Cedarville University School of Pharmacy, 251 N. Main St, Cedarville, OH, 45314, USA.
Res Social Adm Pharm. 2021 Mar;17(3):619-624. doi: 10.1016/j.sapharm.2020.04.021. Epub 2020 Apr 24.
Parental concerns regarding the safety and efficacy of vaccines have been on the rise over the past decade, resulting in a decline in comprehensive vaccine coverage in children. Healthcare practitioners face many challenges when recommending childhood vaccinations, with many parents refusing vaccination due to these and other concerns. Effective communication strategies and tools can equip providers to communicate with vaccine hesitant parents, but validated tools are currently lacking.
This study aims to develop a validated parental communication tool utilizing motivational interviewing to increase vaccination adherence in children ages 6 years and younger.
The MOTIVE (Motivational Interviewing Tool to Improve Vaccination Adherence) tool will first be developed based on the most recent literature regarding vaccine hesitancy and related health beliefs. Following tool development, the tool will be reviewed via an external review process to ensure practicality of the tool for use in clinical practice. In implementing the MOTIVE tool, providers and clinic staff will be trained regarding vaccine hesitancy and motivational interviewing. The tool will then be implemented in routine well-child appointments. The primary outcome of this study is the percentage of children 0-6 years of age completing all recommended doses of the core vaccine series after implementation of the MOTIVE tool as compared to prior vaccination years. Secondary outcomes will also include parental attitudes towards vaccines and provider knowledge regarding motivational interviewing components and vaccine hesitancy.
Following completion of this study, the MOTIVE tool will be made available for other providers for use in their own clinical practice. The availability of effective communication tools will allow healthcare providers to engage in productive conversations regarding vaccination, aiming to increase vaccine uptake.
在过去的十年中，家长对疫苗安全性和有效性的担忧一直在增加，导致儿童全面疫苗接种覆盖率下降。医疗保健从业者在推荐儿童疫苗接种时面临许多挑战，许多家长由于这些和其他担忧而拒绝接种疫苗。有效的沟通策略和工具可以使提供者能够与对疫苗犹豫不决的家长进行沟通，但目前缺乏经过验证的工具。
本研究旨在开发一种经过验证的基于动机访谈的家长沟通工具，以提高 6 岁及以下儿童的疫苗接种依从性。
首先，根据最近关于疫苗犹豫和相关健康信念的文献，开发 MOTIVE（改善疫苗接种依从性的动机访谈工具）工具。在工具开发之后，将通过外部审查过程审查该工具，以确保其在临床实践中使用的实用性。在实施 MOTIVE 工具时，将对提供者和诊所工作人员进行疫苗犹豫和动机访谈方面的培训。然后，该工具将在常规的儿童保健预约中实施。本研究的主要结果是实施 MOTIVE 工具后，0-6 岁儿童完成所有推荐剂量的核心疫苗系列的百分比，与之前的疫苗接种年份相比。次要结果还将包括父母对疫苗的态度以及提供者对动机访谈组件和疫苗犹豫的了解。
本研究完成后，MOTIVE 工具将可供其他提供者在其临床实践中使用。有效的沟通工具的可用性将使医疗保健提供者能够就疫苗接种问题进行富有成效的对话，旨在提高疫苗接种率。
Zotero 插件