Preventive Health Services Clinical Trial
Official title:
Use of a Novel Parent-Report Measure to Improve Childhood Vaccine Uptake: The Screening for Hesitancy to Optimize Talk (SHOT) Study
The overall goal of this project is to determine whether integrating a novel parent-report measure of vaccine hesitancy into pediatric primary care is effective in improving acceptance of childhood vaccines among vaccine-hesitant parents.
The primary goal of this project is to evaluate the effectiveness of an innovative
intervention designed to address these barriers—the Screening for Hesitancy to Optimize Talk
(SHOT) intervention—in improving provider-parent vaccine discussions and increasing vaccine
acceptance. The SHOT intervention involves administering a validated parent-report measure to
parents and communicating their score and item-specific responses to their child's provider
before their child's 2 and 6 month health supervision visits. The survey contains 15
questions regarding Health Belief Model concepts that influence parent vaccination behavior
and has been shown to predict under-immunization.
Our specific aims are to (1) evaluate the impact of the SHOT intervention on a child's
immunization status using a matched-pair, cluster randomized controlled trial design; (2)
assess how parents' ratings of their vaccine discussions with their child's provider change
as a function of the SHOT intervention; and (3) compare pre- and post-study perceptions of
barriers to quality vaccine discussions with parents between providers in the SHOT and
control arm.
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