Evidence map›Paper›PMID 41351147›Full record

ArticleBMC public health2025

The impact of two-year community-wide pharmacy interventions on the public's knowledge, attitudes, beliefs and behaviors about pharmacists as immunizers.

Donna M Halperin, Antonia M Di Castri, Jennifer E Isenor, Wilfrid Kouokam Lowe, Lingyun Ye, Melissa S Kervin, Carrie A Whittle, Scott A Halperin, Improve ACCESS Team for the Canadian Immunization Research Network (CIRN)

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

9 authors.

Donna M HalperinCanadian Center for Vaccinology, Dalhousie University, IWK Health, Nova Scotia Health, Halifax, NS, Canada.
Antonia M Di CastriCanadian Center for Vaccinology, Dalhousie University, IWK Health, Nova Scotia Health, Halifax, NS, Canada.
Jennifer E IsenorCanadian Center for Vaccinology, Dalhousie University, IWK Health, Nova Scotia Health, Halifax, NS, Canada.
Wilfrid Kouokam LoweCanadian Center for Vaccinology, Dalhousie University, IWK Health, Nova Scotia Health, Halifax, NS, Canada.
Lingyun YeCanadian Center for Vaccinology, Dalhousie University, IWK Health, Nova Scotia Health, Halifax, NS, Canada.
Melissa S KervinCanadian Center for Vaccinology, Dalhousie University, IWK Health, Nova Scotia Health, Halifax, NS, Canada.
Carrie A WhittleCanadian Center for Vaccinology, Dalhousie University, IWK Health, Nova Scotia Health, Halifax, NS, Canada.
Scott A HalperinCanadian Center for Vaccinology, Dalhousie University, IWK Health, Nova Scotia Health, Halifax, NS, Canada.
Improve ACCESS Team for the Canadian Immunization Research Network (CIRN)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmunization rates for vaccine-preventable diseases remain well below targets worldwide, leading to unnecessary morbidity and mortality, and heavy economic burdens to healthcare systems and workforces. One promising avenue to improve vaccine coverage is through the public's acceptance and use of pharmacists as immunizers; yet, at present, pharmacists remain underutilized for vaccine uptake by the public. Further study is needed on how to improve the perceptions and use of pharmacists as immunizers.

methodsBetween 2017 and 2019, pharmacy interventions were conducted in communities in Nova Scotia and New Brunswick, Canada, with 23 intervention pharmacies and 21 non-intervention pharmacies. Interventions focused on seven vaccines, and included activities such as pharmacists providing counsel to patients (registered patients and walk-ins), online messaging, and pharmacy posters. Following the interventions, online surveys were conducted among adult residents in the communities (n = 992) to assess the public's knowledge, attitudes, beliefs, and behaviors (KABB) regarding pharmacists as immunizers. Data were analyzed using Fisher's exact tests, multiple regressions, and Spearman's ranked correlations.

resultsAs compared to non-intervention communities, respondents in intervention communities had improved awareness of their vaccination status and increased self-reported uptake for meningococcal ACWY/C and travel vaccines, and reduced uptake of the shingles vaccine (P < 0.05). From combined analysis of non-intervention and intervention communities, willingness to receive a vaccine was strongly associated with being offered that vaccine in the past (R = 1.0, P < 10⁻⁷) and with awareness of recommendations from the National Advisory Committee on Immunization (NACI) (R = 0.79, P < 10⁻⁷). Less than 13% of respondents were aware that pharmacists provide the pertussis vaccine, while 90.7% reported they would receive all studied vaccines if free of charge. Respondents without access to a family physician had three-times higher odds of using the internet for vaccine information compared to those with a physician.

conclusionsThe KABB of respondents in intervention and non-intervention communities provided insights into improving the public's use of pharmacists as immunizers. Future strategies may include pharmacists proactively offering vaccines and counsel on Public Health vaccine guidelines to patients, increasing the public's awareness about vaccines provided by pharmacists (through healthcare providers and social media), and expanding public funding for vaccines with low uptake.

Indexed as

Community Pharmacy ServicesHealth Knowledge, Attitudes, PracticePharmacistsAdultAgedFemaleHumansMaleMiddle AgedNew BrunswickNova ScotiaSurveys and QuestionnairesYoung AdultBehaviorsImmunizersInterventionsKnowledgePharmacistPublicUptakeVaccines

Identifiers

PMID41351147
PMCPMC12681092

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.