Clinician-parent discussions about influenza vaccination of children and their association with vaccine acceptance
| Autor: | Morgan Cunningham, Katherine Lepere, Douglas J. Opel, Jeffrey D. Robinson, Nicole Etsekson, Annika M. Hofstetter |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Parents medicine.medical_specialty Adolescent Nurse practitioners Influenza vaccine Article 03 medical and health sciences Young Adult 0302 clinical medicine 030225 pediatrics Secondary analysis Influenza Human medicine Humans 030212 general & internal medicine Association (psychology) General Veterinary General Immunology and Microbiology business.industry Public Health Environmental and Occupational Health Infant Odds ratio Professional-Patient Relations Patient Acceptance of Health Care Vaccination Refusal Vaccination Infectious Diseases Cross-Sectional Studies Health Communication Influenza Vaccines Family medicine Immunology Molecular Medicine Observational study Female business |
| Popis: | Objective To examine how clinicians communicate with parents about influenza vaccination and the effect of these communication behaviors on parental vaccine decision-making. Study design 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. Results 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 |
| Databáze: | OpenAIRE |
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