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Background: Vaccine hesitancy is relevant for healthcare professionals (HCPs) who face challenges in building trusting relationships with patients. Accordingly, the VAX-TRUST project has been developed to improve experiences of HCPs and patients dealing with vaccinations. To support VAX-TRUST, this work aimed to identify latest interventions targeted at HCPs to address hesitancy and increase vaccine uptake.

Methods: A systematic review was conducted according to PRISMA by searching PubMed, Scopus and Embase. The protocol was registered on PROSPERO. Articles were eligible if evaluated interventions directly targeted at HCPs/healthcare students. The search was run on 26 January 2022. Articles published in 2016 or after were included.

Results: A total of 17 492 records were identified; 139 articles were selected. Most articles were set in USA (n = 110). Over half had a pre-post design without a control group (n = 78). A total of 41 articles focused on single-component interventions, 60 on multi-component interventions involving only HCPs and/or students and 38 on multi-component interventions involving also other professionals. Main components were in-person education (n = 76), synchronous (n = 10) and asynchronous (n = 23) online learning, educational materials (n = 26), performance assessment and feedback (n = 33), electronic record changes (n = 30), role play/simulation (n = 21) and online games/apps (n = 5). Educational sessions were mainly about scientific update or communication. Outcomes of interventions were grouped in: vaccination rates (n = 69), knowledge (n = 32), attitudes (n = 26), confidence in counselling (n = 30) and acceptability (n = 16).

Conclusions: Apps, gaming, role play/simulations could represent innovative interventions. This review highlighted the need of delving into communication strategies and using more robust evaluations, longer follow-up and standardized measurements.

Titel:	Countering vaccine hesitancy: a systematic review of interventions to strengthen healthcare professionals' action.
Autor/in / Beteiligte Person:	Lo Moro, G ; Ferrara, M ; Langiano, E ; Accortanzo, D ; Cappelletti, T ; De Angelis, A ; Esposito, M ; Prinzivalli, A ; Sannella, A ; Sbaragli, S ; Vuolanto, P ; Siliquini, R ; De Vito, E
Link:	Zum Volltext
Zeitschrift:	European journal of public health, Jg. 33 (2023-10-10), Heft 5, S. 905-915
Veröffentlichung:	Oxford : Oxford University Press ; <i>Original Publication</i>: Stockholm, Sweden : Almqvist & Wiksell International, c1991-, 2023
Medientyp:	academicJournal
ISSN:	1464-360X (electronic)
DOI:	10.1093/eurpub/ckad134
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Eur J Public Health] 2023 Oct 10; Vol. 33 (5), pp. 905-915. References: Vaccine X. 2019 Aug 05;3:100037. (PMID: 31463471) ; Vaccines (Basel). 2021 Oct 03;9(10):. (PMID: 34696234) ; BMJ. 2021 Mar 29;372:n71. (PMID: 33782057) ; Vaccine. 2015 Aug 14;33(34):4180-90. (PMID: 25896377) ; Vaccines (Basel). 2020 Oct 08;8(4):. (PMID: 33049956) ; JAMA. 2020 Dec 15;324(23):2363-2364. (PMID: 33320235) ; Syst Rev. 2016 Dec 5;5(1):210. (PMID: 27919275) ; Pediatr Infect Dis J. 2022 May 1;41(5):e243-e245. (PMID: 35213864) ; Vaccine. 2015 Nov 27;33 Suppl 4:D66-71. (PMID: 26615171) ; Vaccine X. 2022 Dec;12:100213. (PMID: 36217424) ; Curr Opin Pediatr. 2020 Aug;32(4):601-609. (PMID: 32692056) ; Hum Vaccin Immunother. 2017 Nov 2;13(11):2503-2511. (PMID: 28949819) ; Fam Pract. 2021 Jul 28;38(4):524-536. (PMID: 33517381) ; J Commun. 2021 Apr 25;71(2):163-186. (PMID: 34191915) ; Curr HIV/AIDS Rep. 2022 Oct;19(5):328-343. (PMID: 36114951) ; Public Underst Sci. 2020 Jul;29(5):508-523. (PMID: 32597366) ; Vaccine. 2020 Feb 5;38(6):1505-1512. (PMID: 31848051) ; Eur J Public Health. 2020 Apr 1;30(2):286-292. (PMID: 31746999) ; Expert Rev Vaccines. 2019 Nov;18(11):1167-1185. (PMID: 31791159) ; Curr Opin Pediatr. 2020 Feb;32(1):151-159. (PMID: 31790027) ; J Pediatr Nurs. 2017 Mar - Apr;33:10-15. (PMID: 27863734) ; Prev Med. 2021 Jul;148:106554. (PMID: 33857561) ; BMJ. 2019 Aug 28;366:l4898. (PMID: 31462531) ; Acad Pediatr. 2021 May-Jun;21(4S):S24-S29. (PMID: 33958087) ; Hum Vaccin Immunother. 2013 Aug;9(8):1763-73. (PMID: 23584253) ; Acad Pediatr. 2021 May-Jun;21(4S):S34-S39. (PMID: 33958090) Grant Information: European Union's Horizon 2020 research and innovation programme; 965280 European Union's Horizon 2020 Entry Date(s): Date Created: 20230815 Latest Revision: 20231013 Update Code: 20231215 PubMed Central ID: PMC10567238

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Countering vaccine hesitancy: a systematic review of interventions to strengthen healthcare professionals' action.