Implementing Vaccine Hesitancy Screening for Targeted Education Public Deposited

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Last Modified
  • March 21, 2019
Creator
  • Connors, John
    • Affiliation: School of Nursing
Abstract
  • PROBLEM STATEMENT: Research evidence suggests that the inability to identify concerns of parents who are vaccine hesitant and subsequently give individualized counseling on the identified concerns negatively impacts vaccination rates. Little research has been performed investigating the effect of utilizing a vaccine hesitancy (VH) screening tool in conjunction with provider counseling on specific vaccination concerns. Standardizing the use of a VH screening tool may allow the provider to more appropriately address parental vaccination concerns, thereby leading to an increased parental intent to vaccinate (ITV). PURPOSE STATEMENT: The purpose of this study was to determine whether using a VH screening tool in conjunction with increased provider competency in addressing parental vaccination concerns impacted the parental ITV. METHODS: This study utilized a pre-experimental design (pre-test/post-test) to measure and categorize VH and the ITV. The population for this study included parents of children age 2 months to 6 years that were presenting to the clinic for a well visit. Differences among the categorical VH, the VH score, and demographic data were described. Data analysis was performed using SPSS version 24® and includes descriptive statistics and non-parametric statistics. RESULTS: The total sample size was 89 with an overall response rate of 15%. Only a minority of parents were identified as vaccine hesitant (20%). Differences between pre-visit and post-visit questionnaires were evaluated and overall showed mean responses for questions that measured specific VH categories had slight increases in the level of VH after the provider-parent discussion. One question (measuring provider trust) showed a significant difference between pre and post-visit questionnaire scores (p = 0.033) with post visit scores showing higher levels of VH. There was a significant effect of age, the number of children in the household, and the level of parental education on the distribution of questionnaire responses. SIGNIFICANCE: The utilization of a VH screening tool used in conjunction with increased provider technical and communication competence in an educated and mildly VH population did not positively affect the level of VH or the parental ITV. It may be that provider education alone is not enough to affect change in a VH parent.
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Rights statement
  • In Copyright
Advisor
  • Windham, Laura
  • Hodges, Eric
  • D'Auria, Jennifer
Degree
  • Doctor of Nursing Practice
Degree granting institution
  • University of North Carolina at Chapel Hill Graduate School
Graduation year
  • 2017
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