Assessment of knowledge, facilitators, and barriers of pneumococcal vaccination: A quasi-experimental study among diabetologists in India
摘要
Pneumonia remains a major cause of morbidity and mortality in elderly adults in India. Diabetes is strongly associated with pneumonia. Knowledge on pneumococcal vaccine (PV) among the physicians who treat diabetes (diabetologists) may impact their recommendations for individuals with diabetes and pneumonia comorbidity.
ObjectiveThis study was conducted to assess the knowledge, attitude, and practice of pneumococcal vaccines among the diabetologists in India.
MethodsA quasi-experimental study was conducted online among the diabetologists across India from Sep 2023 to Feb 2024. An education session on the importance of PV in people with diabetes was given to the diabetologists region-wise (North = 23, Northeast = 26, West = 25, and South = 34). A pre- and post-education assessment was done using a semi-structured questionnaire which included knowledge, practice, and barriers in recommending PV.
ResultsThe knowledge improvement on PV was evident in all four regions: North (pre- vs. post-education: 7.5 ± 1.7 vs. 8.4 ± 1.6, p = 0.003), Northeast (6.6 ± 1.8 vs. 9.1 ± 2.0, p < 0.001), West (7.2 ± 1.4 vs. 9.5 ± 1.6, p < 0.001), and South (7.1 ± 1.5 vs. 8.9 ± 1.2, p < 0.001). The average of correct responses increased by 17.4% (63.5 to 80.9%) after the education session. There was a significant difference in the average pre-education knowledge score on PV between the participants with < 10 and ≥ 10 years of professional experience (6.6 ± 1.7 vs.7.4 ± 1.5, p = 0.021). But the knowledge score significantly improved after the session in those with < 10 years of experience. Vaccine cost was noted as an important barrier in recommending and accepting PV.
ConclusionKnowledge on PV was significantly improved among diabetologists post-education session. Affordable vaccine, vaccine education to the physicians and patients, and universalization of adult immunization may increase the recommendation and uptake of the vaccine.