Graduation Year

2024

Document Type

Senior Thesis

Degree

Bachelor of Science in Nursing

Primary Major

Nursing

Primary Minor

Global Public Health

Second Minor

Psychology

Thesis Advisor

Deborah Meshel, BSN, MSN

Abstract

Background: Vaccine adherence in the pediatric population refers to receiving vaccines as per the recommended schedule, which significantly reduces vaccine-preventable diseases and enhances community immunity. Vaccine hesitancy, driven by concerns such as safety, misinformation, or cultural beliefs can affect adherence. National coverage of state-mandated vaccines among kindergarteners declined from 95% to around 93% between 2019 and 2022, varying across different vaccines. Objective: This research proposal’s focus is to determine if an educational intervention targeting first-generation Asian Americans, who have adopted their immigrant parents' misinformation about vaccines, will effectively increase vaccination rates among their children. The study aims to assess the effectiveness of educational outreach in promoting vaccination adherence within this demographic group. The literature reviews contribute to understanding various aspects of pediatric vaccination on parental decision-making and adherence to immunizations and have implications for public health interventions promoting vaccine uptake and adherence among children. It highlights the influence of cultural and societal factors on vaccination rates and hesitancy, exploring demographic, cultural, and psychological influences shaping parental attitudes and behaviors toward childhood vaccination. Method: A quantitative experimental design will be used with a sample size of 100 participating families. Once the 100 participants are selected, they will be randomly placed in either the control or experimental group. Both groups will receive standardized care and education on the necessity of vaccine adherence; however, the control group will not receive the educational intervention coupled with the inclusion of a brochure containing the required dated immunization schedule. Vaccine adherence will be measured by the children’s EHR records (pre- and post-intervention) and a questionnaire will measure vaccine hesitancy and willingness before and after the intervention. As a result of the study, there is an expectation that vaccine adherence scores will increase.

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