Development and Beta-Testing of the CONFIDENCE Intervention to Increase Pediatric COVID-19 Vaccination.
Grace W Ryan, Melissa Goulding, Amy Borg and 4 others
PMID 36470798WHAT IT FOUND
Pediatric providers found the CONFIDENCE training, posters, and parent materials easy and acceptable.
After training, more parents reported vaccine conversations and deciding to vaccinate, but the beta-test was too small to prove the intervention caused those changes.
Key findings
01Interviewed providers reported that the CONFIDENCE intervention was feasible and acceptable, but they rarely used the parent-facing educational materials.
02In surveys of 69 undervaccinated children, more post-intervention parents reported provider vaccine discussions, shared provider vaccine stories, and satisfaction with the conversation.
03The CONFIDENCE beta-test delivered provider counseling training, personal vaccine story posters, and parent-facing materials as one package.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The beta-test was done in one academic pediatric clinic, so it may not fit community clinics. It was designed to test feasibility and acceptability, not vaccination effectiveness, and was too small to show whether the intervention caused changes. Providers forgot to give parent surveys and rarely used the exam-room materials, so real-world use of the intervention was incomplete. The intervention included training, posters, and materials together, so the study cannot identify which part mattered. Changing public attitudes about vaccines during the 10-week period may explain some survey changes.
Declared interests
The supplied text lists NIH and U.S. government research support. No author conflict-of-interest statement is provided.
The easy way to misread this
Do not conclude that the CONFIDENCE intervention increases pediatric COVID-19 vaccination. This was a single-clinic beta-test of provider counseling training, personal vaccine story posters, and parent-facing materials delivered together, with small pre-post survey differences and no power to test effectiveness.