Vaccine Hesitancy in Rural Pediatric Primary Care.
Robyn Mical, Julia Martin-Velez, Thomas Blackstone and 1 others
PMID 33010996WHAT IT FOUND
Nine of eleven vaccine-hesitant caregivers moved to non-hesitant after a presumptive language and motivational interviewing intervention.
The study lacked a control group, so it shows what happened in this clinic, not that the intervention caused the change.
Key findings
01Nine of the eleven caregivers classified as vaccine-hesitant before the visit were no longer classified as hesitant after the intervention, a change reported as statistically significant.
02No participant scored higher on the post-intervention survey than they did before the visit.
03The interventions for hesitant caregivers included presumptive language, motivational interviewing, and education-based dialogue, delivered together by a single provider.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study had no control group, so it is impossible to know if the hesitancy scores would have changed without the intervention. The sample was small (11 hesitant caregivers) and drawn from a single clinic with a specific demographic profile, limiting generalizability. All hesitant caregivers received a bundle of three different interventions (presumptive language, motivational interviewing, and education), so the effect of any single component cannot be separated. The study was a quality improvement project with a convenience sample, not a randomized trial, and used a single provider, which introduces potential bias and limits reproducibility.
Declared interests
The paper does not state any funding sources or conflicts of interest.
The easy way to misread this
Do not conclude that presumptive language or motivational interviewing caused the reduction in hesitancy. The study had no control group, and hesitant caregivers received multiple interventions at once, so the contribution of any single technique cannot be determined.