Continuing Medical Education Improves Physician Communication Skills and Increases Likelihood of Pediatric Vaccination: Findings from the Pediatric Influenza Vaccination Optimization Trial (PIVOT)—II
This study evaluated the impact of a continuing medical education (CME) program that emphasized actionable information, motivation to act, and skills to strengthen physician recommendations for seasonal influenza vaccination in children 6 through 23 months of age for whom influenza immunization rate...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-12-01
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| Series: | Vaccines |
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| Online Access: | https://www.mdpi.com/2076-393X/11/1/17 |
| _version_ | 1797436641780957184 |
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| author | William A. Fisher Vladimir Gilca Michelle Murti Alison Orth Hartley Garfield Paul Roumeliotis Emmanouil Rampakakis Vivien Brown John Yaremko Paul Van Buynder Constantina Boikos James A. Mansi |
| author_facet | William A. Fisher Vladimir Gilca Michelle Murti Alison Orth Hartley Garfield Paul Roumeliotis Emmanouil Rampakakis Vivien Brown John Yaremko Paul Van Buynder Constantina Boikos James A. Mansi |
| author_sort | William A. Fisher |
| collection | DOAJ |
| description | This study evaluated the impact of a continuing medical education (CME) program that emphasized actionable information, motivation to act, and skills to strengthen physician recommendations for seasonal influenza vaccination in children 6 through 23 months of age for whom influenza immunization rates are suboptimal. Physicians were randomly assigned to an accredited CME program or to no CME. Participants completed pre- and post-study questionnaires. Influenza immunization rates were compared between groups. A total of 33 physicians in the CME group and 35 in the control group documented 292 and 322 healthy baby visits, respectively. Significantly more parents immunized their children against influenza after interacting with CME-trained physicians than those with no CME training (52.9% vs. 40.7%; <i>p</i> = 0.007). The odds ratio for vaccination after visits with CME-trained physicians was 1.52 (95% confidence interval 1.09 to 2.12; <i>p</i> = 0.014), which was unaffected by the socioeconomic status of parents. Parents who discussed influenza vaccination with CME-trained physicians were 20% more likely to choose an approved but publicly unfunded adjuvanted pediatric influenza vaccine. The percentages of physicians reporting the highest levels of knowledge, ability, and confidence doubled or tripled after the CME intervention. Significantly more parents immunized very young children after interacting with physicians who had undergone CME training. |
| first_indexed | 2024-03-09T11:05:34Z |
| format | Article |
| id | doaj.art-d4b40a900a024420b7db5e7017dae4bc |
| institution | Directory Open Access Journal |
| issn | 2076-393X |
| language | English |
| last_indexed | 2024-03-09T11:05:34Z |
| publishDate | 2022-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Vaccines |
| spelling | doaj.art-d4b40a900a024420b7db5e7017dae4bc2023-12-01T00:59:55ZengMDPI AGVaccines2076-393X2022-12-011111710.3390/vaccines11010017Continuing Medical Education Improves Physician Communication Skills and Increases Likelihood of Pediatric Vaccination: Findings from the Pediatric Influenza Vaccination Optimization Trial (PIVOT)—IIWilliam A. Fisher0Vladimir Gilca1Michelle Murti2Alison Orth3Hartley Garfield4Paul Roumeliotis5Emmanouil Rampakakis6Vivien Brown7John Yaremko8Paul Van Buynder9Constantina Boikos10James A. Mansi11Department of Psychology, Western University, London, ON N6A 3K7, CanadaDepartment of Social and Preventive Medicine, Québec Public Health Institute, Laval University, Québec City, QC G1V 5B3, CanadaDalla Lana School of Public Health, University of Toronto, Toronto, ON M5T 3M7, CanadaFraser Health Authority, Vancouver, BC V3T 0H1, CanadaThe Hospital for Sick Children, University of Toronto, Toronto, ON M5G 1X8, CanadaEastern Ontario Health Unit, Cornwall, ON K6J 5T1, CanadaJSS Medical Research, Montreal, QC H4S 1N8, CanadaDepartment of Family and Community Medicine, University of Toronto, Toronto, ON M5G 1V7, CanadaThe Montreal Children’s Hospital, Montreal, QC H4A 3J1, CanadaSchool of Medicine, Griffith University, University of Western Australia, Perth, WA 6009, AustraliaSeqirus, Montreal, QC H9H 4M7, CanadaSeqirus, Montreal, QC H9H 4M7, CanadaThis study evaluated the impact of a continuing medical education (CME) program that emphasized actionable information, motivation to act, and skills to strengthen physician recommendations for seasonal influenza vaccination in children 6 through 23 months of age for whom influenza immunization rates are suboptimal. Physicians were randomly assigned to an accredited CME program or to no CME. Participants completed pre- and post-study questionnaires. Influenza immunization rates were compared between groups. A total of 33 physicians in the CME group and 35 in the control group documented 292 and 322 healthy baby visits, respectively. Significantly more parents immunized their children against influenza after interacting with CME-trained physicians than those with no CME training (52.9% vs. 40.7%; <i>p</i> = 0.007). The odds ratio for vaccination after visits with CME-trained physicians was 1.52 (95% confidence interval 1.09 to 2.12; <i>p</i> = 0.014), which was unaffected by the socioeconomic status of parents. Parents who discussed influenza vaccination with CME-trained physicians were 20% more likely to choose an approved but publicly unfunded adjuvanted pediatric influenza vaccine. The percentages of physicians reporting the highest levels of knowledge, ability, and confidence doubled or tripled after the CME intervention. Significantly more parents immunized very young children after interacting with physicians who had undergone CME training.https://www.mdpi.com/2076-393X/11/1/17influenzachildhood vaccinationparental acceptancevaccine hesitancyeducation |
| spellingShingle | William A. Fisher Vladimir Gilca Michelle Murti Alison Orth Hartley Garfield Paul Roumeliotis Emmanouil Rampakakis Vivien Brown John Yaremko Paul Van Buynder Constantina Boikos James A. Mansi Continuing Medical Education Improves Physician Communication Skills and Increases Likelihood of Pediatric Vaccination: Findings from the Pediatric Influenza Vaccination Optimization Trial (PIVOT)—II Vaccines influenza childhood vaccination parental acceptance vaccine hesitancy education |
| title | Continuing Medical Education Improves Physician Communication Skills and Increases Likelihood of Pediatric Vaccination: Findings from the Pediatric Influenza Vaccination Optimization Trial (PIVOT)—II |
| title_full | Continuing Medical Education Improves Physician Communication Skills and Increases Likelihood of Pediatric Vaccination: Findings from the Pediatric Influenza Vaccination Optimization Trial (PIVOT)—II |
| title_fullStr | Continuing Medical Education Improves Physician Communication Skills and Increases Likelihood of Pediatric Vaccination: Findings from the Pediatric Influenza Vaccination Optimization Trial (PIVOT)—II |
| title_full_unstemmed | Continuing Medical Education Improves Physician Communication Skills and Increases Likelihood of Pediatric Vaccination: Findings from the Pediatric Influenza Vaccination Optimization Trial (PIVOT)—II |
| title_short | Continuing Medical Education Improves Physician Communication Skills and Increases Likelihood of Pediatric Vaccination: Findings from the Pediatric Influenza Vaccination Optimization Trial (PIVOT)—II |
| title_sort | continuing medical education improves physician communication skills and increases likelihood of pediatric vaccination findings from the pediatric influenza vaccination optimization trial pivot ii |
| topic | influenza childhood vaccination parental acceptance vaccine hesitancy education |
| url | https://www.mdpi.com/2076-393X/11/1/17 |
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