The objective of this research was to describe the impact of an Information—Motivation—Behavioral Skills model (IMB)-based, accredited, online Continuing Medical Education (CME) program on seasonal influenza vaccination in children 6-23 months of age in Ontario, Canada during the 2016/17 influenza season.
Methods: A multi-center, randomized, controlled trial was conducted whereby HCPs were randomized to either an accredited IMB-based CME or to routine practice (no CME). The CME addressed influenza burden in young children and identified parental barriers (hesitancy) to influenza vaccination, , designed to inform, motivate, and upskill HCPs. All vaccine options were reviewed, including the adjuvanted, trivalent, inactive, influenza vaccine (aTIV). Immunisation rates were compared between groups using Pearson’s chi-squared and a logistic regression model adjusting for socioeconomic status at the clinic-level.
Results: A total of 68 HCPs were recruited: 33 randomized to the CME group and 35 to routine practice. HCP interactions with parents were evaluated during 628 visits: 292 visits by HCPs in the CME group and 336 by HCPs in the routine practice group. Parents seen by HCPs in the CME group were ~ 30% more likely to agree to immunize their child with seasonal influenza vaccination compared to parents seen by HCPs in the control group (p=0.007). The adjusted odds of influenza immunization were 1.5 times higher in the CME group compared to the control group. Children in the CME group were ~ 20% more likely to receive aTIV compared to children in the control group (p<0.001).
Conclusion: HCP education with a tailored health behavior uptake model based CME addressing the burden of influenza disease in young children and influenza vaccine hesitancy was associated with a significant increase in influenza immunization.
V. Brown, Seqirus: Investigator , Speaker honorarium .
H. Garfield, Seqirus: Investigator , Speaker honorarium .
E. Rampakakis, Seqirus: Independent Contractor , Consulting fee .
C. Boikos, Seqirus: Employee , Salary .
J. A. Mansi, Seqirus: Employee and Shareholder , Salary .