4.2 Article

Health Belief Model Constructs Affect Influenza Vaccine Uptake in Kidney Transplant Recipients

Journal

WESTERN JOURNAL OF NURSING RESEARCH
Volume 45, Issue 5, Pages 395-401

Publisher

SAGE PUBLICATIONS INC
DOI: 10.1177/01939459221136354

Keywords

path analysis; kidney transplantations; vaccinations; Health Belief Model; patient-centered care

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This study analyzed the impact of the constructs of the health belief model on influenza vaccine uptake in kidney transplant recipients. The findings showed that previous influenza vaccination directly influenced the behavior of the recipients, while cues to action alone did not have a direct impact. Perceived benefits played a significant role as a mediator in improving vaccine uptake. The study underscores the importance of health professionals assessing perceived benefits at an individual level and providing patient-centered interventions based on theoretical mechanisms.
This secondary analysis explored how the constructs of the health belief model affect influenza vaccine uptake in kidney transplant recipients (KTRs). In the parent study, a total of 180 KTRs were recruited at an organ transplant center in South Korea. A nonlinear path analysis using generalized structural equation modeling was performed. Previous influenza vaccination had a direct effect on their behavior, while cues to action alone did not directly affect their behavior. Perceived benefits played a key role as a mediator in improving influenza vaccine uptake in KTRs. This study highlights the need for health professionals to assess perceived benefits at the individual level and provide patient-centered interventions based on a consideration of theoretical mechanisms. As cues to action, recommendations for recipients' first vaccination after kidney transplant should focus on changing patients' perceptions of benefits by emphasizing the positive aspects of the influenza vaccine for immunosuppressed patients.

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