How effective are digital interventions in increasing flu vaccination among pregnant women? A systematic review and meta-analysis

Date

2021-06-23

Advisors

Journal Title

Journal ISSN

ISSN

Volume Title

Publisher

Oxford University Press

Type

Article

Peer reviewed

Yes

Abstract

ABSTRACT Background Flu can have serious consequences for pregnant woman and unborn babies. Vaccination provides safe and effective protection, yet uptake among pregnant women is below national targets. Digital interventions are effective at increasing adherence to health interventions. Aims This review aimed to establish whether digital interventions are effective at increasing rates of flu vaccination among pregnant women, and to determine the overall effect size. Method Systematic searches identified digital intervention trials, aiming to increase rate of flu vaccination among pregnant women. Random-effects meta-analysis provided a combined effect size and examined which mode of digital interventions had the largest effects on flu vaccination. Results Ten studies were included in the review. The majority of digital interventions were more effective at increasing rates of flu vaccination (7–81.3% uptake) than usual care or non-digital interventions (7.3–47.1% uptake). When meta-analysed, digital interventions had a small, non-significant effect (odds ratio [OR] = 1.29, 95% confidence interval [CI]: 0.71, 2.31), P = 0.40. Text messages (OR = 1.25, 95% CI: 0.58, 2.67), P = 0.57 appeared less effective than other digital interventions (OR = 1.58, 95% CI: 1.02, 2.46), P = 0.04. Conclusions Overall, there is a lack of high-quality studies reporting the effectiveness of digital interventions at increasing flu vaccination during pregnancy. Future interventions may benefit from using video or social media to communicate messages for maximum success in targeting an increase in rates of flu vaccination in pregnancy.

Description

open access article

Keywords

Digital interventions, Flu vaccination, pregnancy, systematic review

Citation

Parsons, J., Griffiths, S.E., Thomas, N. and Atherton, H. (2021) How effective are digital interventions in increasing flu vaccination among pregnant women? A systematic review and meta-analysis, Journal of Public Health, https://doi.org/10.1093/pubmed/fdab220

Rights

Research Institute

Institute of Health, Health Policy and Social Care