TABLE 4

Summary of Parental Attitudes

Parental PositionDefinitionTargeted Strategy
Unquestioning acceptor/immunization advocateAccepts, does not question, and may be uninformed, but is open to education on vaccinesBuild rapport and briefly discuss risks and benefits
Well-informedIs open-mindedDiscuss the risks and benefits thoroughly
Cautious acceptorWilling to vaccinate despite their awareness of the rare adverse effect profile of vaccinesBuild rapport and briefly discuss risks and benefits
MisinformedIs open to education and, with the appropriate information, is willing to vaccinateProvide education
Vaccine-hesitantHas significant concerns about the risks of vaccinationEstablish rapport and trust, provide information, and answer questions; use the guiding style
Vaccine refuserEntirely refuses all vaccines either due to philosophical or religious beliefsAddress concerns; use motivational interviewing
  • Adapted with permission from refs 18, 25, and 26.