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Article

Student Feedback to Tailor the CARD™ System for Improving the Immunization Experience at School

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Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON M5S 3M2, Canada
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The Hospital for Sick Children, Toronto, ON M5G 1X8, Canada
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Department of Psychology, The University of Guelph, Guelph, ON N1G 2W1, Canada
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McMaster Children’s Hospital, Hamilton, ON L8N 3Z5, Canada
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Immunize Canada, Canadian Public Health Association, Ottawa, ON K1Z 8R9, Canada
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Department of Pediatrics, Dalhousie University, Halifax, NS B3K 6R8, Canada
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University of Toronto Schools, Toronto, ON M5S 2R7, Canada
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Department of Pediatrics, Mount Sinai Hospital, Toronto, ON M5G 1X5, Canada
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Alberta Health Services, Calgary, AB T2W 3N2, Canada
*
Author to whom correspondence should be addressed.
Children 2020, 7(9), 126; https://doi.org/10.3390/children7090126
Received: 2 August 2020 / Revised: 31 August 2020 / Accepted: 2 September 2020 / Published: 4 September 2020
Increasing the comfort of vaccine delivery at school is needed to improve the immunization experience for students. We created the CARD™ (C—Comfort, A—Ask, R—Relax and D—Distract) system to address this clinical care gap. Originally designed for grade 7 students, this study examined the perceptions of grade 9 students of CARD™. Grade 9 students who had experience with school-based immunizations, either as recipients or onlookers (n = 7; 100% females 14 years old) participated. Students answered pre–post surveys, reviewed CARD™ educational materials and participated in a semi-structured focus group discussion. The Consolidated Framework for Implementation Research (CFIR) was used as the framework for analysis of qualitative data. Participants reported positive perceptions of CARD™ educational materials and that CARD™ could fit into the school immunization process. CARD™ improved knowledge about effective coping interventions and was recommended for education of both nurses and students. The results provide preliminary evidence that CARD™ is acceptable and appropriate for implementation in grade 9 school-based immunizations. View Full-Text
Keywords: school immunizations; pain; fear; patient education; vaccine hesitancy; child; adolescent school immunizations; pain; fear; patient education; vaccine hesitancy; child; adolescent
MDPI and ACS Style

Logeman, C.; Taddio, A.; McMurtry, C.M.; Bucci, L.; MacDonald, N.; Chalmers, G.; Gudzak, V.; Shah, V.; Coldham, J.; Little, C.; Samborn, T.; Dribnenki, C.; Snider, J. Student Feedback to Tailor the CARD™ System for Improving the Immunization Experience at School. Children 2020, 7, 126. https://doi.org/10.3390/children7090126

AMA Style

Logeman C, Taddio A, McMurtry CM, Bucci L, MacDonald N, Chalmers G, Gudzak V, Shah V, Coldham J, Little C, Samborn T, Dribnenki C, Snider J. Student Feedback to Tailor the CARD™ System for Improving the Immunization Experience at School. Children. 2020; 7(9):126. https://doi.org/10.3390/children7090126

Chicago/Turabian Style

Logeman, Charlotte, Anna Taddio, C. M. McMurtry, Lucie Bucci, Noni MacDonald, Garth Chalmers, Victoria Gudzak, Vibhuti Shah, Joanne Coldham, Cheri Little, Tracy Samborn, Cindy Dribnenki, and Joanne Snider. 2020. "Student Feedback to Tailor the CARD™ System for Improving the Immunization Experience at School" Children 7, no. 9: 126. https://doi.org/10.3390/children7090126

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