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PrevaccinationChecklistforCOVID-19Vaccines.docx

HESC 700

The questionnaire studies

A questionnaire is a research instrument consisting of questions to gather information from respondents (Mcleod, 2018). The term questionnaire usually means a form containing a set of pre-determined questions used for collecting information (data) from and about people as part of a survey (Scott & Mazhindu, 2014).

Questionnaires can be used in various types of research, such as descriptive, comparative, and attitudinal. There are many different types of questionnaires. The type of questionnaire used will depend on the research question being asked. Questionnaires can be used to produce both qualitative and quantitative data (Scott & Mazhindu, 2014).

Often a questionnaire uses both open and closed questions to collect data. This is beneficial because both quantitative and qualitative data can be obtained (Mcleod, 2018).

 

Study I:  Questionnaire “Prevaccination Checklist for COVID-19 Vaccines”

This study aims to review the results from the prevaccination checklist for COVID-19 Vaccines in the Primary Care Setting. A small sample of the subject was selected to evaluate the understanding of the questions. Not all the questions were analyzed, and the privacy of participants was kept safe.

“Prevaccination Checklist for COVID-19 Vaccines”

For vaccine recipients: Name                                                           Age

The following questions will help us determine if there is any reason you should not get the COVID-19 vaccine today.

If you answer "yes" to any question, it does not necessarily mean you should not be vaccinated. It just means additional

questions may be asked. If a question is not straightforward, please ask your healthcare provider to explain it.

 

1. Are you feeling sick today?

        ___   Yes __ No  ___Don't know

 

2. Have you ever received a dose of the COVID-19 vaccine?

         ___   Yes __ No ___Don't know

• If yes, which vaccine product did you receive? (mark)

. Pfizer-BioNTech. Moderna. Janssen (Johnson & Johnson)  Another Product

• Have you received a complete COVID-19 vaccine series

(i.e., one does Janssen or two doses of an mRNA vaccine [Pfizer-BioNTech, Moderna])?

         ___   Yes __ No ___Don't know

• Did you bring your vaccination record card or other documentation?

         ___   Yes __ No ___Don't know

 

3. Have you ever had an allergic reaction to:

(This would include a severe allergic response [e.g., anaphylaxis] that required treatment with epinephrine or EpiPen®

or that caused you to go to the hospital. It would also include an allergic reaction that caused hives, swelling, or

respiratory distress, including wheezing.)

• A component of a COVID-19 vaccine, including either of the following:

. Polyethylene glycol (PEG), which is found in some medications, such as laxatives and preparations for

colonoscopy procedures

. Polysorbate, which is found in some vaccines, film-coated tablets, and intravenous steroids

• A previous dose of COVID-19 vaccine

         ___   Yes __ No ___Don't know

 

4. Have you ever had an allergic reaction to another vaccine (other than the COVID-19 vaccine) or an injectable

medication?

(This would include a severe allergic reaction [e.g., anaphylaxis] that required treatment with epinephrine or EpiPen®

or that caused you to go to the hospital. It would also include an allergic reaction that caused hives, swelling, or

respiratory distress, including wheezing.)

         ___   Yes __ No  ___Don't know

 

5. Check all that apply to you: (with a mark)

. Am a female between ages 18 and 49 years old

. Am a male between ages 12 and 29 years old

. Have a history of myocarditis or pericarditis

. Had a severe allergic reaction to something other than a vaccine or injectable therapy such as food, pet, venom, environmental or oral

medication allergies

. Had COVID-19 and was treated with monoclonal antibodies or convalescent serum

. Diagnosed with Multisystem Inflammatory Syndrome (MIS-C or MIS-A) after a COVID-19 infection

. Have a bleeding disorder

. Take a blood thinner

. Have a weakened immune system (i.e., HIV infection, cancer) or take immunosuppressive drugs or therapies

. Have a history of heparin-induced thrombocytopenia (HIT)

. Am currently pregnant or breastfeeding

. Have received dermal fillers

. History of Guillain-Barré Syndrome (GBS)

Source: (CDC, 2021)

Table 1. The data from the Vaccine questionnaire (Selected items)

Participant

Age

Are you feeling sick today?

Have you ever received a dose of the COVID-19 vaccine?

 

Have you ever had an allergic reaction?

 

Have you ever had an allergic reaction to another vaccine (other than the COVID-19 vaccine)

or an injectable medication?

 

 

J.L.

55

YES

NO

NO

NO

 

A.S.

66

NO

YES

NO

NO

 

K.W

32

NO

NO

NO

NO

 

C.H

45

NO

YES

YES

NO

 

R.Y.

54

NO

NO

NO

NO

 

W.D.

71

NO

YES

NO

NO

 

 

Study 2: Patient Health Questionnaire (PHQ-9)

The second study will use the PHQ-9 self-administered version. The PHQ-9 is the depression module, which scores each of the nine DSM-IV criteria as "0" (not at all) to "3" (nearly every day). The PHQ-9 has been validated for use in primary care (Sun et al., 2020).

It was applied in a sample size of 15 adult patients seen at Louisiana Well Medical Center (LWMC) affected by a severe weather event and with depression symptoms.

 

Instruction: Over the last two weeks, how often have you been bothered by any of the following problems?

PROBLEMS

NOT AT ALL

SEVERAL DAYS

MORE THAN HALF DAYS

NEARLY EVERY DAY

1.                 Little interest or pleasure in doing things

0

1

2

3

2.                 Feeling down, depressed, or hopeless

0

1

2

3

3.                 Trouble falling or staying asleep, or sleeping too much

0

1

2

3

4.                 Feeling tired or having little energy

0

1

2

3

5.                 Poor appetite or overeating

0

1

2

3

6.                 Feeling bad about yourself or that you are a failure or have let yourself or your family down

0

1

2

3

7.                 Trouble concentrating on things, such as reading the newspaper or watching television

0

1

2

3

8.                 Moving or speaking so slowly that other people could have noticed. Or the opposite being so fidgety or restless that you have been moving around a lot more than usual

0

1

2

3

9.                 Thoughts that you would be better off dead or of hurting yourself

0

1

2

3

GRAN TOTAL

 

If you checked off any problems, how difficult             NOT VERY DIFFICULT AT ALL      ____

have these problems made it for you to do your            SOMEWHAT DIFFICULT                   ___

work, take care of things at home, or get along             VERY DIFFICULT                               ____

with other people?                                                          EXTREMELY DIFFICULT                 ____

 

 

Table 2: Primary data results from surveys

 

Questions number (1 to 9) and Score

Patient

1.

2.

3.

4.

5.

6.

7.

8.

9.

Score

1

0

1

3

0

2

2

3

3

0

14

2

2

3

3

3

2

2

0

15

3

3

3

3

3

2

1

1

0

16

4

3

3

3

3

3

0

3

1

19

5 a

0

0

0

0

0

0

0

0

0

0

6

3

3

3

3

3

3

3

3

3

27

7

3

3

3

2

0

2

1

0

2

16

8

2

3

1

2

2

2

2

1

0

15

9

2

3

3

3

1

1

3

2

0

18

10

0

2

2

1

0

1

2

1

0

9

11

2

2

0

0

3

3

0

0

2

12

12

1

2

3

1

1

1

3

1

0

13

13

3

3

2

1

1

3

2

3

0

18

14

1

1

0

1

1

0

0

0

0

4

15

2

3

2

2

1

1

1

0

0

12

 

1. Missing information

(Score of 5–9 is classified as mild depression; 10–14 as moderate depression; 15–19 as moderately severe depression; ≥ 20 as severe depression)

1. Descriptive Statistics

2. How are data described and summarized?

3. What are measures of central tendency and dispersion?

4. How are measures of central tendency and dispersion calculated?

5. Which measure of central tendency to use and when?

6. How to calculate an odds ratio?

Descriptive Statistics:

Descriptive statistics is the term given to analyzing data that summarize and organize characteristics of a data set. A data set is a collection of responses or observations from a sample or entire population. (Bhandari, 2020). Descriptive statistics are used in many aspects of health care; they are, in fact, the most common type of statistic. Descriptive statistics are used to manage, monitor, and evaluate health services and those working within those services. This is why understanding descriptive statistics is essential for those who work in a health setting (Scott & Mazhindu, 2014).

How are data described and summarized?

There are three main types of summarized descriptive statistics:

· The distribution concerns the frequency of each value.

Frequency distribution

A data set is made up of a distribution of values or scores. In tables or graphs, you can summarize the frequency of every possible value of a variable in numbers or percentages.

· The central tendency concerns the averages of the values.

Measures of central tendency estimate the center, or average, of a data set. The mean, median, and mode are three ways of finding the average.

Mean: The sum of all values divided by the number of values and is the most popular response or value in the data set.

Median: The value in the exact middle of the data set when ordered from low to high.

Mode: The value that appears the most in a data set.

· The variability or dispersion concerns how spread out the values are.

Variability describes how far apart data points lie from each other and the center of a distribution. Along with measures of central tendency, measures of variability give a descriptive statistic that summarizes the data.

Variability is also referred to as spread, scatter, or dispersion. It is most commonly measured with:

     Range: the difference between the highest and lowest values

     Interquartile range: the range of the middle half of a distribution

     Standard deviation: average distance from the mean

     Variance: average of squared distances from the mean

 

1. Which measure of central tendency to use and when?

Means are the most sensitive. The mean considers all the values of each case in the distribution, as described above, and it is arithmetically based so that it can be used in further calculations. However, it is used on interval or ratio levels of measurement data and is easily distorted by outliers.

The median, which does not take into account the values of the cases, is unaffected by outliers and is suitable for ordinal/ranked data. Where the mean is distorted by the presence of outliers, the median should be used.

 

2. How to calculate an odds ratio?

Odds Ratio

According to Scott & Mazhindu, (2014)

Odds are the chance (probability) of something happening expressed as a proportion. The odds of something happening can be calculated as the number of times that something happened divided by the number of times it didn't if given the opportunity. The chance of you tripping on a particular paving slab could be estimated from the number of times individuals have tripped on that paving slab while walking over it divided by the number of non-trips (p. 49).

An odds ratio (OR) measures the association between a specific property A and a second property B in a population and is expressed as A : B (Glen., 2021).