Observational studyAmerican journal of public health2015
The Influence of Provider Communication Behaviors on Parental Vaccine Acceptance and Visit Experience.
Observational study in American journal of public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 126 papers, 6 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
126 citing papers in PubMed, 6 syntheses or guidelines pooled it, 213 citations in OpenAlex.
- Vaccine hesitancy educational interventions for medical students: A systematic narrative review in western countries.Human vaccines & immunotherapeutics · 2024Pooled it
- Implementation challenges and real-world impacts of switching pediatric vaccines: A global systematic literature review.Human vaccines & immunotherapeutics · 2023Pooled it
- Behavioral interventions for vaccination uptake: A systematic review and meta-analysis.Health policy (Amsterdam, Netherlands) · 2023Pooled it
- Pooled it
- Nudging toward vaccination: a systematic review.BMJ global health · 2021Pooled it
- Face-to-face interventions for informing or educating parents about early childhood vaccination.The Cochrane database of systematic reviews · 2018Pooled it
- Tiered Clinician Vaccine Communication Strategy to Improve Childhood Vaccine Uptake: A Cluster Randomized Clinical Trial.JAMA network open · 2025Trial
- Provider Perceptions and Use of Audit-Feedback and Communication Strategies to Improve Human Papillomavirus Vaccine Uptake.Academic pediatrics · 2025Trial
- Development of PIVOT with MI: A motivational Interviewing-Based vaccine communication training for pediatric clinicians.Vaccine · 2023Trial
- Trial
- Evaluating the impact of multilevel evidence-based implementation strategies to enhance provider recommendation on human papillomavirus vaccination rates among an empaneled primary care patient population: a study protocol for a stepped-wedge cluster randomized trial.Implementation science : IS · 2018Trial
- Why is announcement training more effective than conversation training for introducing HPV vaccination? A theory-based investigation.Implementation science : IS · 2018Trial
- Announcements Versus Conversations to Improve HPV Vaccination Coverage: A Randomized Trial.Pediatrics · 2017Trial
- Parental preferences for immunization advisory clinic settings for children with special health care needs and associated factors in Shanghai: A cross-sectional study.Human vaccines & immunotherapeutics · 2026Article
- Age- and sex-related variation in ChatGPT-4o HPV vaccine recommendation style: A fixed-prompt audit.Human vaccines & immunotherapeutics · 2026Article
- The parent attitudes about childhood vaccines survey at 15: A summary of its use, reach, and scope.Human vaccines & immunotherapeutics · 2026Review
- Factors Associated with Recommendation of Non-Routine Childhood Vaccines Among Healthcare Workers in Türkiye.Vaccines · 2026Article
- Saving children's lives through science and public health: winning the war against misinformation. The Society for Pediatric Research's 2026 Douglas K. Richardson Award presentation.Pediatric research · 2026Article
- Review
- The Role and Safety of Aluminum Adjuvants in Childhood Vaccines.Pediatrics · 2026Review
66 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
objectivesWe investigated how provider vaccine communication behaviors influence parental vaccination acceptance and visit experience.
methodsIn 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).
resultsIn 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).
conclusionsIn 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.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.