Childhood Vaccination
Conditions
Keywords
Parental Childhood Vaccine Hesitancy
Brief summary
The primary aim of this trial is to test the effectiveness of an intervention to train primary care physicians to determine if it leads to decreased parental vaccine hesitancy.
Detailed description
The primary aim of this trial is to test the effectiveness of an intervention to train primary care physicians to determine if it leads to decreased parental vaccine hesitancy. The investigators will train primary care teams with an initial training followed by telephone coaching and follow-up visits, and assess the outcomes of parental vaccine hesitancy (primary) and physician self-efficacy (secondary) at baseline and 6 months.
Interventions
BEHAVIORALAcademic Detailing
The intervention design is based on academic detailing, an effective method of changing physician behavior. The aim of the training is effective communication with parents who are hesitant about childhood vaccinations.
Sponsors
Seattle Children's Hospital
Washington State, Department of Health
WithinReach
Kaiser Permanente
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
Study population: * Eligible pediatric and family medicine practices in three counties in Washington State; King, Pierce and Snohomish Counties. * Mothers whose infants will receive care in participating clinics. Inclusion Clinics: * Located in King, Snohomish, Pierce Counties, WA; * Family practice clinics; * Pediatric practice clinics; * Order \> 1000 doses of vaccine in 2009 from State of Washington Department of Health. Exclusion Clinics: Not willing to be randomized. Inclusion Mothers: * Babies born at participating hospitals; * Mother can be recruited before discharged post-birth; * Mothers declare pediatric care at one of participating clinics; * Singleton or twin pregnancies. Exclusion Mothers: * Babies born \< 36 weeks gestational age; * Known medical vaccine contraindications; * Parental age \< 18; * NICU; * Triplet or more; * Maternal complications.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Parental Vaccine Hesitancy Measure | Change from Baseline in Parental Hesitancy at 6 months | The investigators will contact mothers of newborns in study practices and conduct a telephone survey at two time points: baseline and 6 months. Surveys will assess parental hesitancy, parental trust in provider, and other covariates such as perceived social norms, other sources of information about vaccines, and demographic information. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Physician Self Efficacy Measure | Change from Baseline in Physician Attitudes at 6 months | Assessed via self-administered surveys of providers in all participating clinics at baseline and 6-months. The investigators will measure physician attitudes, perceived norms, intentions to change behavior, practice characteristics, and physician demographics. |
Countries
United States
Outcome results
None listed