PublisherThe University of Arizona.
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AbstractProblem: Pregnant women are at an increased risk of harm from seasonal influenza and unvaccinated women have higher rates of influenza hospitalization and death (Centers for Disease Control and Prevention [CDC], 2017a). Influenza vaccination for pregnant women has been recommended by the CDC (2017a) for more than 30 years and passive immunity from the mother to fetus has been well documented. Despite the evidence, the literature identifies the largest barrier to vaccination is that pregnant women are not offered the vaccine during their antenatal course (Jung et al., 2016; Maher et al. 2013). Purpose: Guided by the conceptual framework of the Health Belief Model (Champion & Skinner, 2008), this project's purpose is to evaluate if an educational intervention on influenza and its risks, while dispelling common myths and misconceptions of influenza vaccines, would improve the rate of influenza vaccination at the Native American Health Center. Goal: The goal for this project is to improve provider knowledge and comfort with offering the influenza vaccine and that more pregnant women would be vaccinated during the following influenza season. Objective: The project’s primary objective is to develop and implement an online education intervention that would inform providers on the risks, benefits, cost, and safety of the influenza vaccine during pregnancy, while addressing barriers and misconceptions identified from the literature. Plan: Over a one-week period in July 2018, pre-and post-est surveys, as well as an online education module were sent to twenty-four physician and Advance Practice Providers at the Native American Health Center in Oakland California. Each participant’s pre-and posttest were compared after the intervention to evaluate how the module impacted their future practice regarding influenza vaccination to pregnant women. Results: The education module only slightly impacted provider identification of future vaccine practices and the change was not significant. Pre-and post-test findings indicate that providers had a strong baseline knowledge of the risks of influenza to pregnant women and their vaccine practices were higher than suggested in the literature. Further study is recommended in order to determine the education modules effectiveness.
Degree ProgramGraduate College