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Korean J Pediatr 2017 August;60(8) :254-260.
Published online 2017 August 15.        doi:
The impact of an educational intervention on parents decisions to vaccinate their <60-month-old children against influenza
Aery Choi1, Dong Ho Kim1, Yun Kyung Kim2, Byung Wook Eun3, Dae Sun Jo4
1Department of Pediatrics, Korea Cancer Center Hospital, Seoul, Korea
2Department of Pediatrics, Korea University Ansan Hospital, Ansan, Korea
3Department of Pediatrics, Eulgi Medical Center, Seoul, Korea
4Department of Pediatrics, Chonbuk National University Hospital, Jeonju, Korea
Corresponding Author: Dong Ho Kim ,Tel: +82-2-970-1298, Fax: +82-2-970-2403, Email:
Copyright © 2017 by The Korean Pediatric Society
Purpose: Seasonal influenza can be prevented by vaccination. Disease prevention in children aged <60 months is of particular importance because of the associated familial and societal burden. Considering that caretakers make the decision to vaccinate their children, the identification of drivers and barriers to vaccination is essential to increase influenza vaccination coverage.
Methods: A total of 639 parents participated in the pre- and posteducational survey and 450 parents participated in the study via telephone interviews. The participating parents were asked to rank their agreement with each statement of the survey questionnaire on a scale from 1 (strongly disagree) to 5 (strongly agree), and the scores between pre- and postintervention were compared.
Results: Before the educational intervention, 105 out of 639 participants reported not to agree to vaccinate their children against influenza. After the intervention, 46 out of the 105 parents changed their opinions about childhood vaccination. The physicians recommendation received the highest agreement score and was the most important driver to vaccination, whereas the cost of vaccination was the strongest factor for not vaccinating children. In general, the participants significantly changed the agreement scores between pre- and postintervention. However, the unfavorable opinions about vaccination and the convenience of receiving the influenza vaccine did not change significantly.
Conclusion: The results of this study indicate that a specific educational intervention involving caregivers is very effective in increasing the influenza vaccination coverage of children aged less than 60 months.
Keywords: Influenza | Influenza vaccine | Parents | Decision | Educational intervention
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