Evidence map›Paper›PMID 38996575›Full record

ArticlePatient education and counseling2024

Primary care providers' views of discussing COVID-19 vaccination with vaccine hesitant patients: A qualitative study.

Kimberly A Fisher, Sonal Singh, Rosalie Torres Stone, Ngoc Nguyen, Sybil Crawford, Kathleen M Mazor

Abstract read
In one paragraph

Article in Patient education and counseling, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Kimberly A FisherDivision of Health Systems Science, Department of Medicine, UMass Chan Medical School, Worcester, MA 01655, USA; Division of Pulmonary and Critical Care Medicine, Department of Medicine, UMass Chan Medical School, Worcester, MA 01655, USA. Electronic address: Kimberly.Fisher2@umassmed.edu.
Sonal SinghDivision of Health Systems Science, Department of Medicine, UMass Chan Medical School, Worcester, MA 01655, USA; Department of Family and Community Medicine, UMass Chan Medical School, Worcester, MA 01655, USA. Electronic address: Sonal.Singh@umassmed.edu.
Rosalie Torres StoneDepartment of Sociology, Clark University, MA 01610, USA. Electronic address: rtorresstone@clarku.edu.
Ngoc NguyenMeyers Health Care Institute, A Joint Endeavor of the UMass Chan Medical School, Reliant Medical Group, and Fallon Health, Worcester, MA 01605, USA. Electronic address: nnguyen21@worcester.edu.
Sybil CrawfordTan Chingfen Graduate School of Nursing, UMass Chan Medical School, Worcester, MA 01655, USA. Electronic address: sybil.crawford@umassmed.edu.
Kathleen M MazorDivision of Health Systems Science, Department of Medicine, UMass Chan Medical School, Worcester, MA 01655, USA. Electronic address: kathleen.mazor@umassmed.edu.

Funding

Trusted Messengers: Supporting Physicians in Promoting COVID-19 VaccinationR01MD016883 · NIMHD · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI FISHER, KIMBERLY · 2021 to 2023
$2.2M
NIMHD NIH HHS R01 MD016883
6 · The paper itself

Abstract

objectiveTo describe primary care providers' (PCPs) perspectives on discussing COVID-19 vaccination with their patients.

methodsAll PCPs from 11 primary care clinics at 3 health systems were invited to participate. Focus groups were conducted between December 2021-January 2022, and were recorded and transcribed. Participants were asked about their experience communicating about the COVID-19 vaccine. Themes and subthemes were inductively identified using thematic analysis.

results40 PCPs participated. All PCPs viewed discussing COVID-19 vaccination as high priority. Strategies for promoting COVID-19 vaccination included influencing what people think and feel, building trust and leveraging their relationship with patients, and practical strategies such as on-site vaccination. Most strategies aimed at influencing what people think and feel and leveraging relationships were viewed as generally ineffective. On-site vaccine availability was identified as the most influential factor. PCPs expressed frustration by their interactions with vaccine hesitant patients, leading them to truncate their communication with these patients.

conclusionsDespite using a broad range of strategies, most PCPs were unable to change the strongly held beliefs among the most vaccine hesitant patients that were often informed by misinformation and mistrust. PRACTICE IMPLICATIONS: Promising strategies for promoting vaccination include social/relational (expressing empathy) and practical (on-site COVID-19 vaccine availability).

Indexed as

COVID-19COVID-19 VaccinesFocus GroupsPrimary Health CareQualitative ResearchSARS-CoV-2Vaccination HesitancyAdultAttitude of Health PersonnelCommunicationFemaleHumansMaleMiddle AgedPhysician-Patient RelationsPhysicians, Primary CareCOVID-19 VaccinesHealth promotionPrimary health careQualitative ResearchTrust/therapeutic alliance

Identifiers

PMID38996575
PMCPMC12015614

What OpenQuestion holds

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Registered trials

None linked

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.