Clinician-parent discussions about influenza vaccination of children and their association with vaccine acceptance.
Clinician-parent discussions about influenza vaccination of children and their association with vaccine acceptance.
复制标题
关于儿童流感疫苗接种及其与疫苗接种的关联的临床医生父母讨论。
DOI：
10.1016/j.vaccine.2017.03.077
复制
发表时间：
2017-05-09
期刊：
影响因子：
5.5
通讯作者：
Opel DJ
中科院分区：
文献类型：
--
作者：
Hofstetter AM;Robinson JD;Lepere K;Cunningham M;Etsekson N;Opel DJ
研究临床医生如何与父母就流感疫苗接种问题进行沟通，以及这些沟通行为对父母疫苗决策的影响。我们对一项横断面观察研究获得的数据进行了二次分析，其中儿科临床医生和幼儿的英语父母之间的健康监督访问被录像。符合条件的访问发生在 2011-2012 和 2013-2014 流感季节，包括 ≥6 个月的儿童，并包含流感疫苗讨论。开发了 10 种沟通行为的编码方案并将其应用于每次访问。使用双变量分析和广义线性混合模型检查临床医生沟通行为与父母口头疫苗接受度和父母就诊经历之间的关联。分析中纳入了 50 次就诊，涉及来自 8 个诊所的 17 名临床医生。当临床医生使用推定形式而非参与形式提出流感疫苗建议时，接受流感疫苗的父母比例更高（94% vs. 28%，p<0.001；调整后优势比 48.2，95% CI 3.5–670.5）。如果当父母表示最初的抵制时，临床医生追求（与不追求）原始建议（80% vs. 13%，p<0.05），或者在就诊时与其他疫苗建议同时（与分开）提出流感疫苗建议（83% vs. 33%，p<0.01），那么父母的接受度也会更高。临床医生沟通行为的不同，家长就诊体验没有显着差异。流感疫苗建议的推定启动、面对阻力的追求以及同时的疫苗建议似乎可以提高家长对流感疫苗的接受度，而不会对就诊体验产生负面影响。
To examine how clinicians communicate with parents about influenza vaccination and the effect of these communication behaviors on parental vaccine decision-making. We performed a secondary analysis of data obtained from a cross-sectional observational study in which health supervision visits between pediatric clinicians and English-speaking parents of young children were videotaped. Eligible visits occurred during the 2011–2012 and 2013–2014 influenza seasons, included children ≥6 months, and contained an influenza vaccine discussion. A coding scheme of 10 communication behaviors was developed and applied to each visit. Associations between clinician communication behaviors and parental verbal vaccine acceptance and parental visit experience were examined using bivariate analysis and generalized linear mixed models. Fifty visits involving 17 clinicians from 8 practices were included in analysis. The proportion of parents who accepted influenza vaccine was higher when clinicians initiated influenza vaccine recommendations using presumptive rather than participatory formats (94% vs. 28%, p<0.001; adjusted odds ratio 48.2, 95% CI 3.5–670.5). Parental acceptance was also higher if clinicians pursued (vs. did not pursue) original recommendations when parents voiced initial resistance (80% vs. 13%, p<0.05) or made recommendations for influenza vaccine concurrent with (vs. separate from) recommendations for other vaccines due at the visit (83% vs. 33%, p<0.01). Parental visit experience did not differ significantly by clinician communication behaviors. Presumptive initiation of influenza vaccine recommendations, pursuit in the face of resistance, and concurrent vaccine recommendations appear to increase parental acceptance of influenza vaccine without negatively affecting visit experience.
登录
查看更多内容
影响因子：
12.7
作者：
Opel, Douglas J.;Mangione-Smith, Rita;Taylor, James A.
通讯作者：
Taylor, James A.
DOI：
10.4161/hv.7.4.14120
发表时间：
2011-04-01
期刊：
HUMAN VACCINES
影响因子：
--
作者：
Opel, Douglas J.;Mangione-Smith, Rita;Martin, Diane P.
通讯作者：
Martin, Diane P.
影响因子：
33.7
作者：
Grohskopf, Lisa A.;Sokolow, Leslie Z.;Bresee, Joseph S.
通讯作者：
Bresee, Joseph S.
影响因子：
8
作者：
Opel, Douglas J.;Heritage, John;Robinson, Jeffrey D.
通讯作者：
Robinson, Jeffrey D.
DOI：
10.1111/cch.12331
发表时间：
2016-07
期刊：
Child: care, health and development
影响因子：
--
作者：
Ogunbajo A;Hansen CE;North AL;Okoloko E;Niccolai LM
通讯作者：
Niccolai LM