ArticleHuman vaccines & immunotherapeutics2020
How health care providers should address vaccine hesitancy in the clinical setting: Evidence for presumptive language in making a strong recommendation.
Article in Human vaccines & immunotherapeutics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.
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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.
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Who cites it
47 citing papers in PubMed.
- Say it right: measuring the impact of different communication strategies on the decision to get vaccinated.BMC public health · 2023Trial
- Vaccination-Related Applications and Health Care Professionals' Observed Changes in Human Papillomavirus Vaccine Hesitancy: Cross-Sectional Survey.JMIR mHealth and uHealth · 2026Article
- Article
- Evaluation of a Medical Student Workshop on Confronting Vaccine Hesitancy: A Mixed Methods Approach.PRiMER (Leawood, Kan.) · 2026Article
- Considering the impact of vaccine communication in the COVID-19 pandemic among adults in Canada: A qualitative study of lessons learned for future vaccine campaigns.Human vaccines & immunotherapeutics · 2025Article
- Vaccination Uptake and Patient Perceptions Among Haemodialysis Patients: Insights From a Cross-Sectional Study.Journal of renal care · 2025Article
- Causes and consequences of undervaccination in adults.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2025Review
- Successful Interventions to Improve Pediatric Vaccine Uptake in Hesitant Cohorts: A Scoping Review.Cureus · 2025Review
- Impact of health promotion strategies on HPV vaccination uptake: A descriptive epidemiological study (2019-2024).PloS one · 2025Article
- Benefits, challenges, and strategies related to using presumptive recommendations for HPV vaccination: A qualitative study with rural and non-rural-serving primary care professionals.Human vaccines & immunotherapeutics · 2024Article
- Article
- A Consolidated Framework for Implementation Research-based process to develop theoretically-informed human papillomavirus vaccination educational materials for young adults.Patient education and counseling · 2024Article
- Co-Administration of Influenza and COVID-19 Vaccines: A Cross-Sectional Survey of Canadian Adults' Knowledge, Attitudes, and Beliefs.Pharmacy (Basel, Switzerland) · 2024Article
- Urban and rural healthcare providers' perspectives on HPV vaccination in Minnesota.Human vaccines & immunotherapeutics · 2023Article
- Psychological and Social Aspects of Vaccination Hesitancy-Implications for Travel Medicine in the Aftermath of the COVID-19 Crisis: A Narrative Review.Medicina (Kaunas, Lithuania) · 2023Review
- Understanding the factors that influence communication about COVID-19 vaccines with patients: Perspectives of Australian immunisation providers.Vaccine: X · 2023Article
- Unravelling COVID-19 vaccination attributes worldwide: an extensive review regarding uptake, hesitancy, and future implication.Annals of medicine and surgery (2012) · 2023Article
- The role of emergency physicians in the fight against health misinformation: Implications for resident training.AEM education and training · 2023Article
- Medical and public health professionals' perceived facilitators and barriers of human papillomavirus (HPV) vaccination among African American adolescents in Shelby County, Tennessee.BMC health services research · 2023Article
- Vaccine Confidence and Uptake of the Omicron Bivalent Booster in Tennessee: Implications for Vulnerable Populations.Vaccines · 2023Review
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Vaccine hesitancy occurs throughout the world and can result in poor vaccine uptake and vaccine-preventable disease-outbreaks. Vaccine hesitancy dates back to the days of Edward Jenner and the smallpox vaccine. It persists despite the preponderance of evidence supporting vaccine safety and effectiveness. Studies show even among parents of well-vaccinated children that 15-35% of those parents are vaccine-hesitant. Studies have failed to show the efficacy of educational interventions, and, indeed, a number of studies of educational interventions show a contrarian effect leaving the vaccine-hesitant more entrenched in their views. Still dozens of studies support health care provider recommendation as a major factor in achieving high rates of vaccine uptake. Furthermore, studies find those recommendations perceived as stronger are more effective than those perceived as weaker. What makes for a stronger recommendation? Several observational studies indicate that presumptive, announcement language as contrasted with participatory, conversational language makes for a stronger more effective recommendation. Several trials now demonstrate that health care providers and practices can implement this language and obtain higher vaccination uptake. The authors recommend the practice be adopted as a routine practice in the clinical setting for all vaccinations.
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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.