Evidence map›Paper›PMID 39287138›Full record

ArticleJBI evidence implementation2025

Factors that influence vaccination communication during pregnancy: provider and patient perspectives using the theoretical domains framework.

Andrea M Patey, Mungunzul M Amarbayan, Kate Lee, Marcia Bruce, Julie A Bettinger, Wendy Pringle, Maoliosa Donald, Eliana Castillo

Abstract read
In one paragraph

Article in JBI evidence implementation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

8 authors.

Andrea M PateyCentre for Implementation Research, Ottawa Hospital Research Institute, ON, Canada.
Mungunzul M AmarbayanDepartment of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Kate LeeDepartment of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Marcia BruceDepartment of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Julie A BettingerDepartment of Pediatrics, Faculty of Medicine, The University of British Columbia, Vancouver, BC, Canada.
Wendy PringleVaccine Evaluation Center, BC Children's Hospital Research Institute, University of British Columbia, Vancouver, BC, Canada.
Maoliosa DonaldDepartment of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Eliana CastilloDepartments of Medicine and Obstetrics and Gynaecology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionVaccination during pregnancy is recommended but uptake is low and evidence on the topic is limited.

aimsThis study aimed to identify the drivers of current behavior and barriers to change for health care practitioners (HCPs) and pregnant patients in Canada.

methodsThis study is an in-depth qualitative investigation of the factors influencing HCPs' vaccination communication during pregnancy, as well as factors influencing pregnant patients' vaccination uptake in Canada using the Theoretical Domains Framework. Three data sources were used: (1) perinatal HCP interviews before COVID-19; (2) perinatal HCP interviews regarding vaccine communication after COVID-19; and (3) survey of pregnant or lactating women after COVID-19.

resultsForty-seven interviews and 169 participant responses were included. Perinatal HCPs reported limited information on vaccine communication or difficulty keeping up-to-date ( Environmental context and resources ; Knowledge; Beliefs about capabilities ). HCPs lacked confidence and struggled with lack of training to address vaccine hesitancy without alienating patients ( Beliefs about capabilities; Skills ). Pregnant or lactating women struggled with the amount of information they felt was imposed on them, had concerns about the perceived negative consequences of vaccination, and felt pressure to understand what was best for them and their babies ( Knowledge; Beliefs about consequences; Social influences ).

conclusionsOur study provides a theory-based approach to identify influencing factors that can be mapped to theory-based intervention components, improving the likelihood of intervention effectiveness. The study is the first step in adapting an existing intervention to improve vaccine communication during pregnancy, ultimately, increasing vaccination uptake. SPANISH ABSTRACT: http://links.lww.com/IJEBH/A260.

Indexed as

CommunicationCOVID-19COVID-19 VaccinesHealth PersonnelPregnancy Complications, InfectiousPregnant PeopleVaccinationVaccination HesitancyAdultCanadaFemaleHealth Knowledge, Attitudes, PracticeHumansPregnancyQualitative ResearchSARS-CoV-2COVID-19 Vaccinesbehavioral sciencescommunicationimplementation scienceinterventionpregnancytheoretical domains frameworkvaccination

Identifiers

PMID39287138
PMCPMC13623067

What OpenQuestion holds

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Registered trials

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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.