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2. Willingness to Vaccinate Children against Influenza after the Coronavirus Disease 2019 Pandemic

Author

Ahmed, Sarah, Ali, Samina, Brown, Julie C., Craig, Simon, Davis, Adrienne L., Gaucher, Nathalie, Gianluca, Gualco, Goldman, Ran, Griffiths, Mark, Hall, Jeanine E., Hansen, Matt, Hurt, Thomas L., Kelly, Christopher, Klein, Eileen J., Kozer, Eran, Marneni, Shashidhar, Mater, Ahmed, Mistry, Rakesh, Parra, Cristina, Poonai, Naveen, Rao, Arjun, Sheridan, David, Shimizu, Naoki, Yue, Esther L., Goldman, Ran D., McGregor, Sophie, Marneni, Shashidhar R., Katsuta, Tomohiro, Griffiths, Mark A., Seiler, Michelle, Cotanda, Cristina Parra, Gelernter, Renana, Hoeffe, Julia, Gualco, Gianluca, Manzano, Sergio, Thompson, Graham C., and Ahmed, Sara

Published
2021
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3. Caregivers' Willingness to Accept Expedited Vaccine Research During the COVID-19 Pandemic: A Cross-sectional Survey

Author

Goldman, Ran D., Marneni, Shashidhar R., Seiler, Michelle, Brown, Julie C., Klein, Eileen J., Cotanda, Cristina Parra, Gelernter, Renana, Yan, Tyler D., Hoeffe, Julia, Davis, Adrienne L., Griffiths, Mark A., Hall, Jeanine E., Gualco, Gianluca, Mater, Ahmed, Manzano, Sergio, Thompson, Graham C., Ahmed, Sara, Ali, Samina, and Shimizu, Naoki

Published
2020
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5. Vigor among health-care professionals at the workplace: the role of intra- and inter-personal resources.

Author

Hamama-Raz, Yaira, Ben-Ezra, Menachem, Bibi, Haim, Swarka, Muhareb, Gelernter, Renana, and Abu-Kishk, Ibrahim

Subjects
JOB stress prevention, WORK environment, SOCIAL support, SELF-evaluation, MEDICAL personnel, PSYCHOSOCIAL factors, EMPLOYEES' workload, QUESTIONNAIRES, INTERPERSONAL relations, PSYCHOLOGICAL adaptation
Abstract

Feeling vigorous throughout the workday in a medical facility despite exposure to daily job-related stress is essential for productive work-related behavior and for the subjective well-being of health-care professionals. The current study explored the contribution of an intra-personal resource (i.e. coping flexibility) and an inter-personal resource (i.e. social support) to the explained variance of vigor among nurses and physicians. Two hundred two hospital personnel completed self-report questionnaires regarding personal and professional data, vigor, coping flexibility and social support. The results revealed that the intra-personal resource coping flexibility, was positively associated with vigor while the inter-personal resource social support was not found to be associated with vigor. In addition, older age and higher self-rated health positively associated with feeling vigor. The current study shed light on the role of intra-personal resources in feeling vigorous throughout stressful workdays that characterize the workplace of hospital personnel. Tailoring interventions that may enhance coping flexibility among hospital personnel can increase their vigor which in turn may beneficially contribute to their job performance. [ABSTRACT FROM AUTHOR]

Published
2023
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9. Caregiver willingness to vaccinate their children against COVID-19: Cross sectional survey

Author

Goldman, Ran D, Yan, Tyler D, Seiler, Michelle, Parra Cotanda, Cristina, Brown, Julie C, Klein, Eileen J, Hoeffe, Julia, Gelernter, Renana, Hall, Jeanine E, Davis, Adrienne L, Griffiths, Mark A, Mater, Ahmed, Manzano, Sergio, Gualco, Gianluca, Shimizu, Naoki, Hurt, Thomas L, Ahmed, Sara, Hansen, Matt, Sheridan, David, Ali, Samina, Thompson, Graham C, Gaucher, Nathalie, Staubli, Georg, and International COVID-19 Parental Attitude Study (COVIPAS) Group

Subjects
Immunity, Herd, Male, Vaccination Coverage, Coronavirus Infections/economics/epidemiology/immunology/prevention & control/virology, Vaccination schedule, Cross-sectional study, International Cooperation, Viral Vaccines/biosynthesis/economics, North America/epidemiology, 0302 clinical medicine, Japan, Vaccination Refusal, Pandemic, Medicine, 030212 general & internal medicine, Pandemics/prevention & control, Israel, Child, Emergency Service, education.field_of_study, ddc:618, Vaccination, Betacoronavirus/immunology/pathogenicity, Japan/epidemiology, Europe, Infectious Diseases, Molecular Medicine, Female, Coronavirus Infections, Emergency Service, Hospital, Vaccination Refusal/psychology/statistics & numerical data, Adult, medicine.medical_specialty, COVID-19 Vaccines, Pneumonia, Viral, Population, Article, Europe/epidemiology, Herd immunity, Vaccination/psychology, Hospital, Betacoronavirus, 03 medical and health sciences, 030225 pediatrics, Humans, education, Pandemics, Israel/epidemiology, General Veterinary, General Immunology and Microbiology, SARS-CoV-2, business.industry, Public health, Immunity, Public Health, Environmental and Occupational Health, COVID-19, Viral Vaccines, Pneumonia, Emergency Department, Emergency department, Herd, Vaccination Coverage/statistics & numerical data, Coronavirus, Cross-Sectional Studies, Family medicine, Multivariate Analysis, North America, Viral/epidemiology/immunology/prevention & control/virology, business
Abstract

Highlights • About two thirds of caregivers intend to vaccinate their children against COVID-19. • Most common reason for acceptance was to protect the child. • Most common reason for refusal was the vaccine’s novelty. • Child age, chronic illness, vaccination history affects willingness. • Caregiver gender, vaccination history, concern about infection affect willingness., Background More than 100 COVID-19 vaccine candidates are in development since the SARS-CoV-2 genetic sequence was published in January 2020. The uptake of a COVID-19 vaccine among children will be instrumental in limiting the spread of the disease as herd immunity may require vaccine coverage of up to 80% of the population. Prior history of pandemic vaccine coverage was as low as 40% among children in the United States during the 2009 H1N1 influenza pandemic. Purpose To investigate predictors associated with global caregivers’ intent to vaccinate their children against COVID-19, when the vaccine becomes available. Method An international cross sectional survey of 1541 caregivers arriving with their children to 16 pediatric Emergency Departments (ED) across six countries from March 26 to May 31, 2020. Results 65% (n = 1005) of caregivers reported that they intend to vaccinate their child against COVID-19, once a vaccine is available. A univariate and subsequent multivariate analysis found that increased intended uptake was associated with children that were older, children with no chronic illness, when fathers completed the survey, children up-to-date on their vaccination schedule, recent history of vaccination against influenza, and caregivers concerned their child had COVID-19 at the time of survey completion in the ED. The most common reason reported by caregivers intending to vaccinate was to protect their child (62%), and the most common reason reported by caregivers refusing vaccination was the vaccine’s novelty (52%). Conclusions The majority of caregivers intend to vaccinate their children against COVID-19, though uptake will likely be associated with specific factors such as child and caregiver demographics and vaccination history. Public health strategies need to address barriers to uptake by providing evidence about an upcoming COVID-19 vaccine’s safety and efficacy, highlighting the risks and consequences of infection in children, and educating caregivers on the role of vaccination.

Published
2020
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10. Caregiver Willingness to Vaccinate Their Children against COVID-19 after Adult Vaccine Approval

Author

Goldman, Ran D., Krupik, Danna, Ali, Samina, Mater, Ahmed, Hall, Jeanine E., Bone, Jeffrey N., Thompson, Graham C., Yen, Kenneth, Griffiths, Mark A., Klein, Adi, Klein, Eileen J., Brown, Julie C., Mistry, Rakesh D., Gelernter, Renana, and Group, on behalf of the International COVID-19 Parental Attitude Study (COVIPAS) Group on behalf of the International COVID-19 Parental Attitude Study (COVIPAS)

Subjects
Adult, medicine.medical_specialty, 2019-20 coronavirus outbreak, COVID-19 Vaccines, Coronavirus disease 2019 (COVID-19), Cross-sectional study, Health, Toxicology and Mutagenesis, Logistic regression, Article, Herd immunity, Pandemic, medicine, Humans, Child, Vaccines, parental attitudes, business.industry, SARS-CoV-2, Vaccination, Public Health, Environmental and Occupational Health, COVID-19, Older caregivers, Cross-Sectional Studies, Caregivers, Family medicine, Medicine, vaccine hesitancy, business
Abstract

Vaccines against COVID-19 are likely to be approved for children under 12 years in the near future. Understanding vaccine hesitancy in parents is essential for reaching herd immunity. A cross-sectional survey of caregivers in 12 emergency departments (ED) was undertaken in the U.S., Canada, and Israel. We compared reported willingness to vaccinate children against COVID-19 with an initial survey and post-adult COVID-19 vaccine approval. Multivariable logistic regression models were performed for all children and for those &lt, 12 years. A total of 1728 and 1041 surveys were completed in phases 1 and 2, respectively. Fewer caregivers planned to vaccinate against COVID-19 in phase 2 (64.5% and 59.7%, respectively, p = 0.002). The most significant positive predictor of willingness to vaccinate against COVID-19 was if the child was vaccinated per recommended local schedules. Fewer caregivers plan to vaccinate their children against COVID-19, despite vaccine approval for adults, compared to what was reported at the peak of the pandemic. Older caregivers who fully vaccinated their children were more likely to adopt vaccinating children. This study can inform target strategy design to implement adherence to a vaccination campaign.

Published
2021
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11. National COVID-19 vaccine program progress and parents’ willingness to vaccinate their children

Author

Goldman, Ran D., primary, Bone, Jeffrey N., additional, Gelernter, Renana, additional, Krupik, Danna, additional, Ali, Samina, additional, Mater, Ahmed, additional, Thompson, Graham C., additional, Yen, Kenneth, additional, Griffiths, Mark A., additional, Klein, Adi, additional, Klein, Eileen J., additional, Mistry, Rakesh D., additional, Hall, Jeanine E., additional, and Brown, Julie C., additional

Published
2021
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12. 29 Caregiver-Reported Delay in Presentation to Pediatric Emergency Departments for Fear of Contracting COVID-19: A multinational cross-sectional study

Author

Davis, Adrienne, primary, Sunderji, Alia, additional, Marneni, Shashidhar, additional, Seiler, Michelle, additional, Hall, Jeanine, additional, Cotanda, Cristina Parra, additional, Klein, Eileen, additional, Brown, Julie, additional, Gelernter, Renana, additional, Griffiths, Mark, additional, Hoeffe, Julia, additional, Gualco, Gianluca, additional, Mater, Ahmed, additional, Manzano, Sergio, additional, Thompson, Graham, additional, Ahmed, Sara, additional, Ali, Samina, additional, and Goldman, Ran, additional

Published
2021
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14. Willingness to Vaccinate Children against Influenza after the Coronavirus Disease 2019 Pandemic

Author

Goldman, Ran D, McGregor, Sophie, Marneni, Shashidhar R, Katsuta, Tomohiro, Griffiths, Mark A, Hall, Jeanine E, Seiler, Michelle; https://orcid.org/0000-0002-1263-5818, Klein, Eileen J, Cotanda, Cristina Parra, Gelernter, Renana, Hoeffe, Julia, Davis, Adrienne L, Gualco, Gianluca, Mater, Ahmed, Manzano, Sergio, Thompson, Graham C, Ahmed, Sara, Ali, Samina, Brown, Julie C, International COVID-19 Parental Attitude Study (COVIPAS) Group, Goldman, Ran D, McGregor, Sophie, Marneni, Shashidhar R, Katsuta, Tomohiro, Griffiths, Mark A, Hall, Jeanine E, Seiler, Michelle; https://orcid.org/0000-0002-1263-5818, Klein, Eileen J, Cotanda, Cristina Parra, Gelernter, Renana, Hoeffe, Julia, Davis, Adrienne L, Gualco, Gianluca, Mater, Ahmed, Manzano, Sergio, Thompson, Graham C, Ahmed, Sara, Ali, Samina, Brown, Julie C, and International COVID-19 Parental Attitude Study (COVIPAS) Group

Abstract

OBJECTIVES To determine factors associated with parents who plan to vaccinate their children against influenza next year, especially those who did not vaccinate against influenza last year using a global survey. STUDY DESIGN A survey of caregivers accompanying their children aged 1-19 years old in 17 pediatric emergency departments in 6 countries at the peak of the coronavirus disease 2019 (COVID-19) pandemic. Anonymous online survey included caregiver and child demographic information, vaccination history and future intentions, and concern about the child and caregiver having COVID-19 at the time of emergency department visit. RESULTS Of 2422 surveys, 1314 (54.2%) caregivers stated they plan to vaccinate their child against influenza next year, an increase of 15.8% from the previous year. Of 1459 caregivers who did not vaccinate their children last year, 418 (28.6%) plan to do so next year. Factors predicting willingness to change and vaccinate included child's up-to-date vaccination status (aOR 2.03, 95% CI 1.29-3.32, P = .003); caregivers' influenza vaccine history (aOR 3.26, 95% CI 2.41-4.40, P < .010), and level of concern their child had COVID-19 (aOR 1.09, 95% CI 1.01-1.17, P = .022). CONCLUSIONS Changes in risk perception due to COVID-19, and previous vaccination, may serve to influence decision-making among caregivers regarding influenza vaccination in the coming season. To promote influenza vaccination among children, public health programs can leverage this information.

Published
2021

15. Caregiver-reported delay in presentation to pediatric emergency departments for fear of contracting COVID-19: a multi-national cross-sectional study

Author

Davis, Adrienne L; https://orcid.org/0000-0002-2780-707X, Sunderji, Alia, Marneni, Shashidhar R, Seiler, Michelle; https://orcid.org/0000-0002-1263-5818, Hall, Jeanine E, Cotanda, Cristina Parra, Klein, Eileen J, Brown, Julie C, Gelernter, Renana, Griffiths, Mark A, Hoeffe, Julia, Gualco, Gianluca, Mater, Ahmed, Manzano, Sergio, Thompson, Graham C, Ahmed, Sara, Ali, Samina, Goldman, Ran D, Davis, Adrienne L; https://orcid.org/0000-0002-2780-707X, Sunderji, Alia, Marneni, Shashidhar R, Seiler, Michelle; https://orcid.org/0000-0002-1263-5818, Hall, Jeanine E, Cotanda, Cristina Parra, Klein, Eileen J, Brown, Julie C, Gelernter, Renana, Griffiths, Mark A, Hoeffe, Julia, Gualco, Gianluca, Mater, Ahmed, Manzano, Sergio, Thompson, Graham C, Ahmed, Sara, Ali, Samina, and Goldman, Ran D

Abstract

Objective: To determine if caregivers of children presenting to pediatric emergency departments (EDs) during the COVID-19 pandemic are delaying presenting to care for fear of contracting COVID-19. Methods: This was a pre-planned secondary analysis of a cross-sectional survey study of caregivers accompanying their children aged 0-19 years to 16 pediatric EDs in 5 countries from May to June 2020. An anonymous online survey, completed by caregivers via RedCAP, included caregiver and child demographics, presenting complaints, if they delayed presentation and whether symptoms worsened during this interval, as well as caregiver concern about the child or caregiver having COVID-19 at the time of ED visit. Results: Of 1543 caregivers completing the survey, 287 (18.6%) reported a delay in seeking ED care due to concerns of contracting COVID-19 in the hospital. Of those, 124 (43.2%) stated their child's symptoms worsened during the waiting interval. Caregiver relationship to child [mother] (OR 1.85, 95% CI 1.27-2.76), presence of chronic illness in child (OR 1.78. 95% CI 1.14-2.79), younger age of caregiver (OR 0.965, 95% CI 0.943-0.986), and caregiver concerns about lost work during the pandemic (OR 1.08, 95% CI 1.04-1.12) were independently associated with a COVID-19-related delayed presentation in multivariable regression analysis. Conclusions: Almost one in five caregivers reported delaying ED presentation for their ill or injured child specifically due to fear of contracting COVID-19 while in hospital, with mothers, younger caregivers, caregivers of children with chronic illness, and those concerned about lost work more likely to report delaying ED presentation. Keywords: COVID-19; Caregivers; Children; Emergency department; Presentation delay

Published
2021

16. Willingness to Vaccinate Children against Influenza after the Coronavirus Disease 2019 Pandemic

Author

Goldman, Ran D., primary, McGregor, Sophie, additional, Marneni, Shashidhar R., additional, Katsuta, Tomohiro, additional, Griffiths, Mark A., additional, Hall, Jeanine E., additional, Seiler, Michelle, additional, Klein, Eileen J., additional, Cotanda, Cristina Parra, additional, Gelernter, Renana, additional, Hoeffe, Julia, additional, Davis, Adrienne L., additional, Gualco, Gianluca, additional, Mater, Ahmed, additional, Manzano, Sergio, additional, Thompson, Graham C., additional, Ahmed, Sara, additional, Ali, Samina, additional, Brown, Julie C., additional, Ahmed, Sarah, additional, Craig, Simon, additional, Gaucher, Nathalie, additional, Gianluca, Gualco, additional, Goldman, Ran, additional, Griffiths, Mark, additional, Hansen, Matt, additional, Hurt, Thomas L., additional, Kelly, Christopher, additional, Kozer, Eran, additional, Marneni, Shashidhar, additional, Mistry, Rakesh, additional, Parra, Cristina, additional, Poonai, Naveen, additional, Rao, Arjun, additional, Sheridan, David, additional, Shimizu, Naoki, additional, and Yue, Esther L., additional

Published
2021
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18. Factors associated with parents’ willingness to enroll their children in trials for COVID-19 vaccination

Author

Goldman, Ran D., primary, Staubli, Georg, additional, Cotanda, Cristina Parra, additional, Brown, Julie C., additional, Hoeffe, Julia, additional, Seiler, Michelle, additional, Gelernter, Renana, additional, Hall, Jeanine E., additional, Griffiths, Mark A., additional, Davis, Adrienne L., additional, Manzano, Sergio, additional, Mater, Ahmed, additional, Ahmed, Sara, additional, Sheridan, David, additional, Hansen, Matt, additional, Ali, Samina, additional, Thompson, Graham C., additional, Shimizu, Naoki, additional, and Klein, Eileen J., additional

Published
2020
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21. Children discharged from an emergency department with bacteraemia had lower C‐reactive protein and better outcomes than admissions.

Author

Gelernter, Renana, Lazarovitch, Tsilia, Kozer, Eran, and Youngster, Ilan

Subjects
*C-reactive protein, *HOSPITAL emergency services, *BACTEREMIA, *PEDIATRIC intensive care, *INTENSIVE care units
Abstract

Aim: To investigate whether there are common clinical findings in bacteraemic children that were discharged from the emergency department (ED) and to follow their clinical outcome. Methods: A retrospective chart review of children above one‐month‐old with positive blood cultures obtained in Shamir Medical Center's ED between January 2011 and December 2019 was conducted. Results: A total of 250 cases were analysed, of which 68 discharged after first evaluation. Streptococcus pneumonia was the most commonly isolated pathogen. Compared to children that were admitted when first evaluated in the ED, discharged children had lower C‐reactive protein (mean 50.5 ± 62.8 vs 121.7 ± 113.2 mg/L, p < 0.001). Dyspnoea and being ill‐looking were less prevalent among the latter (6.7% versus 35.1%, p = <0.001, 3.0% versus 22.2% p < 0.001, respectively), as were presence of Kingella kingae and other Gram‐negative bacteria. Of the children hospitalised in our institution, the duration of hospitalisation was significantly lower than in those admitted during the first visit (6.3 ± 4.3 vs 9.0 ± 7.4 days, p =.002). None of the discharged children were admitted to paediatric intensive care unit. Conclusion: Children with bacteraemia who were discharged home before knowing their positive blood cultures results had lower C‐reactive protein and better outcome compared to those admitted on first evaluation in emergency department. [ABSTRACT FROM AUTHOR]

Published
2021
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22. Caregiver-reported delay in presentation to pediatric emergency departments for fear of contracting COVID-19: a multi-national cross-sectional study

Author

Davis, Adrienne L., Sunderji, Alia, Marneni, Shashidhar R., Seiler, Michelle, Hall, Jeanine E., Cotanda, Cristina Parra, Klein, Eileen J., Brown, Julie C., Gelernter, Renana, Griffiths, Mark A., Hoeffe, Julia, Gualco, Gianluca, Mater, Ahmed, Manzano, Sergio, Thompson, Graham C., Ahmed, Sara, Ali, Samina, and Goldman, Ran D.

Abstract

Objective: To determine if caregivers of children presenting to pediatric emergency departments (EDs) during the COVID-19 pandemic are delaying presenting to care for fear of contracting COVID-19. Methods: This was a pre-planned secondary analysis of a cross-sectional survey study of caregivers accompanying their children aged 0–19 years to 16 pediatric EDs in 5 countries from May to June 2020. An anonymous online survey, completed by caregivers via RedCAP, included caregiver and child demographics, presenting complaints, if they delayed presentation and whether symptoms worsened during this interval, as well as caregiver concern about the child or caregiver having COVID-19 at the time of ED visit. Results: Of 1543 caregivers completing the survey, 287 (18.6%) reported a delay in seeking ED care due to concerns of contracting COVID-19 in the hospital. Of those, 124 (43.2%) stated their child’s symptoms worsened during the waiting interval. Caregiver relationship to child [mother] (OR 1.85, 95% CI 1.27–2.76), presence of chronic illness in child (OR 1.78. 95% CI 1.14–2.79), younger age of caregiver (OR 0.965, 95% CI 0.943–0.986), and caregiver concerns about lost work during the pandemic (OR 1.08, 95% CI 1.04–1.12) were independently associated with a COVID-19-related delayed presentation in multivariable regression analysis. Conclusions: Almost one in five caregivers reported delaying ED presentation for their ill or injured child specifically due to fear of contracting COVID-19 while in hospital, with mothers, younger caregivers, caregivers of children with chronic illness, and those concerned about lost work more likely to report delaying ED presentation.

Published
2021
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