Validity and reliability of a survey to identify vaccine-hesitant parents

Opel, Douglas J.; Taylor, James A.; Mangione-Smith, Rita; Solomon, Cam; Zhao, Chuan; Catz, Sheryl L.; Martin, Diane P.

doi:10.1016/j.vaccine.2011.06.115

Cited by 326 publications

(317 citation statements)

References 28 publications

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“…This method provides greater power for these types of analyses and has been successfully used by other researchers in this area. 12,40,70 Most reported interventions are primarily educational in nature, yet the decision-making process for vaccine-hesitant families is likely very complex and influenced by factors which are difficult to measure, such as influences by social networks. This complexity likely contributes to the lack of evidence for effective interventions.…”

Section: Discussionmentioning

confidence: 99%

“…However, Williams et al conducted an educational intervention for VHPs and identified VHPs for participation through the use of a 15-question survey developed by Opel et al 40 Our study assessed change in parental attitudes regarding childhood vaccines among VHPs of 2-wk-old infants following an educational intervention. 41 The three-part intervention consisted of (1) an 8 min video focused on common concerns of VHPs as well as 3 first-person parental accounts of vaccine preventable diseases, (2) a handout on common myths regarding vaccines, and (3) a handout on finding accurate vaccine information online.…”

Section: Interventions Focused On Routine Childhoodmentioning

confidence: 99%

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What are the factors that contribute to parental vaccine-hesitancy and what can we do about it?

Williams

2014

Human Vaccines & Immunotherapeutics

140

124

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Section: Discussionmentioning

confidence: 99%

Section: Interventions Focused On Routine Childhoodmentioning

confidence: 99%

What are the factors that contribute to parental vaccine-hesitancy and what can we do about it?

Williams

2014

Human Vaccines & Immunotherapeutics

140

124

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“…31,43 The 15-item survey instrument, designed by Opel and collaborators for the US context, measures 4 domains linked to vaccine hesitancy: vaccination behavior, beliefs about vaccine safety and efficacy, attitudes about vaccine mandates and exemptions and trust. After having pre-tested their instrument among 230 parents, the authors found a statistically significant linear association between a parent's total score on the 15-item survey and their child's vaccination status (in terms of days of under-vaccination for 6 recommended vaccines from birth to 19 mo of age).…”

Section: The Role Of Media and Communicationmentioning

confidence: 99%

Vaccine hesitancy

Dubé

Laberge

Guay

et al. 2013

Human Vaccines & Immunotherapeutics

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1,350

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“…17 Parents who met additional inclusion criteria ($18 years old and English-speaking) and who agreed to participate were screened by using the Parent Attitudes about Childhood Vaccine (PACV) survey, a valid and reliable tool for identifying VHPs. 18,19 Parents were considered to be hesitant if they scored $50 on the 100-point PACV survey. 19 We oversampled VHPs because it is their vaccination behavior that is most relevant.…”

Section: Study Participantsmentioning

confidence: 99%

“…18,19 Parents were considered to be hesitant if they scored $50 on the 100-point PACV survey. 19 We oversampled VHPs because it is their vaccination behavior that is most relevant. 20 The study was described generally to parents to minimize the Hawthorne effect.…”

Section: Study Participantsmentioning

confidence: 99%

The Architecture of Provider-Parent Vaccine Discussions at Health Supervision Visits

2013

PEDIATRICS

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WHAT'S KNOWN ON THIS SUBJECT: An increasing number of parents have concerns about childhood vaccines. Parents consistently cite their child' s provider as influential in their vaccine decision-making. Little is known about how providers communicate with parents about vaccines and which communication strategies are important.WHAT THIS STUDY ADDS: How providers initiate the vaccine recommendation at health supervision visits appears to be an important determinant of parent resistance. Also, when providers pursue their original vaccine recommendations in the face of parental resistance, many parents subsequently agree to vaccination. abstract OBJECTIVE: To characterize provider-parent vaccine communication and determine the influence of specific provider communication practices on parent resistance to vaccine recommendations. METHODS:We conducted a cross-sectional observational study in which we videotaped provider-parent vaccine discussions during health supervision visits. Parents of children aged 1 to 19 months old were screened by using the Parent Attitudes about Childhood Vaccines survey. We oversampled vaccine-hesitant parents (VHPs), defined as a score $50. We developed a coding scheme of 15 communication practices and applied it to all visits. We used multivariate logistic regression to explore the association between provider communication practices and parent resistance to vaccines, controlling for parental hesitancy status and demographic and visit characteristics. RESULTS:We analyzed 111 vaccine discussions involving 16 providers from 9 practices; 50% included VHPs. Most providers (74%) initiated vaccine recommendations with presumptive (eg, "Well, we have to do some shots") rather than participatory (eg, "What do you want to do about shots?") formats. Among parents who voiced resistance to provider initiation (41%), significantly more were VHPs than non-VHPs. Parents had significantly higher odds of resisting vaccine recommendations if the provider used a participatory rather than a presumptive initiation format (adjusted odds ratio: 17.5; 95% confidence interval: 1.2-253.5). When parents resisted, 50% of providers pursued their original recommendations (eg, "He really needs these shots"), and 47% of initially resistant parents subsequently accepted recommendations when they did. CONCLUSIONS:How providers initiate and pursue vaccine recommendations is associated with parental vaccine acceptance. Pediatrics

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Validity and reliability of a survey to identify vaccine-hesitant parents

Cited by 326 publications

References 28 publications

What are the factors that contribute to parental vaccine-hesitancy and what can we do about it?

What are the factors that contribute to parental vaccine-hesitancy and what can we do about it?

Vaccine hesitancy

The Architecture of Provider-Parent Vaccine Discussions at Health Supervision Visits

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