Not taking “no” for an answer: the interactional organization of accepting and refusing childhood vaccination in the Netherlands DOI Creative Commons
Robert Prettner, Hedwig te Molder, Jeffrey D. Robinson

et al.

Discourse Processes, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 27

Published: Nov. 28, 2024

Communication-intervention strategies for reducing vaccine hesitancy have been primarily based on survey and interview data. Virtually absent is an understanding of how organized interactionally in its primary, natural environment medical consultations between parents healthcare providers. This article uses conversation analysis to describe the sequence organization action providers soliciting parents' vaccination intent. We demonstrate that acceptance "preferred" sequence-closure relevant refusal "dispreferred" sequence-expansion relevant. Regarding refusal, we three different sequence-expansive actions, including account, cautioning about consequences "keeping door open" future vaccination. Data are 62 videotaped interactions newborns Netherlands. Findings implications design communication-intervention involving perspectives providing them with information toward goal their hesitancy.

Language: Английский

Motivational Interviewing is “Doing” What Matters: Integrating Motivational Interviewing Spirit and Skills into What Matters to You? Conversations DOI Creative Commons
Damara Gutnick, Sarah McNeilly

Journal of Patient Experience, Journal Year: 2025, Volume and Issue: 12

Published: Jan. 1, 2025

As the What Matters To You (WMTY) movement spreads across globe, countless clinicians have been inspired to ask their patients its eponymous question: what matters you? Still, some remain apprehensive about asking matters, worried that it can open a Pandora's box of problems too big for any one person solve. This paper argues embracing spirit and skills motivational interviewing (MI) help provides practical recommendations navigating synergistic uses MI WMTY.

Language: Английский

Citations

1
Motivational interviewing intervention for the management of hypertension: a meta-analysis DOI Creative Commons
J Xu, Xiaoyan Gu,

Jessie Gu

et al.

Frontiers in Cardiovascular Medicine, Journal Year: 2025, Volume and Issue: 11

Published: Jan. 20, 2025

Background Improving medication compliance and self-efficacy in hypertensive patients is of significant importance for their prognosis. This meta-analysis aimed to assess the role motivational interviewing reducing systolic diastolic blood pressure, self-efficacy, quality life adherence patients. Methods Two authors searched PubMed, Cochrane Library, Clinicaltrials, Embase, Web Science, China National Knowledge Infrastructure (CNKI), Chinese Biomedical Literature Database, Weipu Wanfang Database up May 28, 2024 randomized controlled trials (RCTs) evaluating on The search was restricted articles published English languages. RevMan 5.4 software used meta-analysis. Results A total 16 RCTs were included. findings demonstrate that could reduce both pressure [MD = −3.26, 95% CI (−5.16, −1.36), P < 0.001] −1.78, (−3.48, −0.08), levels patients, while simultaneously enhancing 2.92, (1.84, 4.00), 0.001], 6.99, (3.25, 10.74), 0.003], [OR 4.30, (1.53, 12.10), 0.003]. No publication bias across synthesized outcomes found by Egger regression analyses (all > 0.05). Conclusions Motivational has been shown effectively short term among individuals with hypertension, life, regimens.

Language: Английский

Citations

0
Effectiveness of CONFIVAC, an intervention to enhance Paediatric Nurses and Paediatricians skills to promote vaccination: a mixed-methods cluster randomised clinical trial DOI Creative Commons
Elena Roel, Elisabet Henderson, Sara Valmayor

et al.

Research Square (Research Square), Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 27, 2025

Abstract Background Vaccine hesitancy (VH) poses a significant challenge to achieving optimal vaccination coverages worldwide. Paediatric healthcare workers (PHCWs) are fundamental in promoting but often lack adequate training address VH. We designed CONFIVAC, an evidence-based program developed using intervention mapping enhance PHCWs' knowledge, self-efficacy, and skills managing VH fostering culture of immunization primary care. This study aimed evaluate its effectiveness. Methods conducted mixed methods including cluster-randomized controlled trial with142 PHCWs Barcelona Central Catalonia, Spain from October 2023 February 2024 qualitative thematic analysis. teams were randomized into (CONFIVAC) control (standard care) arms. CONFIVAC included 12 hours online in-person on vaccine communication strategies, organizational tools. Outcomes assessed through self-administered questionnaires at baseline (T0) four months later (T1). Key outcomes vaccine-promoting behaviours (presumptive communication, anticipation upcoming vaccines, explicit recommendations) self-perception handle performed logistic regression models estimate odds ratios (OR) with 95% confidence intervals intention-to-treat approach. Focus groups provided insights. Results At T1, the arm more likely use presumptive (aOR: 4.05 [2.30;7.15]) anticipate vaccines 2.64 [1.50;4.65]) than controls. Explicitly recommending when encountering cases did not reach statistical significance 1.75 [0.89;3.44]). Self-perception was higher 3.85 [2.10;7.03]). Satisfaction high, focus group participants reported improved empathy towards families, increased situations. Discussion enhanced demonstrating value accessible, programs support efforts routine practice. Trial registration ClinicalTrials NCT06489236

Language: Английский

Citations

0
Global COVID-19 Vaccination Challenges: Inequity of Access and Vaccine Hesitancy DOI Creative Commons

Michael Dagovetz,

Kaloyan Momchilov,

Liahm Blank

et al.

Journal of Medicine Surgery and Public Health, Journal Year: 2025, Volume and Issue: unknown, P. 100197 - 100197

Published: April 1, 2025

Language: Английский

Citations

0
Flu Vaccination Among Patients with Noncommunicable Diseases: A Survey About Awareness, Usage, Gaps and Barriers in Europe DOI Creative Commons
Laura Colombo, Sanjay Hadigal

Patient Preference and Adherence, Journal Year: 2024, Volume and Issue: Volume 18, P. 2311 - 2324

Published: Nov. 1, 2024

People with noncommunicable diseases (NCDs) have a high risk of contracting flu and suffering from its associated complications; however, in many countries vaccine uptake this group is sub-optimal. This survey assessed the knowledge, attitudes, gaps toward vaccination general particular among adults NCDs Europe.

Language: Английский

Citations

1
Not taking “no” for an answer: the interactional organization of accepting and refusing childhood vaccination in the Netherlands DOI Creative Commons
Robert Prettner, Hedwig te Molder, Jeffrey D. Robinson

et al.

Discourse Processes, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 27

Published: Nov. 28, 2024

Communication-intervention strategies for reducing vaccine hesitancy have been primarily based on survey and interview data. Virtually absent is an understanding of how organized interactionally in its primary, natural environment medical consultations between parents healthcare providers. This article uses conversation analysis to describe the sequence organization action providers soliciting parents' vaccination intent. We demonstrate that acceptance "preferred" sequence-closure relevant refusal "dispreferred" sequence-expansion relevant. Regarding refusal, we three different sequence-expansive actions, including account, cautioning about consequences "keeping door open" future vaccination. Data are 62 videotaped interactions newborns Netherlands. Findings implications design communication-intervention involving perspectives providing them with information toward goal their hesitancy.

Language: Английский

Citations

0