Impact of Vaccine Education Program on Vaccine Advocacy and Vaccine Literacy

NCT ID: NCT05929053

Last Updated: 2024-11-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

74 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-07-03

Study Completion Date

2024-08-31

Brief Summary

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This research will be carried out as a randomized controlled study with a waitlist in parallel design to evaluate the effect of the vaccine education and vaccine advocacy program prepared according to The Integrated Change Model on the level of vaccination literacy and the transformation into vaccine advocates. Research hypothesis "H0a: Vaccine education program prepared according to The Integrated Change Model does not affect vaccine literacy, H0b: The vaccine training program prepared according to the integrated change model does not affect the concepts (information sources, intention, attitude, behavior, obstacles) in the integrated change model determined for vaccine advocacy. At the end of the training, it is thought that the mothers in the experimental group will be different from the control group regarding vaccine literacy and the vaccine advocacy concepts (information sources, intention, attitude, behavior) in the model.

Detailed Description

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This research will be carried out as a randomized controlled study with a waitlist in parallel design to evaluate the effect of the vaccine education and vaccine advocacy program prepared according to The Integrated Change Model on the level of vaccination literacy and the transformation into vaccine advocates. Research hypothesis "H0a: Vaccine education program prepared according to The Integrated Change Model does not affect vaccine literacy, H0b: The vaccine training program prepared according to the integrated change model does not affect the concepts (information sources, intention, attitude, behavior, obstacles) in the integrated change model determined for vaccine advocacy. At the end of the training, it is thought that the mothers in the experimental group will be different from the control group regarding vaccine literacy and the vaccine advocacy concepts (information sources, intention, attitude, behavior) in the model.

A national study on the subject was used in calculating the study's sample size. In a study conducted in Turkey, the rate of those who were hesitant about vaccination in the families of children under five years old and the rate of rejection was found to be 19.8% (1). The sample size required to eliminate this situation with vaccine advocacy was calculated as a total of 64 individuals at 0.05 alpha and 80% power level in the Gpower program. Considering the sample losses, the sample was increased by 15% (9.6 people \~ 10 people), and a total of 74 people, 37 of which were experimental and 37 control, was determined. Mothers who applied to the Family Health Centers, which are research areas, will be evaluated according to the eligibility criteria. Then researcher (DS-Y) will obtain contact information from mothers, who met the inclusion criteria, volunteered for the study, and consented, and collect pre-test. The participants will be divided into experimental and control groups using the blind technique and block randomization. The vaccination training program prepared based on The Integrated Change Model for the mothers in the experimental group will be face-to-face training. The training will be in the form of 4 sessions (with a 1-week interval) as group training for 4-5 people, and each session will last 45 minutes on average. After the training program of the mothers in the experimental group is completed, the data collection forms will be applied again to the mothers in the experimental and control groups. After the last measurement, a 4-session vaccination training program will be applied to the mothers in the control group in the same way and within the same scope as the experimental group.

The primary outcome expected from the study is the change in mothers' vaccine literacy, vaccine advocacy intention, and vaccine attitudes.

The secondary result expected from the study is the change in mothers' knowledge of vaccination and sources of vaccination information.

Conditions

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Unrecognized Condition

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomization and blinding are recommended in randomized controlled studies to prevent biases and show the experiment's success (15).

Allocation: Random assignment. Block randomization will be used in the randomization process. Randomizer.org will be used to select block combinations with eight blocks. Eligible participants will be randomly assigned to the intervention or waitlist group using the permuted block randomization method on a 1:1 basis. The waiting list group will form the second set of the research, which is planned to be attempted two months later. The participant assignment list will be generated by a non-research statistician with a random distribution sequence. Assignment confidentiality will be ensured using opaque sealed envelopes containing sequence numbers. The data analyst/statistician will be blind to the participants' group assignments.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

DOUBLE

Participants Outcome Assessors
Single blinding(Participant blinding) will be done; participants will not be told they are in the experimental or control group. The first researcher will invite mothers to the study, which will continue until the targeted sample number(74 participants) is reached. During the participant registration, the names and contact information of the mothers will be obtained; it will be stated that they will be contacted for the training process, that the training time may be extended, and that they will be given definite training. The second researcher in the research team will explain to the first researcher that the participants are in the experimental or control group. The mothers in the control group will be assigned to the waiting list. At the end of the study, a four-session vaccination training program will be applied to the mothers in the control group in the same way and within the same scope as the experimental group.

Study Groups

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Experimental

Experiment: The Vaccine Education Program based on The Integrated Change Model will be administered to the mothers in the experimental group by the researcher. The training will take place in four sessions, one week apart, and each session will last approximately 45 minutes. The training will be carried out as group training with 4-5 people. Data collection forms will be applied before and after the program.

Group Type EXPERIMENTAL

Vaccine Education Program Based on Integrated Change Model

Intervention Type OTHER

Vaccine Education Program Based on Integrated Change Model The training will take place in four sessions, one week apart, and each session will last approximately 45 minutes. The training will be carried out as group training with 4-5 people.

Control-waiting list

Control (waiting list): The control group of the study will be the mothers who are on the waiting list. No intervention will be made to the mothers in the control group during the education process of the experimental group. After the training process of the mothers in the experimental group is completed and the post-test data are collected, all the interventions and training will be given to the mothers in the control group.

Group Type OTHER

Vaccine Education Program Based on Integrated Change Model

Intervention Type OTHER

Vaccine Education Program Based on Integrated Change Model The training will take place in four sessions, one week apart, and each session will last approximately 45 minutes. The training will be carried out as group training with 4-5 people.

Interventions

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Vaccine Education Program Based on Integrated Change Model

Vaccine Education Program Based on Integrated Change Model The training will take place in four sessions, one week apart, and each session will last approximately 45 minutes. The training will be carried out as group training with 4-5 people.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. To be residing in Artvin city center
2. To have applied to the Family Health Center No. 1 or 2 in the city center for any reason.
3. Having at least a high school graduate education level
4. Having a child in the age range that covers the national vaccination calendar (0-13 years old)
5. Turkish - speaking
6. Being literate
7. Being 18 years or older
8. Volunteering to participate in research

Exclusion Criteria

1. To reside outside of Artvin city center
2. To have an education level below a high school graduate
3. Having a child not between 0-13 years old
4. Not know to speak Turkish
5. Not volunteering for research
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Artvin Coruh University

OTHER

Sponsor Role lead

Responsible Party

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Deniz Sümeyye YORULMAZ

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Deniz S. Sümeyye YORULMAZ

Merkez, Artvin, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Yorulmaz-Demir DS, Kocoglu-Tanyer D. The Effect of the Vaccine Education Program Prepared Using The Integrated Change Model on Mothers' Vaccine Advocacy and Vaccine Literacy: A Waitinglist Randomized Controlled Trial. J Pediatr Health Care. 2025 May-Jun;39(3):424-435. doi: 10.1016/j.pedhc.2024.11.012. Epub 2025 Feb 1.

Reference Type DERIVED
PMID: 39891641 (View on PubMed)

Related Links

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https://link.springer.com/article/10.1007/s10389-023-01878-5

Yorulmaz, D. S., \& Kocoglu-Tanyer, D. (2023). A vaccine literacy scale for childhood vaccines: Turkish validity and reliability vaccine literacy scale. Journal of Public Health, 1-9.

https://informationr.net/ir/22-2/paper751.html

Aharony N, Goldman R, (2017). E-health literacy and the vaccination dilemma: an Israeli perspective. Information Research, 22(2), paper 751.

https://dergipark.org.tr/en/pub/pediatri/issue/58343/841404

Aygün E, Tortop HS, 2020. Ebeveynlerin aşı tereddüt düzeylerinin ve karşıtlık nedenlerinin incelenmesi. Güncel Pediatri, 18(3), 300-16.

https://www.cambridge.org/core/journals/international-journal-of-law-in-context/article/legitimising-a-zombie-idea-childhood-vaccines-and-autism-the-complex-tale-of-two-judgments-on-vaccine-injury-in-italy/BF7D7E525FE83898A458202C2D261D66

Rizzi M, Attwell K, Casigliani V, Taylor J, Quattrone F, Lopalco P, 2021. Legitimising a 'zombie idea': childhood vaccines and autism-the complex tale of two judgments on vaccine injury in Italy. International Journal of Law in Context, 1-21.

https://dergipark.org.tr/en/pub/cumj/issue/59504/790733

Hasar M, Özer ZY, Bozdemir N, 2021. Aşı reddi nedenleri ve aşılar hakkındaki görüşler. Cukurova Medical Journal, 46(1), 166-76.

https://dergipark.org.tr/en/pub/hunhemsire/issue/27606/331915

Akın B, \& Koçoğlu, D. (2017). Randomize kontrollü deneyler. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 4(1), 73-92.

Other Identifiers

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ArtvinCoruhU

Identifier Type: -

Identifier Source: org_study_id

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