Opel2015

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Opel2015
BibType ARTICLE
Key Opel2015
Author(s) Douglas J. Opel, Rita Mangione-Smith, Jeffrey D. Robinson, John Heritage, Victoria DeVere, Halle S. Salas, Chuan Zhou, James A. Taylor
Title The influence of provider communication behaviors on parental vaccine acceptance and visit experience
Editor(s)
Tag(s) Medical EMCA, Physician-Patient Relations, Decision, Resistance
Publisher
Year 2015
Language English
City
Month
Journal American Journal of Public Health
Volume 105
Number 10
Pages 1998–2004
URL Link
DOI 10.2105/AJPH.2014.302425
ISBN
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Institution
School
Type
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Howpublished
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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.

Notes