The objective of this resource is to provide primary care physicians with clinical guidance for addressing parental vaccine hesitancy. Practical tips for addressing parental vaccine hesitancy in primary care include starting early, presenting vaccination as the default approach, building trust, being honest about side effects, providing reassurance on a robust vaccine safety system, focusing on protection of the child and community, telling stories, and addressing pain. Also provided are statements that providers could use in vaccination-related conversations; answers to commonly asked questions on benefits, safety, and immunologic aspects of vaccines; and links to a number of online resources for physicians and parents.
Chart that shows adults how frequently they need to get certain vaccines.
Equity and impact: Ontario’s infant rotavirus immunization program fiveyears following implementation. A population-based cohort study
The introduction of routine infant rotavirus immunization has had a substantial population impact in Ontario. Our study confirms herd effects and suggests the program may have reduced previous inequities in the burden of pediatric rotavirus hospitalizations.
Involving stakeholders in informing the development of a Knowledge Translation (KT) intervention to improve the vaccination experience at school
Pain, fear, and fainting management during school-based vaccinations is suboptimal. The objective was to examine stakeholder perceptions of barriers and facilitators to better practices. Method: Six semi-structured focus groups were conducted in Niagara Region, Ontario: two parent groups (n=7); one grade 7 to 8 student group (n=9); two nurse groups (n=12); and one school staff group (n=6). Participants shared perceptions about school vaccination clinics and the implementation of specific strategies and tools. Focus groups were audio recorded and transcribed. The Consolidated Framework for Implementation Research (CFIR) was used as the framework for analysis.
Les maladies évitables par la vaccination : un aperçu des maladies peu fréquentes pour le professionnel de la santé de première ligne
Le présent point de pratique de la Société canadienne de pédiatrie fournit aux professionnels de la santé de première ligne un aperçu des maladies évitables par la vaccination qui, grâce au succès des programmes d’immunisation au Canada, sont devenues rares ou peu fréquentes. Les enfants et les adolescents du Canada et d’ailleurs peuvent encore contracter ces infections, dont le dépistage clinique a des conséquences importantes pour la santé publique. Afin d’offrir des soins préventifs, il est essentiel de connaître les signes et symptômes de ces maladies, de vacciner les voyageurs et les nouveaux arrivants au Canada, de connaître les éclosions dans la communauté et ailleurs et de consulter rapidement un expert en infectiologie et les services de santé publique pour les cas présumés.
Overview of a Knowledge Translation (KT) Project to improve the vaccination experience at school: The CARD™ System
Students experience fear, pain, and fainting during vaccinations at school. While evidence-based interventions exist, no Knowledge Translation (KT) interventions have been developed to mitigate these symptoms. A multidisciplinary team—the Pain Pain Go Away Team—was assembled to address this knowledge-to-care gap. This manuscript provides an overview of the methodology, knowledge products, and impact of an evidence-based KT program developed and implemented to improve the vaccination experience at school.
Pertussis vaccine effectiveness in a frequency matched population-based case-control Canadian Immunization Research Network study in Ontario, Canada 2009–2015
Researchers estimated pertussis vaccine effectiveness through a case-control study of 1335 cases statutorily reported to public health in Ontario and occurring between January 1, 2009 and March 31, 2015, compared with 5340 randomly selected population controls, frequency-matched by age, primary-care provider and year of diagnosis. Pertussis cases met provincial confirmed or probable case definitions. Researchers used multivariable logistic regression to estimate crude and adjusted odds ratios.
Piloting The CARD™ System for education of students about vaccination: Does it improve the vaccination experience at school?
Many students are fearful of vaccine injection-associated pain. In prior research, we created Knowledge Translation (KT) tools to address school vaccinations and associated pain, fear, and fainting. The objectives of this pilot implementation project were to determine the acceptability and impact of these KT tools on student knowledge, attitudes, and perceptions of their vaccination experience.
School-based vaccination programs can be a source of distress for many students due to the pain from the needle injection and related fears. We created a multifaceted Knowledge Translation (KT) intervention to address vaccination and pain, fear, and fainting called The CARD™ System. The objectives were to document acceptability of key tools included in the multifaceted KT intervention and their effectiveness in improving knowledge and attitudes about vaccination pain and fear.
The CARD™ System for improving the vaccination experience at school: Results of a small-scale implementation project on program delivery
Researchers conducted a small-scale implementation study that integrated The CARD™ System (C-Comfort, A-Ask, R-Relax, D-Distract)—a multifaceted knowledge translation intervention designed to improve the vaccination experience at school—within the school vaccination program.