Presumptively Initiating Vaccines and Optimizing Talk With Motivational Interviewing (PIVOT With MI)

Summary

The overall goal of this project is to determine whether a novel and innovative provider communication strategy is effective in improving vaccine acceptance among vaccine-hesitant parents (VHPs) and visit experience among VHPs and their health care providers.

Conditions

• Preventive Health Services (PREV HEALTH SERV)

Interventions

BEHAVIORAL

Experimental: PIVOT with MI

Providers in participating intervention clinics will be trained in the PIVOT-MI strategy in which a presumptive format is used to initiate the childhood vaccine recommendation with all parents followed by use of motivational interviewing (MI) with parents who voice resistance to that recommendation. Parent participants will receive PIVOT-MI.

OTHER

Active Comparator: Control

Providers at participating control clinics will deliver care as usual. Parent participants will receive standard care.

Sponsors & Collaborators

• University of Missouri, Kansas City

  collaborator OTHER

• Portland State University

  collaborator OTHER

• University of Washington

  collaborator OTHER

• Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

  collaborator NIH

• National Institutes of Health (NIH)

  collaborator NIH

• Seattle Children's Hospital

  collaborator OTHER

• Children's Mercy Hospital Kansas City

  collaborator OTHER

• University of Colorado, Denver

  lead OTHER

Principal Investigators

• Sean O'Leary, MD, MPH · University of Colorado, Denver

• Douglas Opel, MD, MPH · Seattle Children's Hospital

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

DOUBLE

Model

PARALLEL

Eligibility

Min Age

1 Day

Max Age

18 Months

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2019-09-01

Primary Completion

2023-05-17

Completion

2024-07-31

Countries

• United States

Study Locations