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Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
Article

Physician Communication Training and Parental Vaccine Hesitancy: A Randomized Trial

Nora B. Henrikson, Douglas J. Opel, Lou Grothaus, Jennifer Nelson, Aaron Scrol, John Dunn, Todd Faubion, Michele Roberts, Edgar K. Marcuse and David C. Grossman
Pediatrics June 2015, peds.2014-3199; DOI: https://doi.org/10.1542/peds.2014-3199
Nora B. Henrikson
aGroup Health Research Institute, Seattle, Washington;
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Douglas J. Opel
bSeattle Children’s Research Institute, Seattle Children’s Hospital, Seattle, Washington;
cDepartments of Pediatrics, and
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Lou Grothaus
aGroup Health Research Institute, Seattle, Washington;
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Jennifer Nelson
aGroup Health Research Institute, Seattle, Washington;
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Aaron Scrol
aGroup Health Research Institute, Seattle, Washington;
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John Dunn
aGroup Health Research Institute, Seattle, Washington;
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Todd Faubion
dWithinReach, Seattle, Washington; and
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Michele Roberts
eState of Washington, Department of Health, Seattle, Washington
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Edgar K. Marcuse
bSeattle Children’s Research Institute, Seattle Children’s Hospital, Seattle, Washington;
cDepartments of Pediatrics, and
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David C. Grossman
aGroup Health Research Institute, Seattle, Washington;
cDepartments of Pediatrics, and
fHealth Services, University of Washington, Seattle, Washington;
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Abstract

BACKGROUND AND OBJECTIVES: Physicians have a major influence on parental vaccine decisions. We tested a physician-targeted communication intervention designed to (1) reduce vaccine hesitancy in mothers of infants seen by trained physicians and (2) increase physician confidence in communicating about vaccines.

METHODS: We conducted a community-based, clinic-level, 2-arm cluster randomized trial in Washington State. Intervention clinics received physician-targeted communications training. We enrolled mothers of healthy newborns from these clinics at the hospital of birth. Mothers and physicians were surveyed at baseline and 6 months. The primary outcome was maternal vaccine hesitancy measured by Parental Attitudes on Childhood Vaccines score; secondary outcome was physician self-efficacy in communicating with parents by using 3 vaccine communication domains.

RESULTS: We enrolled 56 clinics and 347 mothers. We conducted intervention trainings at 30 clinics, reaching 67% of eligible physicians; 26 clinics were randomized to the control group. Maternal vaccine hesitancy at baseline and follow-up changed from 9.8% to 7.5% in the intervention group and 12.6% to 8.0% in the control group. At baseline, groups were similar on all variables except maternal race and ethnicity. The intervention had no detectable effect on maternal vaccine hesitancy (adjusted odds ratio 1.22, 95% confidence interval 0.47–2.68). At follow-up, physician self-efficacy in communicating with parents was not significantly different between intervention and control groups.

CONCLUSIONS: This physician-targeted communication intervention did not reduce maternal vaccine hesitancy or improve physician self-efficacy. Research is needed to identify physician communication strategies effective at reducing parental vaccine hesitancy in the primary care setting.

  • Accepted March 18, 2015.
  • Copyright © 2015 by the American Academy of Pediatrics

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Pediatrics
Vol. 147, Issue 2
1 Feb 2021
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Physician Communication Training and Parental Vaccine Hesitancy: A Randomized Trial
Nora B. Henrikson, Douglas J. Opel, Lou Grothaus, Jennifer Nelson, Aaron Scrol, John Dunn, Todd Faubion, Michele Roberts, Edgar K. Marcuse, David C. Grossman
Pediatrics Jun 2015, peds.2014-3199; DOI: 10.1542/peds.2014-3199

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Physician Communication Training and Parental Vaccine Hesitancy: A Randomized Trial
Nora B. Henrikson, Douglas J. Opel, Lou Grothaus, Jennifer Nelson, Aaron Scrol, John Dunn, Todd Faubion, Michele Roberts, Edgar K. Marcuse, David C. Grossman
Pediatrics Jun 2015, peds.2014-3199; DOI: 10.1542/peds.2014-3199
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