Nalin Payakachat|Kristie Hadden|Denise Ragland
Promoting Tdap immunization in pregnancy: Associations between maternal perceptions and vaccination rates
University of Arkansas for Medical Sciences|University of Arkansas for Medical Sciences|University of Arkansas for Medical Sciences
tdap vaccine uptake among us pregnant women low despite current recommendations study evaluated tdap vaccine information statement vis affected overall perception vaccination intention components health behavior model associated tdap vaccination ratesa randomized prospective study conducted among pregnant women receiving care two womens clinics mayaugust 2014 verbally consented participants randomized receive either standard cdc tdap vis svis modified version mvis completing first multipart survey t1 t1 participants read assigned vis completed second part t2 2015 chart review identified vaccinated participants health behavior model hypothesized using reasoned action approach health belief model logistic regression path analysis chisquare tests used analysis279 surveys analyzed average age participants 264 years sd57 average gestational age 259 weeks sd92 13 selfreported receiving tdap vaccine prior survey overall perception scores significantly increased 3134 p0001 vis review chart review showed 131 47 received vaccine post study significant difference vaccination rates svis mvis groups 45 vs 49 perceived benefits b0315 selfefficacy b0197 positively associated overall perception t1 perceived barriers b0191 negatively associated overall perception t1 social norms b0230 selfefficacy b0213 perceived benefits b0117 positively associated vaccination intention t1 vaccination intention t2 positively associated participants decision receive tdap vaccine b0223a vis improved overall perception tdap vaccine vaccination intention predictor tdap vaccination crucial provide information immunization benefits promote maternal tdap vaccination