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Canadian Journal of Public Health = Revue Canadienne de Santé Publique logoLink to Canadian Journal of Public Health = Revue Canadienne de Santé Publique
. 2000 Nov 1;91(6):426–430. doi: 10.1007/BF03404822

Health Diaries for Monitoring Events Following Immunization

Thomas R Freeman 16,✉, Moira Stewart 26, Richard Birtwhistle 36, Denise Cloutier Fisher 46
PMCID: PMC6979638  PMID: 11200732

Abstract

The present study set out to determine the validity of the information and the feasibility of using health diaries to monitor vaccine adverse events.

Mothers of children about to receive DPT vaccine were asked to keep a diary of their child’s health and their doctors were randomized into one of three groups: 1) a close follow-up (CFG); 2) a telephone follow-up (TFG); or 3) a mail follow-up group (MFG).

Diary return rates were good at 98.8%, 82.5%, and 86.2% for the CFG, TFG, and MFG groups respectively. Agreement between the parent and nurse on the existence of common symptoms was high, varying from 89.9% to 98.7%; redness and swelling was high at 78.5% and 96.2% respectively; and axillary temperatures was lower from 71.6% up.

This study found that health diaries were a valid and complete method for monitoring the most common types of vaccine-related illness, with the possible exception of body temperature.

References

  • 1.The Consensus Workshop to Explore a Framework for Determining Risk of Unexpected Events Following Medical Intervention. Ottawa, Ontario. Sponsored by the Drugs Directorate of Health and Welfare Canada and The College of Family Physicians of Canada. 1989. [Google Scholar]
  • 2.Meekison W, Hutchison M, Guasparini R, et al. Post-marketing surveillance of adverse events following Prohibit vaccine–British Columbia. Can Dis Wkly Rep. 1989;15:143–45. [PubMed] [Google Scholar]
  • 3.Laverne B, Frappier-Davignon L. Can Dis Wkly Rep. 1986. [Google Scholar]
  • 4.Freeman TR, Stewart MA, Turner L. Illness after Measles-Mumps-Rubella vaccination. Can Med Assoc J. 1993;149:1669–74. [PMC free article] [PubMed] [Google Scholar]
  • 5.Freer CB. Self care: A health diary study. Med Care. 1980;XVIII(8):853–61. doi: 10.1097/00005650-198008000-00006. [DOI] [PubMed] [Google Scholar]
  • 6.Dahlquist G, Wall S, Ivarsson JI, et al. Health problems and care in young families–An evaluation of survey procedure. Int J Epidemiol. 1984;2(13):221–28. doi: 10.1093/ije/13.2.221. [DOI] [PubMed] [Google Scholar]
  • 7.West SR, Harris BJ. The effect of personal characteristics on response levels in a health survey. NZ Med J. 1983;24:666–68. [PubMed] [Google Scholar]
  • 8.Duffy ME. Primary prevention behaviors: The female headed one-parent family. Res Nurs Health. 1986;9:115–22. doi: 10.1002/nur.4770090206. [DOI] [PubMed] [Google Scholar]
  • 9.Cunningham-Burley S, Irvine S. “And have you done anything so far?” An examination of lay treatment of children’s symptoms. Br Med J. 1987;295:700–702. doi: 10.1136/bmj.295.6600.700. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 10.Follick MJ, Ahern DK, Laser-Wolston N. Evaluation of a daily activity diary for chronic pain patients. Pain. 1984;19:373–82. doi: 10.1016/0304-3959(84)90083-6. [DOI] [PubMed] [Google Scholar]
  • 11.Murray J. The use of health diaries in the field of psychiatric illness in general practice. Psychol Med. 1985;15:827–40. doi: 10.1017/S0033291700005067. [DOI] [PubMed] [Google Scholar]
  • 12.Richardson GM, McGrath PJ, Cunningham SJ, Humphreys P. Headache. 1983. Validity of the headache diary for children; pp. 184–87. [DOI] [PubMed] [Google Scholar]
  • 13.Heitkamper MM, Shaver JF, Mitchell ES. Gastrointestinal symptoms and bowel patterns across the menstrual cycle in dysmenorrhea. Nurs Res. 1988;37(2):108–13. [PubMed] [Google Scholar]
  • 14.Sveindsottir H, Reame N. Symptom patterns in women with premenstrual syndrome complaints: A prospective assessment using a marker for ovulation and screening criteria for adequate ovarian functioning. J Adv Nurs. 1991;16(6):689–700. doi: 10.1111/j.1365-2648.1991.tb01727.x. [DOI] [PubMed] [Google Scholar]
  • 15.Bentzen N, Christiansen T, Pedersen KM. Self care within a model for demand for medical care. Soc Sci Med. 1989;29(2):185–93. doi: 10.1016/0277-9536(89)90166-4. [DOI] [PubMed] [Google Scholar]
  • 16.Tonai S, Maezawa M, Kamei M, et al. Illness behavior of housewives in a rural area in Japan: A health diary study. Cult Med Psychiatry. 1989;13:405–17. doi: 10.1007/BF00052048. [DOI] [PubMed] [Google Scholar]
  • 17.Rakowski L, Julius M, Hickey T, et al. Daily symptoms and behavioral responses: Results of a health diary with older adults. Med Care. 1988;26(3):278–97. doi: 10.1097/00005650-198803000-00005. [DOI] [PubMed] [Google Scholar]
  • 18.Shalit N, Fattal B. The health diary as a source of information on kibbutz morbidity. Is J Med Sci. 1990;26(2):80–87. [PubMed] [Google Scholar]
  • 19.Norman G, McFarlane AH, Streiner D, Neale K. Health diaries: Strategies for compliance and relation to other measures. Med Care. 1982;20(6):623–29. doi: 10.1097/00005650-198206000-00008. [DOI] [PubMed] [Google Scholar]
  • 20.Roghmann KJ, Haggerty RJ. the diary as a research instrument in the study of health and illness behavior. Med Care. 1972;2(X):143–63. doi: 10.1097/00005650-197203000-00004. [DOI] [PubMed] [Google Scholar]
  • 21.Carp FM, Carp A. The validity, reliability, and generalizability of diary data. Exp Aging Res. 1981;3:281–96. doi: 10.1080/03610738108259811. [DOI] [PubMed] [Google Scholar]
  • 22.Hull SB, Cummings SR, editors. Designing Clinical Research. Baltimore: Williams & Wilkins; 1988. [Google Scholar]
  • 23.Moser CA, Kalton G. Survey Methods in Social Investigation. 2nd. London: Heinemann Education Books Limited; 1971. [Google Scholar]

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