Ryan Grace W, Goulding Melissa, Borg Amy, Minkah Princilla, Hermann Sophie, Fisher Lloyd, Rosal Milagros C, Lemon Stephenie C
Division of Preventive and Behavioral Medicine, Department of Population and Quantitative, Health Sciences, University of Massachusetts Chan Medical School, 368 Plantation St, Worcester MA 01605, United States.
Department of Healthcare Delivery and Population Sciences, UMass Chan-Baystate Baystate Health, 3601 Main Street, Springfield, MA, 01107, United States.
Prev Med Rep. 2022 Oct;29:101966. doi: 10.1016/j.pmedr.2022.101966. Epub 2022 Sep 1.
We explored perspectives of clinicians in central and western Massachusetts about efforts to vaccinate pediatric patients against COVID-19 as well as best practices and challenges for vaccine delivery. We conducted semi-structured qualitative interviews (n = 16) with family practice and pediatric clinicians between late October and early December 2021. Our interviews addressed: process for vaccination and vaccine promotion, parental receptivity to COVID-19 vaccination, receptivity to other pediatric vaccines, resources needed to support vaccine promotion, and best practices developed to encourage hesitant parents. Using a multi-prong recruitment strategy we invited clinicians to participate in telephone interviews, which were audio-recorded and transcribed. We used rapid qualitative analysis to produce summary templates for each interview which were ultimately combined into a matrix summary. The majority of participants (n = 10) were offering the vaccine in their own clinics, while the remainder cited challenges related to staffing, logistics, and space that prevented them from offering the vaccine. Clinicians reported parents fall into three groups: vaccine-accepting, hesitant but potentially accepting, and refusers. Strategies they identified that worked to encourage hesitant parents were sharing personal vaccine stories, acknowledging parents' fears about the vaccine, and being persistent with the most hesitant parents. Yet resources are needed including educational materials and training in how to have these conversations. While challenges related to staffing and space will be difficult to overcome for clinics to be able to offer vaccination on-site, our results highlight the importance of developing effective messaging strategies and training clinicians in how to integrate them into routine practice.
我们探讨了马萨诸塞州中西部临床医生对于为儿科患者接种新冠疫苗的努力，以及疫苗接种的最佳实践和挑战。2021年10月下旬至12月初，我们对家庭医生和儿科临床医生进行了半结构化定性访谈（n = 16）。我们的访谈涉及：疫苗接种和推广流程、家长对新冠疫苗接种的接受度、对其他儿科疫苗的接受度、支持疫苗推广所需的资源，以及为鼓励犹豫不决的家长而制定的最佳实践。我们采用多管齐下的招募策略，邀请临床医生参与电话访谈，并进行录音和转录。我们使用快速定性分析为每次访谈生成总结模板，最终将其整合为矩阵总结。大多数参与者（n = 10）在自己的诊所提供疫苗，而其余参与者则提到了与人员配备、后勤和空间相关的挑战，这些挑战使他们无法提供疫苗。临床医生报告称，家长分为三类：接受疫苗者、犹豫不决但可能接受者和拒绝者。他们确定的鼓励犹豫不决的家长的有效策略包括分享个人疫苗接种经历、承认家长对疫苗的恐惧，以及对最犹豫不决的家长坚持不懈。然而，还需要资源，包括教育材料和关于如何进行这些沟通的培训。虽然人员配备和空间方面的挑战对于诊所能够现场提供疫苗接种来说难以克服，但我们的结果凸显了制定有效的信息传递策略以及培训临床医生如何将其融入日常实践的重要性。
