Implementation of personal vaccination record (PVR) to increase completeness and adherence of multi-dose adult vaccination : a retrospective study at the wellness center, Burapha University Hospital

Authors

  • Surasingha Sombat Suranartwatchawong Faculty of Medicine, Burapha University, Chonburi

Keywords:

Vaccine series completion, adherence, schedule, vaccine record

Abstract

Background: Failure to complete multi-dose vaccination was profound in adults globally. The reminder and recall system were proposed to improve immunization rates. We implemented the personal vaccination record (PVR) for adult vaccine services at the wellness center, Burapha University Hospital and measured completion and adherence rate before and after implementation.

Methods: This retrospective study analyzed multi-dose vaccine recipient data at the wellness center, Burapha University Hospital during 2019-2020. The PVR was implemented from 2020 onward; recipients who initiated the vaccine before and after PVR were categorized as pre-PVR and post-PVR groups, respectively. The outcomes were completeness and adherence rate. Completeness is defined as the completion of the standard vaccine series: 3 doses for Hepatitis B (HBV) and Human papilloma virus (HPV) vaccines, 2 doses for Measles-mumps-rubella vaccine (MMR) and varicella vaccine (VAR). Adherence is defined as receiving the vaccines per recommended schedule or within a window period of an additional one week.

Results: The completion and adherence rate were significantly higher in the post-PVR vs. pre-PVR group. The completion and adherence rate of post-VPR group were significantly higher than pre-VPR group (88.6% vs. 60.1% and 85.9% vs. 55.2% respectively). When adjusted for demographic data, PVR implementation and aged >35 years old were significantly associated with the completeness and adherence of multi-dose vaccine series.

Conclusions: Vaccination series completeness and adherence were higher after the PVR was implemented, especially among older adults. The PVR, or other forms of reminder systems, should be incorporated into every adult vaccination service to promote complete receiving recommended vaccines and immunization.

References

Bachtiger P, Adamson A, Chow JJ, Sisodia R, Quint JK, Peters NS. The Impact of the COVID-19 Pandemic on the Uptake of Influenza Vaccine: UK-Wide Observational Study. JMIR Public Health Surveill. 2021;7(4):e26734. doi: 10.2196/26734.

Nelson JC, Bittner RC, Bounds L, Zhao S, Baggs J, Donahue JG, et al. Compliance with multiple-dose vaccine schedules among older children, adolescents, and adults: results from a vaccine safety datalink study. Am J Public Health. 2009;99(Suppl2):S389-97. doi: 10.2105/AJPH.2008.151332

Gallagher KE, Kadokura E, Eckert LO, Miyake S, Mounier-Jack S, Aldea M, et al. Factors influencing completion of multi-dose vaccine schedules in adolescents: a systematic review. BMC Public Health. 2016;16:172. doi: 10.1186/s12889-016-2845-z.

Trantham L, Kurosky SK, Zhang D, Johnson KD. Adherence with and completion of recommended hepatitis vaccination schedules among adults in the United States. Vaccine. 2018;36(35):5333-9. doi: 10.1016/j.vaccine.2018.05.111.

Johnson KD, Lu X, Zhang D. Adherence to hepatitis A and hepatitis B multi-dose vaccination schedules among adults in the United Kingdom: a retrospective cohort study. BMC Public Health. 2019;19(1):404. doi: 10.1186/s12889-019-6693-5.

World Health Organization. Report of the sage working group on vaccine hesitancy [Internet]. USA: World Health Organization; 2014. Available from: https://www.thecompassforsbc.org/sbcc-tools/report-sage-working-group-vaccine-hesitancy

World Health Organization. Strengthening health security by implementing the International Health Regulations [Internet]. America: World Health Organization; 2005. Available from: https://www.who.int/ihr/ports_airports/icvp_note/en/

Dorell CG, Stokley S, Yankey D, Markowitz LE. Compliance with recommended dosing intervals for HPV vaccination among females, 13–17 years, National Immunization Survey-Teen, 2008–2009. Vaccine. 2012;30(3):503-5. doi: 10.1016/j.vaccine.2011.11.042.

Infectious Disease Association of Thailand. Recommended Adult and Elderly Immunization Schedule [Internet]. Bangkok: Infectious Disease Association of Thailand; 2018. Available from: https://www.idthai.org/Contents/Views/?d=ZTue!17!4!!390!BiuJHPad.%20Jennifer.

Orenstein WA. Pediatricians called on to do their part to support adult immunization. AAP News. 2014;35(4):8.

de Figueiredo A, Simas C, Karafillakis E, Paterson P, Larson HJ. Mapping global trends in vaccine confidence and investigating barriers to vaccine uptake: a large-scale retrospective temporal modelling study. Lancet. 2020;396(10255):898-908. doi: 10.1016/S0140-6736(20)31558-0.

Phrommintikul A, Wongcharoen W, Kuanprasert S, Prasertwitayakij N, Kanjanavanit R, Gunaparn S, et al. Safety and tolerability of intradermal influenza vaccination in patients with cardiovascular disease. J Geriatr Cardiol. 2014;11(2):131-5. doi: 10.3969/j.issn.1671-5411.2014.02.007.

Abahussin AA, Albarrak AI. Vaccination adherence: Review and proposed model. J Infect Public Health. 2016;9(6):781-9. doi: 10.1016/j.jiph.2016.09.006.

Jacobson Vann JC, Jacobson RM, Coyne-Beasley T, Asafu-Adjei JK, Szilagyi PG. Patient reminder and recall interventions to improve immunization rates. Cochrane Database Syst Rev. 2018;1(1):CD003941. doi: 10.1002/14651858.CD003941.pub3.

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Published

20-05-2022

How to Cite

Suranartwatchawong, S. S. . (2022). Implementation of personal vaccination record (PVR) to increase completeness and adherence of multi-dose adult vaccination : a retrospective study at the wellness center, Burapha University Hospital. Journal of Nakornping Hospital, 13(1), 117–127. Retrieved from https://he01.tci-thaijo.org/index.php/jnkp/article/view/254698

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Research article