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Observational Study
. 2015 Oct;105(10):1998-2004.
doi: 10.2105/AJPH.2014.302425. Epub 2015 Mar 19.

The Influence of Provider Communication Behaviors on Parental Vaccine Acceptance and Visit Experience

Douglas J Opel  1 , Rita Mangione-Smith  1 , Jeffrey D Robinson  1 , John Heritage  1 , Victoria DeVere  1 , Halle S Salas  1 , Chuan Zhou  1 , James A Taylor  1
Affiliations
Observational Study

The Influence of Provider Communication Behaviors on Parental Vaccine Acceptance and Visit Experience

Douglas J Opel et al. Am J Public Health. 2015 Oct.

Abstract

Objectives: We investigated how provider vaccine communication behaviors influence parental vaccination acceptance and visit experience.

Methods: In a cross-sectional observational study, we videotaped provider-parent vaccine discussions (n = 111). We coded visits for the format providers used for initiating the vaccine discussion (participatory vs presumptive), parental verbal resistance to vaccines after provider initiation (yes vs no), and provider pursuit of recommendations in the face of parental resistance (pursuit vs mitigated or no pursuit). Main outcomes were parental verbal acceptance of recommended vaccines at visit's end (all vs ≥ 1 refusal) and parental visit experience (highly vs lower rated).

Results: In multivariable models, participatory (vs presumptive) initiation formats were associated with decreased odds of accepting all vaccines at visit's end (adjusted odds ratio [AOR] = 0.04; 95% confidence interval [CI] = 0.01, 0.15) and increased odds of a highly rated visit experience (AOR = 17.3; 95% CI = 1.5, 200.3).

Conclusions: In the context of 2 general communication formats used by providers to initiate vaccine discussions, there appears to be an inverse relationship between parental acceptance of vaccines and visit experience. Further exploration of this inverse relationship in longitudinal studies is needed.

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References

    1. Gowda C, Dempsey AF. The rise (and fall?) of parental vaccine hesitancy. Hum Vaccin Immunother. 2013;9(8):1755–1762. - PMC - PubMed
    1. Centers for Disease Control and Prevention. National, state, and local area vaccination coverage among children aged 19–35 months—United States, 2012. MMWR Morb Mortal Wkly Rep. 2013;62(36):733–740. - PMC - PubMed
    1. Centers for Disease Control and Prevention. Measles—United States, January 1–August 24, 2013. MMWR Morb Mortal Wkly Rep. 2013;62(36):741–743. - PMC - PubMed
    1. Smith PJ, Humiston SG, Parnell T, Vannice KS, Salmon DA. The association between intentional delay of vaccine administration and timely childhood vaccination coverage. Public Health Rep. 2010;125(4):534–541. - PMC - PubMed
    1. Glanz JM, McClure DL, Magid DJ, Daley MF, France EK, Hambidge SJ. Parental refusal of varicella vaccination and the associated risk of varicella infection in children. Arch Pediatr Adolesc Med. 2010;164(1):66–70. - PubMed

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