Universität zu Köln

Neusser, Silke, Neumann, Anja, zur Nieden, Pauline, Speckemeier, Christian, Schlierenkamp, Sarah, Walendzik, Anke, Karbach, Ute ORCID: 0000-0003-3479-9474, Andreica, Ioana ORCID: 0000-0002-8007-9905, Vaupel, Kristina, Baraliakos, Xenofon and Kiltz, Uta (2022). Facilitators and barriers of vaccine uptake in patients with autoimune inflammatory rheumatic disease: a scoping review. RMD Open, 8 (2). LONDON: BMJ PUBLISHING GROUP. ISSN 2056-5933

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Abstract

ObjectivesPatients with autoimmune inflammatory rheumatic diseases (AIRD) often have lower vaccination coverage rates compared with the general population, despite being disproportionately affected by infectious complications. We aim to systematically review the literature regarding vaccination willingness and hesitancy in AIRD.MethodsA scoping review was conducted in PubMed, EMBASE and the Cochrane Library in June 2021. Study selection was performed by two independent reviewers and data were extracted using a standardised form. Risk of bias was assessed using instruments from McMaster University. Identified barriers were categorised into the WHO's measuring behavioural and social drivers (BeSD) of vaccination conceptual model.ResultsThe search yielded 1644 hits of which 30 publications were included (cross-sectional studies based on interviews (n=27) and intervention studies (n=3)). The majority of studies reported barriers to influenza and pneumococcal vaccination only (n=9) or in combination with another vaccination (n=8) from the patients' perspective. Only one study assessed the view of rheumatologists. Coverage of domains matched to the BeSD model suggests a lack of awareness of infection risk by both patients and physicians. Patients mainly mentioned behavioural and social factors that negatively influenced their willingness to be vaccinated while physicians mentioned organisational deficits as major barriers.ConclusionsThe view on vaccination in patients with AIRD diverges between patients and rheumatologists. Our results show that in-depth counselling on vaccines is important for patients, whereas physicians need support in implementing specific immunisation recommendations. The themes identified provide a starting point for future interventions to improve vaccine rates in patients with AIRD.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Neusser, Silke UNSPECIFIED UNSPECIFIED UNSPECIFIED Neumann, Anja UNSPECIFIED UNSPECIFIED UNSPECIFIED zur Nieden, Pauline UNSPECIFIED UNSPECIFIED UNSPECIFIED Speckemeier, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Schlierenkamp, Sarah UNSPECIFIED UNSPECIFIED UNSPECIFIED Walendzik, Anke UNSPECIFIED UNSPECIFIED UNSPECIFIED Karbach, Ute UNSPECIFIED orcid.org/0000-0003-3479-9474 UNSPECIFIED Andreica, Ioana UNSPECIFIED orcid.org/0000-0002-8007-9905 UNSPECIFIED Vaupel, Kristina UNSPECIFIED UNSPECIFIED UNSPECIFIED Baraliakos, Xenofon UNSPECIFIED UNSPECIFIED UNSPECIFIED Kiltz, Uta UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-673230
DOI:	10.1136/rmdopen-2022-002562
Journal or Publication Title:	RMD Open
Volume:	8
Number:	2
Date:	2022
Publisher:	BMJ PUBLISHING GROUP
Place of Publication:	LONDON
ISSN:	2056-5933
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language INFLUENZA VACCINATION; PNEUMOCOCCAL VACCINATION; ARTHRITIS; COVERAGE; AUDIT; ATTITUDES; RATES Multiple languages Rheumatology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/67323