Effects of telehealth during pregnancy on childhood vaccine attitudes and timeliness: A randomized controlled trial

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dc.authorid0000-0002-8488-5445
dc.contributor.authorAksucu, Gozde
dc.contributor.authorCaglar, Seda
dc.date.accessioned2026-01-31T15:08:22Z
dc.date.available2026-01-31T15:08:22Z
dc.date.issued2025
dc.departmentİstanbul Beykent Üniversitesi
dc.description.abstractAim: This study aimed to evaluate the impact of a telehealth intervention on pregnant women's attitudes toward childhood vaccines and vaccination timeliness. Methods: This randomized controlled trial was conducted in primary healthcare centers in Istanbul, T & uuml;rkiye, between August 2022 and March 2023. A total of 173 pregnant women in their third trimester were randomized into two groups: telehealth (n = 86) and control (n = 87). The telehealth group received structured telehealth intervention, including a vaccination information video, e-brochures, and reminder messages from the last trimester until the infant's six-month vaccinations. The control group received only standard institutional procedures. Data were collected using an Information Form, the Vaccine Attitudes Scale, and a Vaccine Follow-up Form. Results: Baseline characteristics and vaccine attitude scores were similar between groups. After the intervention, the telehealth group demonstrated significantly more positive vaccine attitudes compared to the control group. Attitude scores improved in the telehealth group while declining in the control group. Vaccination timeliness and uptake of non-routine vaccines did not differ significantly between groups. However, family-related delays were more frequent in the control group. Conclusions: The telehealth intervention significantly improved maternal vaccine attitudes but did not significantly affect vaccination timeliness. Integrating telehealth-based vaccination counseling into primary healthcare services may help address vaccine hesitancy by supporting informed decision-making. Clinical trial registration: ClinicalTrials.gov ID: NCT05713526 https://clinicaltrials.gov/study/NCT05713526?term=aksucu&rank=1
dc.identifier.doi10.1016/j.vaccine.2025.127678
dc.identifier.issn0264-410X
dc.identifier.issn1873-2518
dc.identifier.pmid40882266
dc.identifier.scopus2-s2.0-105014103202
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org./10.1016/j.vaccine.2025.127678
dc.identifier.urihttps://hdl.handle.net/20.500.12662/10669
dc.identifier.volume63
dc.identifier.wosWOS:001562424800002
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Sci Ltd
dc.relation.ispartofVaccine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20260128
dc.subjectTelehealth
dc.subjectVaccine attitude
dc.subjectVaccination timeliness
dc.subjectChildhood immunization
dc.subjectRandomized controlled trial
dc.titleEffects of telehealth during pregnancy on childhood vaccine attitudes and timeliness: A randomized controlled trial
dc.typeArticle

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