An Observational Study to Analyze the Effectiveness of a Motivational Interviewing-based Decision Tool to Address Vaccination Hesitancy in Children
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 4,191
- 试验地点
- 1
- 主要终点
- The percentage of children 0-6 years of age receiving appropriate influenza vaccination
研究概览
简要总结
This study will assess the effectiveness of a motivational interviewing-based tool in addressing vaccine hesitancy expressed by parents or caregivers of children.
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Other
入排标准
- 年龄范围
- 0 Years 至 6 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- 未提供
排除标准
- 未提供
结局指标
主要结局
The percentage of children 0-6 years of age receiving appropriate influenza vaccination
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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.
次要结局
- Provider knowledge of utilizing motivational interviewing to address vaccine hesitancy(Change from baseline at 2 months after the provider training period is completed)
- Parental attitude towards vaccines (PACV total score)(Change from baseline at post-encounter assessment (within 24 hours of receiving 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)
研究者
Justin Cole
Assistant Professor and Interim Chair of Pharmacy Practice
Cedarville University