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Master Thesis

Apport de l'entretien motivationnel en maternité dans la compréhension et l'acceptation des vaccins des nourrissons

Abstract : Introduction: in France, the rise in vaccination hesitancy led the authorities to expand the list of mandatory vaccines in 2018. Motivational interviewing is interesting on an individual scale to lift constraints on vaccination. Our objective was to verify that an interview carried out in the maternity ward helped to improve the knowledge of mothers and their intention to follow the paediatric vaccination schedule. Methods: from February 7th to April 28th 2019, in a maternity ward in Gironde (France), 141 mothers were interviewed about the compulsory vaccines and the 11 diseases concerned, with a pre- post-intervention questionnaire to be filled in. The responses were compared using the McNemar test. 99 mothers were contacted by telephone 7 months later to assess their experience of the interview and measure the immunization coverage of their children. Results: The interview improved knowledge of the 11 diseases, with the percentage of mothers declaring themselves informed increasing from 23% to 64% after the intervention (p<0,05); the improvement was 45 points for knowledge of vaccines (73% vs 28% p<0,05)). Vaccination intentions are also improving, with 85% of mothers being "sure" to vaccinate their child compared to 80% before the interview. At 7 months, all the children of the mothers contacted had received the 2 doses of hexavalent and pneumococcal vaccines, but 7% of the children had not received the meningococcal C vaccine. Conclusion: in order to build up confidence after the extension of the mandatory vaccination, the motivational interview in maternity appears to be an effective tool to improve the understanding and acceptance of the infant's vaccines.
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https://dumas.ccsd.cnrs.fr/dumas-02864417
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Submitted on : Thursday, June 11, 2020 - 9:44:05 AM
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Simon Veluzat. Apport de l'entretien motivationnel en maternité dans la compréhension et l'acceptation des vaccins des nourrissons. Sciences du Vivant [q-bio]. 2020. ⟨dumas-02864417⟩

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