Motivational Interviewing and Vaccine Hesitancy in Children

Completed

• Conditions: Vaccine Hesitancy
• Interventions: Other: MOtivational interviewing Tool to Improve Vaccine AdherencE (MOTIVE)

• Registration Number: NCT03934008
• Lead Sponsor: Cedarville University

Brief Summary

This study will assess the effectiveness of a motivational interviewing-based tool in addressing vaccine hesitancy expressed by parents or caregivers of children.

Detailed Description

In order for vaccines to be effective and protect communities from diseases, a large majority of individuals need to be vaccinated to protect those who do not respond to the vaccine and those who cannot be vaccinated. While vaccine hesitancy has been noted as a growing problem among parents, there are few evidence-based strategies for providers to utilize to discuss vaccination with these parents. Therefore, there is a critical need to develop effective communication tools to increase parental confidence in vaccines. A tool based on the principles of motivational interviewing (a goal-oriented, collaborative counseling style) may be effective in addressing this need. Thus, the aim of this study is to determine the impact of a motivational interviewing-based (MI-based) tool on pediatric vaccination rates through assessment of changes in the percentage of patients achieving the goal of completion of all recommended doses in children 6 years of age and younger. Secondary aims include determining the impact of the motivational-interviewing based tool on parental health beliefs regarding vaccines and the impact of the training on provider knowledge and confidence in using motivational interviewing.

Study Timeline

• Study First Submitted: 2019-03-22
• Study Start: 2019-04-01
• Study First Submitted QC: 2019-04-30
• Study First Posted: 2019-05-01
• Primary Completion: 2020-03-09
• Study Completion: 2020-03-09
• Status Verified: 2020-09
• Last Update Submitted: 2020-09-07
• Last Update Posted: 2020-09-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 4191

Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Post-Intervention Group	MOtivational interviewing Tool to Improve Vaccine AdherencE (MOTIVE)	All pediatric patients 0-6 years of age seen in the clinic for one year following the implementation of the motivational interviewed based tool

Primary Outcome Measures

Name	Time	Method
The percentage of children 0-6 years of age receiving appropriate influenza vaccination	Change from baseline at 12 months post intervention implementation	The percentage of eligible patients presenting for care at Rocking Horse Community Center who receive appropriate influenza vaccination according to the ACIP/CDC Immunization Schedule during the intervention year compared to the percentage in the control group over the previous year.
The percentage of children 0-6 years of age receiving all recommended vaccines doses	Change from baseline at 12 months post intervention implementation	The percentage of eligible patients presenting for care at Rocking Horse Community Center who receive all doses (including rotavirus and influenza) of recommended vaccines according to the ACIP/CDC Immunization Schedule during the intervention year compared to the same percentage in the control group over the previous year.
Number of deferred vaccine doses	Change from baseline at 12 months post intervention implementation	Number of deferred vaccine doses per 100 patients during the intervention year compared to the number of deferred vaccine doses in the control group over the previous year.
The percentage of children 0-6 years of age receiving all recommended doses of the core vaccine series	Change from baseline at 12 months post intervention implementation	The percentage of eligible patients presenting for care at Rocking Horse Community Center who receive all doses of the core immunization series (HepB, DTaP, Hib, PCV13, IPV, MMR, VAR, Hep A) for the patient's age according to the Advisory Committee on Immunization Practices (ACIP) and Centers for Disease Control (CDC) Immunization Schedule during the intervention year compared to the same percentage in the control group over the previous year.

Secondary Outcome Measures

Name	Time	Method
Provider knowledge of utilizing motivational interviewing to address vaccine hesitancy	Change from baseline at 2 months after the provider training period is completed	The change in the Knowledge subscale (5 items, range 0-5, with higher scores indicating greater knowledge) of the Motivational Interviewing Provider Scale.
Parental attitude towards vaccines (PACV total score)	Change from baseline at post-encounter assessment (within 24 hours of receiving MI-based intervention)	The difference in Parental Attitudes about Childhood Vaccines (PACV) total score (range 0-100, with higher scores indicating greater hesitancy) in parents who have answered yes to items 3 and 4 in the pre-survey population compared to those who receive the MI-based intervention.
Provider confidence in utilizing motivational interviewing to address vaccine hesitancy	Change from baseline at 2 months after the provider training period is completed	The change in the Confidence subscale (range 16-96, with higher scores indicating greater confidence) of the Motivational Interviewing Provider Scale.

Trial Locations

Locations (1)

Rocking Horse Community Heath Center; 🇺🇸 Springfield, Ohio, United States