Motivational Interviewing and Vaccine Hesitancy in Children (MOTIVE)

Cedarville University

Status: Completed

Conditions: Vaccine Hesitancy

Treatments: Other: MOtivational interviewing Tool to Improve Vaccine AdherencE (MOTIVE)

Study type: Observational

Funder types: Other

Identifiers

NCT03934008

IRB #997

Details and patient eligibility

About

This study will assess the effectiveness of a motivational interviewing-based tool in addressing vaccine hesitancy expressed by parents or caregivers of children.

Full description

In order for vaccines to be effective and protect communities from diseases, a large majority of individuals need to be vaccinated to protect those who do not respond to the vaccine and those who cannot be vaccinated. While vaccine hesitancy has been noted as a growing problem among parents, there are few evidence-based strategies for providers to utilize to discuss vaccination with these parents. Therefore, there is a critical need to develop effective communication tools to increase parental confidence in vaccines. A tool based on the principles of motivational interviewing (a goal-oriented, collaborative counseling style) may be effective in addressing this need. Thus, the aim of this study is to determine the impact of a motivational interviewing-based (MI-based) tool on pediatric vaccination rates through assessment of changes in the percentage of patients achieving the goal of completion of all recommended doses in children 6 years of age and younger. Secondary aims include determining the impact of the motivational-interviewing based tool on parental health beliefs regarding vaccines and the impact of the training on provider knowledge and confidence in using motivational interviewing.

Enrollment: 4,191 patients

Sex: All

Ages: Under 6 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria (primary outcome):

• Patients 0-6 years of age
• Seen in the Rocking Horse Community Center by a pediatric provider during the baseline or study period

Inclusion Criteria (secondary parental health belief outcomes):

• Parents/caregivers (1) ≥18 years old
• Read English
• Have at least one child ≤6 years of age

Inclusion Criteria (secondary provider outcomes): All providers who interact with pediatric patients in the Rocking Horse Community Center who

• Complete the training
• Implement the MOTIVE tool in practice

Trial design

4,191 participants in 2 patient groups

Historical Control Group

Description:

All pediatric patients 0-6 years of age seen in the clinic within one year prior to the start of the intervention period

Post-Intervention Group

Description:

All pediatric patients 0-6 years of age seen in the clinic for one year following the implementation of the motivational interviewed based tool

Treatment:

Other: MOtivational interviewing Tool to Improve Vaccine AdherencE (MOTIVE)