Effectiveness of an Intervention on Vaccine Hesitancy Among Pediatric Nurses and Pediatricians: A Mixed Methods Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 142
- 试验地点
- 2
- 主要终点
- Presenting vaccination as a default behavior using presumptive communication
研究概览
简要总结
The objective of this cluster randomized controlled trial is to assess the effectiveness of a multicomponent intervention designed to improve pediatric nurses' and pediatricians' knowledge, self-efficacy, communication skills, and practice administrative procedures and policies for promoting vaccines in the child and adolescent immunization schedule and addressing patient vaccine hesitancy.
The main research questions are:
- Does the intervention meet pediatric nurses' and pediatricians' educational needs regarding vaccination?
- Does the intervention increase the use of presumptive communication by pediatric nurses and pediatricians during vaccine conversations?
- Does the intervention enhance the confidence of pediatric nurses and pediatricians to effectively navigate conversations with vaccine-hesitant families?
- Does the intervention enhance the abilities of pediatric nurses and pediatricians to effectively navigate conversations with vaccine-hesitant families?
Participants assigned to the intervention group will complete a 12-hour, medically accredited, evidence-based training program focused on vaccination promotion. This training will be divided into two components: 10 hours of online education covering vaccines and vaccination communication strategies, and 2 hours of in-person activities involving role-playing and group discussions. Pediatric nurses and pediatricians assigned to the control group will continue with their usual practices. To assess the effectiveness of the intervention formative and pre/post summative evaluations with a mixed-methods approach will be carried out.
详细描述
Background/Objectives/Hypothesis:
How pediatric nurses and pediatricians (PN&P) handle vaccination conversations can significantly influence vaccination decisions. PN&P, who are at the frontline of administering childhood vaccinations, may not be well-equipped to address vaccination doubts or concerns of parents or legal guardians. A study conducted among PN&P in primary care centers in Barcelona revealed that only 71% of professionals, felt they had sufficient training, information, and resources to adequately respond to questions from vaccine-hesitant families. This lack of preparedness was reported by 40% of nurses and 17% of pediatricians. Additionally, PN&P also expressed a need for more information about vaccines in online (52.3%) or through in-person training sessions (50.2%).
Intervention mapping (IM) is a theory- and evidenced-based iterative tool useful in the planning of health promotion interventions. Using the IM framework, the investigators developed a 12-hour training program to increase PN&P's knowledge, self-efficacy, communication skills and organizational culture for improving vaccination promotion and vaccine hesitancy management during pediatric consultations. The program comprises 10 hours of online education and 2 hours of in-person activities. Online training materials include short video lectures, video case studies, and readings. In-person activities involve role-playings and group discussions. The program was accredited by the Catalan Council for Continuing Education of Health Professions (CCFCPS). To incentivize participation, providers completing all program activities, including a multiple-choice final test, will receive 2.5 accredited continuing medical education credits.
Mixed-methods evaluations provide a more comprehensive and profound understanding of intervention effects and help identify areas for improvement. This study aims to evaluate the effectiveness of an intervention on PN&P psychosocial determinants (knowledge, beliefs, attitudes, and self-efficacy) and behaviors in promoting vaccination and addressing vaccine hesitancy during pediatric consultations using quantitative and qualitative methods. Specifically, the investigators will assess PN&P's satisfaction with the 12-hour training program and changes in their psychosocial determinants and vaccination behaviors.
Methods:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- — 至 67 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Pediatric nurses
- •Pediatricians
- •Employed in public primary care centers in Barcelona city and Central Catalonia
排除标准
- •Other health care professionals
- •Not completing the study baseline questionnaire
- •Changing primary care centers during the intervention period
- •Not actively working for the entire duration of the intervention period (October 2023 to February 2024)
结局指标
主要结局
Presenting vaccination as a default behavior using presumptive communication
时间窗: Baseline and 5 months later
Pediatric nurses and pediatricians will complete both a baseline and post-intervention questionnaire. The outcome, " Presenting vaccination as a default behavior using presumptive communication," will be evaluated using the following question: " I will start the vaccination conversation assuming the child will get vaccinated," measured on a five-point Likert scale ranging from "yes, always" to "never".
Self-perceived preparedness to handle vaccination concerns during pediatric consultations
时间窗: Baseline and 5 months later
Pediatric nurses and pediatricians will complete both a baseline and post-intervention questionnaire. The outcome, "Self-perceived preparedness to handle vaccination concerns during pediatric consultations," will be evaluated using the following question: "I feel sufficiently trained to address vaccination concerns that families may raise," measured on a five-point Likert scale ranging from "strongly disagree" to "strongly agree".
Explicitly recommending vaccination to vaccine hesitant families
时间窗: Baseline and 5 months later
Pediatric nurses and pediatricians will complete both a baseline and post-intervention questionnaire. The outcome, " Explicitly recommending vaccination to vaccine hesitant families," will be evaluated using the following question: " I will recommend getting vaccinated during that same visit" measured on a five-point Likert scale ranging from "yes, always" to "never".
次要结局
未报告次要终点
研究者
Elia Diez David
Principal Investigator
Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau