nobels väg 18, SE-171 82, Solna, Stockholm, Sweden.
Sahar NejatPaediatric Public Health and Immunization Unit for Stockholm County, Tideliusgatan 12, 118 69, Stockholm, Sweden.
Katrine Bach HabersaatWorld Health Organization (WHO) Regional Office for Europe, Behavioural and Cultural Insights Unit, Marmorvej 51, DK-2100, Copenhagen, Denmark.
Cath JacksonWorld Health Organization (WHO) Regional Office for Europe, Vaccine Preventable Diseases and Immunization, Marmorvej 51, DK-2100, Copenhagen, Denmark.
Robb ButlerWorld Health Organization (WHO) Regional Office for Europe, The Regional Director's Office, Marmorvej 51, DK-2100, Copenhagen, Denmark.
Ann LindstrandWorld Health Organization (WHO) Headquarters, Department of Immunization, Vaccines and Biologicals, Unit Essential Programme on Immunization, 20 Avenue Appia, 1211, Geneva 27, Switzerland.
Karina Godoy-RamirezPublic Health Agency of Sweden, The Office of the Head for Communicable Disease Control and Health Protection, Nobels väg 18, SE-171 82, Solna, Stockholm, Sweden.
Public Health Agency of Sweden · SEWorld Health Organization Regional Office for Europe · DKKarolinska Institutet · SEStockholm County Council · SEWorld Health Organization · CH

Funding

World Health Organization 001
6 · The paper itself

Abstract

Objectives: Sweden has had a high and stable vaccination coverage for measles-mumps-rubella (MMR) vaccine (>96%) through the national immunization program (NIP), but coverage rates highlight local pockets of lower vaccination coverage. This project addressed low MMR vaccine acceptance among parents in a Somali community, in Stockholm. The objective of the intervention was to increase vaccine confidence and MMR-vaccine uptake and also to inform practices addressing vaccine acceptance. Study design: This paper describes the design and implementation of a multi-component intervention based on the Methods: The theoretical underpinning of TIP is the Capability, Opportunity, and Motivation Model (COM-B model) and Behaviour Change Wheel framework (BCW), adapted for vaccination. The COM-model was used to identify barriers and drivers to vaccination and intervention types. The TIP-phases described in this paper are: pre-TIP (planning), three succeeding TIP phases (situational analysis, formative research, intervention design) and the post-TIP phase (implementation). Results: The situation analysis and formative research revealed that parents feared the MMR vaccine due to autism or that their child would stop talking following vaccination, despite lack of scientific evidence for an association between autism and MMR vaccines. Barriers were linked to their associated COM-B factors and mapped to appropriate intervention types for two target groups: Somali parents and nurses at the Child Health Centres (CHC). Selected intervention types targeting parents were education, persuasion and modelling whereas education and training were selected for CHC nurses. The intervention activities included community engagement for parents, while the activities for nurses focused on improving encounters and dialogue with parents having low vaccine acceptance. Following the intervention design the activities were developed, pilot tested and implemented. Conclusion: This study confirm that the TIP approach is valuable for guiding a stepwise working process for a thorough understanding of barriers and drivers for MMR vaccination among parents in this Somali community. It facilitated the design of a theory and evidence-informed intervention targeting parents and nurses.

Indexed as

Childhood vaccinationChildrenTailored interventionTailoring immunization programmesVaccine acceptance

Identifiers

PMID36570400
PMCPMC9773050
OpenAlexW4289928946

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.