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dc.contributor.authorBrelsford, Dan
dc.contributor.authorKnutzen, Elise
dc.contributor.authorNeher, Jon O.
dc.contributor.authorSafranek, Sarah
dc.date.issued2017-12
dc.descriptionAuthors: Dan Brelsford, MD; Elise Knutzen, PharmD; Jon O. Neher, MD University of Washington at Valley Family Medicine Residency, Renton; Sarah Safranek, MLIS University of Washington, Seattle.eng
dc.description.abstractQ: Which interventions are effective in managing parental vaccine refusal? A: it’s unclear whether educational initiatives alone alter vaccine refusal. Although about a third of parents cite herd immunity as motivation for vaccination, its efficacy in addressing vaccine hesitancy isn’t clear (strength of recommendation [SOR]: B, systematic reviews not limited to randomized controlled trials [RCTs]). ultifaceted interventions (encompassing improved access to vaccines, immunization mandates, and patient education) may produce a ≥25% increase in vaccine uptake in groups with vaccine hesitancy and low utilization (SOR: B, extrapolated from a meta-analysis across di-verse cultures).Correcting false information about influenza vaccination improves perceptions about the vaccine, but may decrease intention to vaccinate in parents who already have strong concerns about safety (SOR: C, low-quality RCT). Discussions about vaccines that are more paternalistic (presumptive rather than participatory) are associated with higher vaccination rates, but lower visit satisfaction (SOR: C, observational study). Providers should thoroughly address patient concerns about safety and encourage vaccine use (SOR: C, expert opinion).eng
dc.identifier.citationThe journal of family practice 66 (12) 2017 E12-E14.eng
dc.identifier.urihttps://hdl.handle.net/10355/62864
dc.languageEnglisheng
dc.publisherFamily Physicians Inquiries Networkeng
dc.rightsOpenAccess.eng
dc.rights.licenseThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License.eng
dc.titleWhich interventions are effective in managing parental vaccine refusal?eng
dc.typeArticleeng


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