How do general practitioners persuade parents to vaccinate their children? A study using standardised scenarios

Leask, Julie

doi:10.1071/nb08064

Cited by 21 publications

(24 citation statements)

References 23 publications

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“…Though their study did not specifically focus on vaccine-hesitant respondents, Cassell et al (2006) 41 report that 67.3% of those who accepted MMR and 37.4% of those who had not accepted MMR answered "yes" to the question: "Is it right for health professionals to advise parents to have their child vaccinated for the benefit of others?" Interestingly, based on a study of general practitioners' vaccinerelated communication skills by using standardized scenarios, Leask (2009) 53 cautions practitioners against trying to "strong arm" parents into accepting vaccines via hypothetical scenarios that emphasize parental anticipatory guilt about potential transmission to others.…”

Section: Discussionmentioning

confidence: 99%

The Role of Herd Immunity in Parents’ Decision to Vaccinate Children: A Systematic Review

Quadri-Sheriff¹,

Hendrix²,

Downs³

et al. 2012

Pediatrics

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BACKGROUND AND OBJECTIVE: Herd immunity is an important benefit of childhood immunization, but it is unknown if the concept of benefit to others influences parents’ decisions to immunize their children. Our objective was to determine if the concept of “benefit to others” has been found in the literature to influence parents’ motivation for childhood immunization. METHODS: We systematically searched Medline through October 2010 for articles on parental/guardian decision-making regarding child immunization. Studies were included if they presented original work, elicited responses from parents/guardians of children <18 years old, and addressed vaccinating children for the benefit of others. RESULTS: The search yielded 5876 titles; 91 articles were identified for full review. Twenty-nine studies met inclusion criteria. Seventeen studies identified benefit to others as 1 among several motivating factors for immunization by using interviews or focus groups. Nine studies included the concept of benefit to others in surveys but did not rank its relative importance. In 3 studies, the importance of benefit to others was ranked relative to other motivating factors. One to six percent of parents ranked benefit to others as their primary reason to vaccinate their children, and 37% of parents ranked benefit to others as their second most important factor in decision-making. CONCLUSIONS: There appears to be some parental willingness to immunize children for the benefit of others, but its relative importance as a motivator is largely unknown. Further work is needed to explore this concept as a possible motivational tool for increasing childhood immunization uptake.

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Section: Discussionmentioning

confidence: 99%

The Role of Herd Immunity in Parents’ Decision to Vaccinate Children: A Systematic Review

Quadri-Sheriff¹,

Hendrix²,

Downs³

et al. 2012

Pediatrics

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“…The magnitude of the challenge presented to vaccination providers by parents who decline vaccination for their children, is evidenced by providers’ own observations (admissions) that these consultations frequently degenerate into adversarial encounters, even though they are aware that engaging with parents in this way is almost invariably fruitless [20]. …”

Section: Introductionmentioning

confidence: 99%

When parents won’t vaccinate their children: a qualitative investigation of australian primary care providers’ experiences

et al. 2017

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BackgroundIncreasingly, the experiences and perceptions of parents who decline vaccination are the subject of investigation. However, the experiences of clinicians who encounter these parents in the course of their work has received little academic attention to date. This study aimed to understand the challenges faced and strategies used when general practitioners and immunising nurses encounter parents who choose not to vaccinate their children.MethodsPrimary care providers were recruited from regions identified through the Australian Childhood Immunisation Register (ACIR) as having higher than national average rates of registered objection to childhood vaccination. Interviews began with an exploration of provider experiences with parents who accept, are hesitant towards, and who decline vaccination. Participants were asked specifically about how they addressed any difficulties they encountered in their interactions. Thematic analysis focused on encounters with parents – challenges and strategies.ResultsTwenty-six general practitioners (GPs), community and practice nurses (PNs) were interviewed across two regions in NSW, Australia. Providers’ sense of professional identity as health advocates and experts became conflicted in their encounters with vaccine objecting parents. Providers were dissatisfied when such consultations resulted in a ‘therapeutic roadblock’ whereby provider-parent communication came to a standstill. There were mixed views about being asked to sign forms exempting parents from vaccinating their children. These ranged from a belief that completing the forms rewarded parents for non-conformity to seeing it as a positive opportunity for engagement. Three common strategies were employed by providers to navigate through these challenges; 1) to explore and inform, 2) to mobilise clinical rapport and 3) to adopt a general principle to first do no harm to the therapeutic relationship.ConclusionsMany healthcare providers find consultations with vaccine objecting parents challenging and some, particularly more experienced providers, employ successful strategies to address this. Primary care providers, especially those more junior, could benefit from additional communication guidance to better the outcome and increase the efficiency of their interactions with such parents.

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“…1,18 However, with the increasing complexity of immunization schedules and with more well informed parents who have accessed multiple immunization resources of varying validity, including via the internet, [19][20][21] many primary care providers (PCP's) may not have sufficient time or expertise to discuss and deconstruct complex concerns expressed by parents. 3,16,22 Researchers have described 5 discernable parental positions on immunization from acceptance, through hesitancy to refusal. 23,24 This enables a broader understanding of the spectrum of vaccine acceptance on a continuum rather than viewing parents as adopting either a pro-or anti-vaccine stance.…”

Section: Introductionmentioning

confidence: 99%

Vaccination uptake by vaccine-hesitant parents attending a specialist immunization clinic in Australia

Forbes

McMinn

Crawford

et al. 2015

Human Vaccines & Immunotherapeutics

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How do general practitioners persuade parents to vaccinate their children? A study using standardised scenarios

Cited by 21 publications

References 23 publications

The Role of Herd Immunity in Parents’ Decision to Vaccinate Children: A Systematic Review

The Role of Herd Immunity in Parents’ Decision to Vaccinate Children: A Systematic Review

When parents won’t vaccinate their children: a qualitative investigation of australian primary care providers’ experiences

Vaccination uptake by vaccine-hesitant parents attending a specialist immunization clinic in Australia

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