Evaluation of an Intervention PROMOting VAccination in Maternity in Quebec (PROMOVAQ)

Université de Sherbrooke

Status: Completed

Conditions: Motivational Interviewing

Treatments: Behavioral: Motivational interviewing

Study type: Interventional

Funder types: Other

Identifiers

NCT02666872

27505 (Other Grant/Funding Number)

13-074

Details and patient eligibility

About

Vaccination greatly reduced mortality and morbidity from many preventable diseases. However, to avoid the resurgence of these diseases and the human drama associated, high vaccine coverage should be maintained in the population. Yet in Quebec, vaccine coverage (VC) in young children remains suboptimal, especially caused by a proportion of parents who are ambivalent about the safety and effectiveness of vaccines. In this context, the Provincial Immunization Committee developed in 2010 a Quebec's immunization promotion plan.

Therefore, our research team tested and validated across the Eastern Townships, a vaccination promotion concept by means of an educational intervention within maternities, based on motivational interviewing techniques. This intervention has not only significantly increased the intention of vaccination (+15%) within parents who had received the intervention but also increased their child vaccination coverage (+7.5% at 7 months). This is the purpose of the PROMOVAQ study (PROmotion of VAccination in Quebec) This research project evaluated the impact of an educational strategy based on motivational interviewing techniques within maternity ward on infants' VC. This strategy has been tested through a provincial study (Montreal, Quebec, Sherbrooke) including more than 2500 families.

At term, this research program will offer the Quebec's Health Ministry an optimal strategy for immunization awareness so that Quebec's children may grow healthy and thrive.

Enrollment: 2,719 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Parents of all infants born in each participating maternity hospitals
• In Sherbrooke, inclusion limited to parents residing in the region of the Eastern Townships
• In Québec, inclusion limited to parents residing in the National Capital region.

Exclusion criteria

• Minor parents
• Parents who do not speak English or French
• Any health condition of the child or the mother needing acute care. That is to say, if the child must be hospitalized in neonatology, or if the mother has an incompatible condition with an interview.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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2,719 participants in 2 patient groups

Motivational interviewing on vaccination

Experimental group

Description:

An educational strategy based on motivational interviewing of approximately 15 minutes to promote vaccination, in maternity ward.

Treatment:

Behavioral: Motivational interviewing

Brochure about vaccines for infants

No Intervention group

Description:

Parents in the control group only received a brochure about vaccines for infants. This brochure is given to all fathers and mothers giving birth to the CHUS, participating or not at our study.