Parent and provider perspectives on immunization: Are providers overestimating parental concerns?

Healy, C. Mary; Montesinos, Diana P.; Middleman, Amy B.

doi:10.1016/j.vaccine.2013.11.076

Cited by 91 publications

(71 citation statements)

References 33 publications

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“…4,[9][10][11] In this study, we only investigated the perspective of vaccine providers about parental concerns for LAIV and other studies have illustrated discrepancies between parental beliefs that may influence immunization behavior, and provider assumptions about those beliefs. 12,13 Although the intranasal spray delivery method is believed to be less stressful for young children and easier to administer, 14 the mode of administration of LAIV also raised questions and concerns for some parents according to the respondents. Other studies have shown that fear of needles and pain is a frequent reason for parents to decline influenza immunization for their child.…”

Section: Discussionmentioning

confidence: 99%

“…13,17,18 In the light of these results, parents' views regarding the safety and efficacy of influenza vaccination for children and their preference for different modes of administration should be further explored. In this study, despite the fact that almost all vaccine providers surveyed had very positive attitudes toward influenza vaccination and LAIV, only half of the doses bought for the 2012-13 vaccination campaign were administered.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Acceptability of live attenuated influenza vaccine by vaccine providers in Quebec, Canada

Dubé

Gagnon²,

Kiely

et al. 2015

Human Vaccines & Immunotherapeutics

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Acceptability of live attenuated influenza vaccine by vaccine providers in Quebec, Canada

Dubé

Gagnon²,

Kiely

et al. 2015

Human Vaccines & Immunotherapeutics

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“…64 Opel et al 9 reported that only 55% of practitioners routinely provide parents with the rationale for why vaccines are administered and their potential adverse effects. They reported that nearly half of parents who were initially vaccine hesitant ultimately accepted vaccines after practitioners provided a rationale for vaccine administration.…”

Section: The Current Vaccine Schedule Is the Only Recommended Schedulementioning

confidence: 99%

Countering Vaccine Hesitancy

Edwards¹,

Hackell²

2016

Pediatrics

277

162

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Immunizations have led to a significant decrease in rates of vaccine-preventable diseases and have made a significant impact on the health of children. However, some parents express concerns about vaccine safety and the necessity of vaccines. The concerns of parents range from hesitancy about some immunizations to refusal of all vaccines. This clinical report provides information about addressing parental concerns about vaccination.

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“…5,[7][8][9] Provider concerns include the time it takes to recommend the vaccine, 10 -12 anticipation of an uncomfortable conversation related to sex 5,13,14 and a false perception that parents do not value HPV vaccination. 5,15 One intriguing approach to addressing these issues is to use presumptive "announcements, " or brief statements that assume parents are ready to vaccinate. Announcements are commonly used for early childhood vaccines and other routine clinical care.…”

mentioning

confidence: 99%

Announcements Versus Conversations to Improve HPV Vaccination Coverage: A Randomized Trial

Hall²,

et al. 2017

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OBJECTIVE: Improving provider recommendations is critical to addressing low human papillomavirus (HPV) vaccination coverage. Thus, we sought to determine the effectiveness of training providers to improve their recommendations using either presumptive "announcements" or participatory "conversations." METHODS:In 2015, we conducted a parallel-group randomized clinical trial with 30 pediatric and family medicine clinics in central North Carolina. We randomized clinics to receive no training (control), announcement training, or conversation training. Announcements are brief statements that assume parents are ready to vaccinate, whereas conversations engage parents in open-ended discussions. A physician led the 1-hour, in-clinic training. The North Carolina Immunization Registry provided data on the primary trial outcome: 6-month coverage change in HPV vaccine initiation (≥1 dose) for adolescents aged 11 or 12 years. RESULTS:The immunization registry attributed 17 173 adolescents aged 11 or 12 to the 29 clinics still open at 6-months posttraining. Six-month increases in HPV vaccination coverage were larger for patients in clinics that received announcement training versus those in control clinics (5.4% difference, 95% confidence interval: 1.1%-9.7%). Stratified analyses showed increases for both girls (4.6% difference) and boys (6.2% difference). Patients in clinics receiving conversation training did not differ from those in control clinics with respect to changes in HPV vaccination coverage. Neither training was effective for changing coverage for other vaccination outcomes or for adolescents aged 13 through 17 (n = 37 796). CONCLUSIONS:Training providers to use announcements resulted in a clinically meaningful increase in HPV vaccine initiation among young adolescents.

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Parent and provider perspectives on immunization: Are providers overestimating parental concerns?

Cited by 91 publications

References 33 publications

Acceptability of live attenuated influenza vaccine by vaccine providers in Quebec, Canada

Acceptability of live attenuated influenza vaccine by vaccine providers in Quebec, Canada

Countering Vaccine Hesitancy

Announcements Versus Conversations to Improve HPV Vaccination Coverage: A Randomized Trial

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