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Counselling of non-communicable diseases' patients for COVID-19 vaccine uptake in Jordan: Evaluating the intervention.
Al-Shaikh, Ala'a; Mahmoud, Refqi Ismail; Boukerdenna, Hala; Muthu, Nazeema; Aidyralieva, Chinara; Bellizzi, Saverio.
  • Al-Shaikh A; WHO Country Office for Jordan, Amman, Jordan. Electronic address: alshaikha@who.int.
  • Mahmoud RI; Noncommunicable Diseases Directorate, Ministry of Health, Amman, Jordan.
  • Boukerdenna H; WHO Country Office for Jordan, Amman, Jordan.
  • Muthu N; WHO Country Office for Jordan, Amman, Jordan.
  • Aidyralieva C; WHO Country Office for Jordan, Amman, Jordan.
  • Bellizzi S; WHO Country Office for Jordan, Amman, Jordan.
Vaccine ; 40(46): 6658-6663, 2022 Nov 02.
Article in English | MEDLINE | ID: covidwho-2106126
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.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Vaccines / Noncommunicable Diseases / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Vaccines Limits: Humans Country/Region as subject: Asia Language: English Journal: Vaccine Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Vaccines / Noncommunicable Diseases / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Vaccines Limits: Humans Country/Region as subject: Asia Language: English Journal: Vaccine Year: 2022 Document Type: Article