Counselling of Non-communicable Diseases' Patients for COVID-19 Vaccine Uptake in Jordan: Evaluating the Intervention

Overview

Journal Vaccine

Specialty Allergy & Immunology

Date 2022 Oct 10

PMID 36216648

Authors

Alaa Al-Shaikh

Refqi Ismail Mahmoud

Hala Boukerdenna

Nazeema Muthu

Chinara Aidyralieva

Saverio Bellizzi

Affiliations

Soon will be listed here.

Abstract

Background: People with noncommunicable diseases (NCDs) are at a significantly higher risk of worst outcomes if infected with COVID-19 and thus amongst the main target population for vaccination. Despite prioritizing them for vaccination, the number of vaccinated patients with comorbidities stalled post vaccine introduction. Despite that the government along with partners ran a national awareness campaign to ramp up vaccination coverage, the coverage remained suboptimal. Thus, a one-to-one health counselling initiative was implemented to explore the acceptance of COVID-19 vaccines by the NCDs patients and address the main issues surrounding vaccine hesitancy. This study evaluates the impact of this intervention by analyzing the change in COVID-19 vaccine acceptance.

Methods: In this analytical observational study, a random sample of 57,794 people living with NCDs were approached. Out of them, 12,144 received one-to-one counselling by a group of trained health professionals. The counselled group's vaccine acceptance was assessed on a Likert scale from 1 to 5 pre- and post- counselling. Moreover, a random sample was followed up 2 months after initial counselling to measure their vaccine acceptance and update their vaccination status.

Results: 44.5% of total respondents were already registered in the vaccination platform. On a scale from 1 to 5, the overall mean confidence significantly increased by 1.63 from 2.48 pre-counselling to 4.11 post-counselling. Two-months post counselling, a random sample was contacted again and had a mean vaccine confidence of 3.71, which is significantly higher than pre-counselling confidence level despite a significant decrease to post-counselling results.

Discussion: Implementing an intervention that targets all key factors impacting health decisions, such as health literacy, risk appraisal and response efficacy, helps reach an adaptive response and increase vaccine confidence. Scholars should be cautious when implementing an intervention since it could lead to maladaptive defensive responses. One-to-one interventions are more effective in population when addressing new interventions and vaccines.

References

Michel J, Goldberg J . Education, Healthy Ageing and Vaccine Literacy. J Nutr Health Aging. 2021; 25(5):698-701. PMC: 8040006. DOI: 10.1007/s12603-021-1627-1. View

Al-Shaikh A, Muthu N, Aidyralieva C, Profili M, Bellizzi S . COVID-19 vaccine roll-out in middle-income countries: Lessons learned from the Jordan experience. Vaccine. 2021; 39(34):4769-4771. PMC: 8238651. DOI: 10.1016/j.vaccine.2021.06.078. View

Sallam M, Dababseh D, Yaseen A, Al-Haidar A, Ababneh N, Bakri F . Conspiracy Beliefs Are Associated with Lower Knowledge and Higher Anxiety Levels Regarding COVID-19 among Students at the University of Jordan. Int J Environ Res Public Health. 2020; 17(14). PMC: 7399915. DOI: 10.3390/ijerph17144915. View

Bellizzi S, Aidyralieva C, Alsawhala L, Al-Shaikh A, Santoro A, Profili M . Vaccination for SARS-CoV-2 of migrants and refugees, Jordan. Bull World Health Organ. 2021; 99(9):611. PMC: 8381092. DOI: 10.2471/BLT.21.285591. View

Berkman N, Sheridan S, Donahue K, Halpern D, Crotty K . Low health literacy and health outcomes: an updated systematic review. Ann Intern Med. 2011; 155(2):97-107. DOI: 10.7326/0003-4819-155-2-201107190-00005. View

Wang J, Yuan B, Lu X, Liu X, Li L, Geng S . Willingness to accept COVID-19 vaccine among the elderly and the chronic disease population in China. Hum Vaccin Immunother. 2021; 17(12):4873-4888. PMC: 8903911. DOI: 10.1080/21645515.2021.2009290. View

Kaufman J, Ryan R, Walsh L, Horey D, Leask J, Robinson P . Face-to-face interventions for informing or educating parents about early childhood vaccination. Cochrane Database Syst Rev. 2018; 5:CD010038. PMC: 6494431. DOI: 10.1002/14651858.CD010038.pub3. View

Chapman G, Coups E . Predictors of influenza vaccine acceptance among healthy adults. Prev Med. 1999; 29(4):249-62. DOI: 10.1006/pmed.1999.0535. View

Dube E, Gagnon D, MacDonald N . Strategies intended to address vaccine hesitancy: Review of published reviews. Vaccine. 2015; 33(34):4191-203. DOI: 10.1016/j.vaccine.2015.04.041. View

10.

Wu F, Yuan Y, Deng Z, Yin D, Shen Q, Zeng J . Acceptance of COVID-19 booster vaccination based on the protection motivation theory: A cross-sectional study in China. J Med Virol. 2022; 94(9):4115-4124. PMC: 9348068. DOI: 10.1002/jmv.27825. View

11.

Saeterdal I, Lewin S, Austvoll-Dahlgren A, Glenton C, Munabi-Babigumira S . Interventions aimed at communities to inform and/or educate about early childhood vaccination. Cochrane Database Syst Rev. 2014; (11):CD010232. PMC: 10880811. DOI: 10.1002/14651858.CD010232.pub2. View

12.

Sheeran P, Harris P, Epton T . Does heightening risk appraisals change people's intentions and behavior? A meta-analysis of experimental studies. Psychol Bull. 2013; 140(2):511-43. DOI: 10.1037/a0033065. View

13.

Charron J, Gautier A, Jestin C . Influence of information sources on vaccine hesitancy and practices. Med Mal Infect. 2020; 50(8):727-733. DOI: 10.1016/j.medmal.2020.01.010. View

14.

Brewer N, Chapman G, Gibbons F, Gerrard M, McCaul K, Weinstein N . Meta-analysis of the relationship between risk perception and health behavior: the example of vaccination. Health Psychol. 2007; 26(2):136-45. DOI: 10.1037/0278-6133.26.2.136. View

15.

Abdullahi L, Kagina B, Ndze V, Hussey G, Wiysonge C . Improving vaccination uptake among adolescents. Cochrane Database Syst Rev. 2020; 1:CD011895. PMC: 6984618. DOI: 10.1002/14651858.CD011895.pub2. View

16.

Amin R, Li Y . NGO-promoted women's credit program, immunization coverage, and child mortality in rural Bangladesh. Women Health. 1997; 25(1):71-87. DOI: 10.1300/J013v25n01_05. View

17.

Ma R, Suo L, Lu L, Pang X . Willingness of the General Public to Receive the COVID-19 Vaccine During a Second-Level Alert - Beijing Municipality, China, May 2020. China CDC Wkly. 2021; 3(25):531-537. PMC: 8393022. DOI: 10.46234/ccdcw2021.118. View

18.

Tabacchi G, Costantino C, Napoli G, Marchese V, Cracchiolo M, Casuccio A . Determinants of European parents' decision on the vaccination of their children against measles, mumps and rubella: A systematic review and meta-analysis. Hum Vaccin Immunother. 2016; 12(7):1909-23. PMC: 4964810. DOI: 10.1080/21645515.2016.1151990. View

19.

Witte K, Allen M . A meta-analysis of fear appeals: implications for effective public health campaigns. Health Educ Behav. 2000; 27(5):591-615. DOI: 10.1177/109019810002700506. View

20.

Bowling A . Just one question: If one question works, why ask several?. J Epidemiol Community Health. 2005; 59(5):342-5. PMC: 1733095. DOI: 10.1136/jech.2004.021204. View