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The influence of provider communication behaviors on parental vaccine acceptance and visit experience

Author

Listed:
  • Opel, D.J.
  • Mangione-Smith, R.
  • Robinson, J.D.
  • Heritage, J.
  • DeVere, V.
  • Salas, H.S.
  • Zhou, C.
  • Taylor, J.A.

Abstract

Objectives. We investigated how provider vaccine communication behaviors influence parental vaccination acceptance and visit experience. Methods. In a cross-sectional observational study, we videotaped provider? parent vaccine discussions (n = 111). We coded visits for the format providers used for initiating the vaccine discussion (participatory vs presumptive), parental verbal resistance to vaccines after provider initiation (yes vs no), and provider pursuit of recommendations in the face of parental resistance (pursuit vs mitigated or no pursuit). Main outcomes were parental verbal acceptance of recommended vaccines at visit's end (all vs ≥ 1 refusal) and parental visit experience (highly vs lower rated). Results. In multivariable models, participatory (vs presumptive) initiation formats were associated with decreased odds of accepting all vaccines at visit's end (adjusted odds ratio [AOR] = 0.04; 95% confidence interval [CI] = 0.01, 0.15) and increased odds of a highly rated visit experience (AOR = 17.3; 95% CI = 1.5, 200.3). Conclusions. In the context of 2 general communication formats used by providers to initiate vaccine discussions, there appears to be an inverse relationship between parental acceptance of vaccines and visit experience. Further exploration of this inverse relationship in longitudinal studies is needed.

Suggested Citation

  • Opel, D.J. & Mangione-Smith, R. & Robinson, J.D. & Heritage, J. & DeVere, V. & Salas, H.S. & Zhou, C. & Taylor, J.A., 2015. "The influence of provider communication behaviors on parental vaccine acceptance and visit experience," American Journal of Public Health, American Public Health Association, vol. 105(10), pages 1998-2004.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.302425_3
    DOI: 10.2105/AJPH.2014.302425
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    Cited by:

    1. Marta Fadda & Emiliano Albanese & L. Suzanne Suggs, 2020. "When a COVID-19 vaccine is ready, will we all be ready for it?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(6), pages 711-712, July.
    2. Moss, Jennifer L. & Reiter, Paul L. & Rimer, Barbara K. & Brewer, Noel T., 2016. "Collaborative patient-provider communication and uptake of adolescent vaccines," Social Science & Medicine, Elsevier, vol. 159(C), pages 100-107.
    3. Ginger Zhe Jin & Thomas G. Koch, 2018. "Learning by Suffering? Patterns in Flu Shot Take-up," NBER Working Papers 25272, National Bureau of Economic Research, Inc.
    4. Marta Fadda & Emiliano Albanese & L. Suzanne Suggs, 0. "When a COVID-19 vaccine is ready, will we all be ready for it?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 0, pages 1-2.
    5. Shoba Poduval & Atiya Kamal & Sam Martin & Amin Islam & Chandrika Kaviraj & Paramjit Gill, 2023. "Beyond Information Provision: Analysis of the Roles of Structure and Agency in COVID-19 Vaccine Confidence in Ethnic Minority Communities," IJERPH, MDPI, vol. 20(21), pages 1-16, November.
    6. Toerien, Merran, 2021. "When do patients exercise their right to refuse treatment? A conversation analytic study of decision-making trajectories in UK neurology outpatient consultations," Social Science & Medicine, Elsevier, vol. 290(C).
    7. Lauren E. Latella & Robert J. McAuley & Mitchell Rabinowitz, 2018. "Beliefs about Vaccinations: Comparing a Sample from a Medical School to That from the General Population," IJERPH, MDPI, vol. 15(4), pages 1-13, March.

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