Impact of Immunization Education Presentations on the Knowledge

Impact of Immunization Education Presentations on the Knowledge and Attitudes of Childcare Providers Julie C. Bartell, BA Mary S. Hayney, Pharm. D, BCPS University of Wisconsin School of Pharmacy

University of Wisconsin School of Pharmacy Operation Immunization Goals: l To educate the public about the benefits and safety of immunizations l To provide accessible information about immunizations to all patients l To educate the public about the profession of pharmacy l To assist pharmacists in developing immunization awareness and delivery programs

University of Wisconsin School of Pharmacy Operation Immunization Activities: l Meningococcal letter writing campaign l HIV awareness campaign l Travel vaccine brochures l Extensive media campaign l Daycare education program

Objective l To measure the knowledge of childcare providers and the value of education to increase immunization knowledge

1995 to 2005

New Recommendations l New in 2003 -04 – Influenza immunization of out of home caregivers to young children may decrease the risk of influenza l New in 2004 -05 – Influenza immunization for children aged 6 -23 months

Methods l Staff from five local daycare centers participated l Educational program delivered by the investigators

Data Collection l Pre- and post-test administered – Demographic data – Attitudes toward immunization – Knowledge of vaccines and diseases

Demographics l 47 pretest and 42 post-test l Median age group: 30 -39 years old

Attitude Toward Immunization Response p value Pretest 3. 28 +0. 11 >0. 4 Post-test 3. 11 +0. 14 Value 3. 40 +0. 09 not applicable

Immunization Knowledge l l Six vaccine knowledge questions Number correct improved from pretest to posttest Pretest Score (mean +SE) 4. 4 +2. 24 Post-test 5. 0 +0. 16 p value <0. 04

Immunization Knowledge Question Pretest (n=47) 33 (70%) Post-Test (n=42) 41 (98%) 27 (57%) 28 (65%) <0. 02 Diseases 32 (68%) 39 (93%) <0. 005 Records 36 (77%) 33 (80%) Not significant Adverse effects Indication p value <0. 001

Indication for Influenza Immunization Immunized in previous Not Indication season Immunized p value Present 2 8 Not 12 25 significant present

Age and Influenza Immunization p<0. 03; chi square

Age and Immunization Rate Immunized in previous season Age Not Immunized < age 50 9 31 > age 50 5 2 p value <0. 02

Influenza Immunization Coverage Change p=0. 006 Last season Current season

Implications l Influenza immunization rates may increase among childcare providers – Decreased infection transmission to high risk young children – Decreased absenteeism for staff l State immunization requirements for attendance – http: //www. immunize. org/laws/izlaws 01 -02. pdf

Limitations l Long term effects not measured l Immunization measured rates not directly

Conclusions l Educational program increased providers’ knowledge l Strategy for implementation of childcare provider influenza immunization recommendation

Varicella l Contagious viral illness – Rash, fever – Complications include bacterial infection, pneumonia, inflammation of the brain l Documentation of immunity (vaccination or infection) needed for daycare and school entry