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Consumer Reported Digital Immunization Records : Feasibility, Applicability, and Public Health Utility in the Canadian Context /

Record Type:	Electronic resources : Monograph/item
Title/Author:	Consumer Reported Digital Immunization Records : Feasibility, Applicability, and Public Health Utility in the Canadian Context // Katherine M Atkinson.
Author:	Atkinson, Katherine M,
Description:	1 electronic resource (81 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 85-12, Section: A.
Contained By:	Dissertations Abstracts International85-12A.
Subject:	Influenza. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=31173633
ISBN:	9798383021293

Consumer Reported Digital Immunization Records : Feasibility, Applicability, and Public Health Utility in the Canadian Context /
Atkinson, Katherine M,

Consumer Reported Digital Immunization Records : Feasibility, Applicability, and Public Health Utility in the Canadian Context /Katherine M Atkinson. - 1 electronic resource (81 pages)

Source: Dissertations Abstracts International, Volume: 85-12, Section: A.

Background:Vaccination is one of the most effective public health interventions of alltime. Public health programs collect data on Vaccination Coverage (VC) to determinelevels of protection and guide resource allocation for further vaccination campaigns butVC data completeness and utility is a challenge in many settings. Self-report is a sensitiveand relatively specific indicator of vaccination status but incorporation into VC analyses islimited. Mobile technologies can enhance Immunization Information Systems, not least byfacilitating bi-directional communications with individuals. This permits collection of selfreportedimmunization records and a channel to deliver reminders and reliableinformation back to individuals. However, evaluations of consumer apps for immunizationare still nascent, often small-scale, and conducted most in controlled researchenvironments.Aim:The overarching aim of this thesis is to shed light on the feasibility, public healthutility and applicability of mHealth apps for recording, reporting, and encouragingimmunization.Methods:Paper I was an ecological, quality-assurance study describing use of Pan-Canadian mobile immunization app for parental reporting of children's primaryimmunization series in Ottawa, Ontario, Canada. Paper II was a single cohort interruptedtime series analysis examining the impact of the COVID-19 pandemic in Canada on uptakeof a Pan-Canadian mobile immunization app as well as parentally reported pneumococcalseries completion rates at the child's 13-months of age. Paper III was a cross-sectionalstudy describing the characteristics of family/parental characteristics and theirassociation of reporting vaccinating their children against influenza among Pan-Canadianmobile immunization app users in the 2018/2019 influenza season. Paper IV was asystematic review and meta-analysis examining effectiveness of digital pushinterventions compared to non-digital interventions at increasing vaccine uptake andseries completion.Results:Feasibility and Acceptability:The first successful transmission of recordsoccurred April 27, 2015 (Paper I). There were 63,833 pediatric records and 11,381 uniqueparent-child dyads that met inclusion criteria, respectively in Papers II and III. The onset ofCOVID-19 restrictions was associated with an abrupt and continued decline in enrollmentof children in the app compared to expected values (Paper II).Public Health Utility:530 (20%) of children were less than 12 months old when their recordwas first submitted via the app (Paper I). The onset of COVID-19 restrictions wasassociated with an initial increase in self-reported completion of pneumococcal series,followed by a modest decrease leading to a net effect of -20%, compared to expectedvalues (Paper II). Influenza vaccination was reported for 32.3% (3,675/11,381) of children and42.0% (4,788/11,381) of parents. Parents receiving the seasonal influenza vaccine was themost strongly associated characteristic with pediatric influenza vaccination (OR 17.05,95% CI 15.08, 19.28) compared to parents who did not report being vaccinated againstinfluenza that season (Paper III).Applicability:When comparing digital push with non-digital interventions, patients had 1.18(95% CI 1.11, 1.25) the odds of receiving vaccination or series completion. Analyses had highstatistical heterogeneity, but risk of bias was low (Paper IV).Conclusions:Through four studies, this thesis provided supportive evidence on thepotential to mobile apps to enhance IIS. Successful transmission of self-reportedimmunization records to public health via mobile app was demonstrated to be feasibleand acceptable. The onset of COVID-19 was associated with decreased app use andreported pediatric pneumococcal series completion. Parents receiving the seasonalinfluenza vaccine was associated with reporting their children as immunized. Receivingdigital push notifications increases the odds of vaccine uptake and series completion.These studies are subject to limitations but show potential for mHealth apps to facilitateself-report of vaccination data, assess trends and associations in vaccine behavior andencourage immunization through push interventions.

English

ISBN: 9798383021293Subjects--Topical Terms:

924085
Influenza.

Consumer Reported Digital Immunization Records : Feasibility, Applicability, and Public Health Utility in the Canadian Context /
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