Development of PIVOT with MI: A motivational Interviewing-Based vaccine communication training for pediatric clinicians.
Development of PIVOT with MI: A motivational Interviewing-Based vaccine communication training for pediatric clinicians.
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PIVOT with MI 的开发：针对儿科临床医生的基于动机访谈的疫苗沟通培训。
DOI：
10.1016/j.vaccine.2023.02.010
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发表时间：
2023
期刊：
影响因子：
5.5
通讯作者：
Opel,DouglasJ
中科院分区：
文献类型：
--
作者：
O'Leary,SeanT;Spina,ChristineI;Spielvogle,Heather;Robinson,JeffreyD;Garrett,Kathleen;Perreira,Cathryn;Pahud,Barbara;Dempsey,AmandaF;Opel,DouglasJ
延迟或拒绝接种儿童疫苗是常见的，并且可能会增加。儿科医生是父母最信任的疫苗信息来源，然而许多人都在努力与抵制推荐疫苗的父母沟通。缺乏疫苗对话的循证沟通策略。在这篇文章中，我们描述了一个课程的发展和感知的有用性，该课程是PIVOT与MI研究的一部分，该研究是一项随机分组试验，在科罗拉多州和华盛顿州的24个儿科诊所中测试了该传播策略在提高儿童疫苗接接率方面的有效性。沟通策略以现有的基于证据的沟通策略为基础，该策略是一种假定格式，用于启动疫苗对话，并在犹豫持续时使用动机性访谈。焦点小组和对儿科临床医生的半结构化访谈有助于为培训课程的制定提供信息，该课程包括一个介绍性视频模块，随后是3个培训课程。在2019年9月至2021年1月期间，134名儿科临床医生（92名儿科医生，42名高级执业医师）参加了PIVOT与MI研究的培训。其中，92%的人观看了入门视频模块，93%的人参加或观看了基线同步培训，82%的人参加或观看了第一次进修培训，77%的人参加或观看了第二次进修培训。2020年8月至2021年3月进行了一项后续调查；在受访者（n = 100）中，95%的参与者报告说，培训计划的每个组成部分都非常有用或有些有用。这些数据表明，PIVOT与MI培训干预是一种有用的疫苗沟通资源，具有在儿科临床医生中高度参与的潜力。
Delay or refusal of childhood vaccines is common and may be increasing. Pediatricians are parents’ most trusted source for vaccine information, yet many struggle with how to communicate with parents who resist recommended vaccines. Evidence-based communication strategies for vaccine conversations are lacking. In this manuscript, we describe the development and perceived usefulness of a curriculum to train clinicians on a specific vaccine communication strategy as part of the PIVOT with MI study, a cluster randomized trial testing the effectiveness of this communication strategy on increasing childhood vaccination uptake among 24 pediatric practices in Colorado and Washington. The communication strategy is based on the existing evidence-based communication strategies of a presumptive format for initiating vaccine conversations and use of motivational interviewing if hesitancy persists. Focus groups and semi-structured interviews with pediatric clinicians helped inform the development of the training curriculum, which consisted of an introductory video module followed by 3 training sessions. Between September 2019 and January 2021, 134 pediatric clinicians (92 pediatricians, 42 advanced practice providers) participated in the training as part of the PIVOT with MI study. Of these, 92 % viewed an introductory video module, 93 % attended or viewed a baseline synchronous training, 82 % attended or viewed a 1st refresher training, and 77 % attended or viewed a 2nd refresher training. A follow-up survey was administered August 2020 through March 2021; among respondents (n = 100), >95 % of participants reported that each component of the training program was very or somewhat useful. These data suggest that the PIVOT with MI training intervention is a useful vaccine communication resource with the potential for high engagement among pediatric clinicians.
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影响因子：
5.5
作者：
Smith PJ;Stokley S;Bednarczyk RA;Orenstein WA;Omer SB
通讯作者：
Omer SB
影响因子：
3
作者：
Rao, Jaya K.;Anderson, Lynda A.;Frankel, Richard M.
通讯作者：
Frankel, Richard M.
影响因子：
8
作者：
Nyhan, Brendan;Reifler, Jason;Freed, Gary L.
通讯作者：
Freed, Gary L.
DOI：
10.1002/chp.1340220408
发表时间：
2002-01-01
期刊：
The Journal of continuing education in the health professions
影响因子：
--
作者：
Grimshaw, Jeremy M;Eccles, Martin P;Thomas, Ruth E
通讯作者：
Thomas, Ruth E
影响因子：
2.4
作者：
Brand, V. S.;Bray, K. K.;Williams, K.
通讯作者：
Williams, K.