Effectiveness of an Intervention on Vaccine Hesitancy Among Pediatric Nurses and Pediatricians
NCT Number: NCT06489236
Status: COMPLETED
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Vaccination Hesitancy|Pediatric ALL|Presumptive Communication|Motivational Interviewing
Interventions: BEHAVIORAL: Vaccine Confidence: Skills to Promote Vaccination in the Pediatric Consultations
Sponsor: Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
Collaborators: Public Health Agency of Barcelona|Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina|Instituto de Salud Carlos III
Sex: ALL
Age: CHILD, ADULT, OLDER_ADULT
Enrollment: 142
Study Design: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: NONE|Primary Purpose: PREVENTION
Start Date: 2023-10-01
Completion Date: 2024-02-29
Locations: Agència de Salut Pública de Barcelona (ASPB), Barcelona, 08023, Spain

Summary:
The objective of this cluster randomized controlled trial is to assess the effectiveness of a multicomponent intervention designed to improve pediatric nurses' and pediatricians' knowledge, self-efficacy, communication skills, and practice administrative procedures and policies for promoting vaccines in the child and adolescent immunization schedule and addressing patient vaccine hesitancy.

The main research questions are:

* Does the intervention meet pediatric nurses' and pediatricians' educational needs regarding vaccination?
* Does the intervention increase the use of presumptive communication by pediatric nurses and pediatricians during vaccine conversations?
* Does the intervention enhance the confidence of pediatric nurses and pediatricians to effectively navigate conversations with vaccine-hesitant families?
* Does the intervention enhance the abilities of pediatric nurses and pediatricians to effectively navigate conversations with vaccine-hesitant families?

Participants assigned to the intervention group will complete a 12-hour, medically accredited, evidence-based training program focused on vaccination promotion. This training will be divided into two components: 10 hours of online education covering vaccines and vaccination communication strategies, and 2 hours of in-person activities involving role-playing and group discussions. Pediatric nurses and pediatricians assigned to the control group will continue with their usual practices. To assess the effectiveness of the intervention formative and pre/post summative evaluations with a mixed-methods approach will be carried out.

Primary Outcome Measures: Self-perceived preparedness to handle vaccination concerns during pediatric consultations, Pediatric nurses and pediatricians will complete both a baseline and post-intervention questionnaire. The outcome, "Self-perceived preparedness to handle vaccination concerns during pediatric consultations," will be evaluated using the following question: "I feel sufficiently trained to address vaccination concerns that families may raise," measured on a five-point Likert scale ranging from "strongly disagree" to "strongly agree"., Baseline and 5 months later|Presenting vaccination as a default behavior using presumptive communication, Pediatric nurses and pediatricians will complete both a baseline and post-intervention questionnaire. The outcome, " Presenting vaccination as a default behavior using presumptive communication," will be evaluated using the following question: " I will start the vaccination conversation assuming the child will get vaccinated," measured on a five-point Likert scale ranging from "yes, always" to "never"., Baseline and 5 months later|Explicitly recommending vaccination to vaccine hesitant families, Pediatric nurses and pediatricians will complete both a baseline and post-intervention questionnaire. The outcome, " Explicitly recommending vaccination to vaccine hesitant families," will be evaluated using the following question: " I will recommend getting vaccinated during that same visit" measured on a five-point Likert scale ranging from "yes, always" to "never"., Baseline and 5 months later