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Feasibility of Software Prompts to Support Antenatal Vaccination Decision-Making: A Cross-Sectional Study

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Title: Feasibility of Software Prompts to Support Antenatal Vaccination Decision-Making: A Cross-Sectional Study
Language: English
Authors: Lily Hornal, Esther Willing, Pauline Dawson, Matt Hobbs (ORCID 0000-0001-8398-7485), Lukas Marek, Peter McIntyre, Amber Young (ORCID 0000-0001-6800-1454)
Source: Health Education Journal. 2026 85(2):165-176.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Peer Reviewed: Y
Page Count: 12
Publication Date: 2026
Document Type: Journal Articles
Reports - Research
Descriptors: Immunization Programs, Pregnancy, Communicable Diseases, Mothers, Computer Software, Program Effectiveness, Value Judgment, Prompting, Obstetrics, Allied Health Personnel, Attitudes, Patients, Prenatal Influences, Foreign Countries
Geographic Terms: New Zealand
DOI: 10.1177/00178969251392138
ISSN: 0017-8969
1748-8176
Abstract: Objectives: Vaccination in pregnancy is recommended to protect newborn infants against whooping cough, and pregnant people and their infants against influenza. Influenza vaccination is recommended at any time in pregnancy and pertussis vaccination is recommended after 16 weeks gestation. However, some pregnant people are not aware of recommendations or the importance of antenatal vaccination. This study explores the feasibility of adding a targeted prompt for discussion of antenatal vaccination into a maternity client-management software in Aotearoa New Zealand. Design: Explanatory cross-sectional study. Setting: Midwives practising as lead maternity carers in Aotearoa New Zealand. Method: Participants were asked about the feasibility and usefulness of including a prompt in antenatal client-management software to encourage and support discussion about antenatal vaccination. The online survey was composed of multiple choice and Likert-type scale questions with additional free-text options investigating opinions on prompts, how the prompts should occur and potential for supportive resources. Responses were analysed using descriptive statistics and descriptive qualitative analysis of open-ended responses. Results: A total of 139 midwives participated in the study. Most respondents indicated they would be open to having a prompt in their client-management software to support discussion about vaccinations and thought it would be useful. Over three-quarters considered a pop-up style prompt would be most convenient if it could be easily turned off when no longer needed. Conclusions: A pop-up prompt in antenatal client-management software with additional resources and features would be useful to midwives to support timely discussions about antenatal vaccination. However, for prompts to be useful, they must be designed so as to minimise disruption to midwives' workflow and be able to be switched off if necessary.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1499789
Database: ERIC
FullText Text:
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  Data: Feasibility of Software Prompts to Support Antenatal Vaccination Decision-Making: A Cross-Sectional Study
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  Data: English
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  Data: <searchLink fieldCode="AR" term="%22Lily+Hornal%22">Lily Hornal</searchLink><br /><searchLink fieldCode="AR" term="%22Esther+Willing%22">Esther Willing</searchLink><br /><searchLink fieldCode="AR" term="%22Pauline+Dawson%22">Pauline Dawson</searchLink><br /><searchLink fieldCode="AR" term="%22Matt+Hobbs%22">Matt Hobbs</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0001-8398-7485">0000-0001-8398-7485</externalLink>)<br /><searchLink fieldCode="AR" term="%22Lukas+Marek%22">Lukas Marek</searchLink><br /><searchLink fieldCode="AR" term="%22Peter+McIntyre%22">Peter McIntyre</searchLink><br /><searchLink fieldCode="AR" term="%22Amber+Young%22">Amber Young</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0001-6800-1454">0000-0001-6800-1454</externalLink>)
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  Data: <searchLink fieldCode="SO" term="%22Health+Education+Journal%22"><i>Health Education Journal</i></searchLink>. 2026 85(2):165-176.
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  Data: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
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  Data: Y
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  Data: 12
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  Data: 2026
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  Data: Journal Articles<br />Reports - Research
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  Data: <searchLink fieldCode="DE" term="%22Immunization+Programs%22">Immunization Programs</searchLink><br /><searchLink fieldCode="DE" term="%22Pregnancy%22">Pregnancy</searchLink><br /><searchLink fieldCode="DE" term="%22Communicable+Diseases%22">Communicable Diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Mothers%22">Mothers</searchLink><br /><searchLink fieldCode="DE" term="%22Computer+Software%22">Computer Software</searchLink><br /><searchLink fieldCode="DE" term="%22Program+Effectiveness%22">Program Effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Value+Judgment%22">Value Judgment</searchLink><br /><searchLink fieldCode="DE" term="%22Prompting%22">Prompting</searchLink><br /><searchLink fieldCode="DE" term="%22Obstetrics%22">Obstetrics</searchLink><br /><searchLink fieldCode="DE" term="%22Allied+Health+Personnel%22">Allied Health Personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Attitudes%22">Attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Patients%22">Patients</searchLink><br /><searchLink fieldCode="DE" term="%22Prenatal+Influences%22">Prenatal Influences</searchLink><br /><searchLink fieldCode="DE" term="%22Foreign+Countries%22">Foreign Countries</searchLink>
– Name: Subject
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22New+Zealand%22">New Zealand</searchLink>
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1177/00178969251392138
– Name: ISSN
  Label: ISSN
  Group: ISSN
  Data: 0017-8969<br />1748-8176
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objectives: Vaccination in pregnancy is recommended to protect newborn infants against whooping cough, and pregnant people and their infants against influenza. Influenza vaccination is recommended at any time in pregnancy and pertussis vaccination is recommended after 16 weeks gestation. However, some pregnant people are not aware of recommendations or the importance of antenatal vaccination. This study explores the feasibility of adding a targeted prompt for discussion of antenatal vaccination into a maternity client-management software in Aotearoa New Zealand. Design: Explanatory cross-sectional study. Setting: Midwives practising as lead maternity carers in Aotearoa New Zealand. Method: Participants were asked about the feasibility and usefulness of including a prompt in antenatal client-management software to encourage and support discussion about antenatal vaccination. The online survey was composed of multiple choice and Likert-type scale questions with additional free-text options investigating opinions on prompts, how the prompts should occur and potential for supportive resources. Responses were analysed using descriptive statistics and descriptive qualitative analysis of open-ended responses. Results: A total of 139 midwives participated in the study. Most respondents indicated they would be open to having a prompt in their client-management software to support discussion about vaccinations and thought it would be useful. Over three-quarters considered a pop-up style prompt would be most convenient if it could be easily turned off when no longer needed. Conclusions: A pop-up prompt in antenatal client-management software with additional resources and features would be useful to midwives to support timely discussions about antenatal vaccination. However, for prompts to be useful, they must be designed so as to minimise disruption to midwives' workflow and be able to be switched off if necessary.
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  Data: 2026
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  Label: Accession Number
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  Data: EJ1499789
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        Value: 10.1177/00178969251392138
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      – Text: English
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      – SubjectFull: Immunization Programs
        Type: general
      – SubjectFull: Pregnancy
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      – SubjectFull: Communicable Diseases
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      – SubjectFull: Mothers
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      – SubjectFull: New Zealand
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