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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...

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Autores principales: Fisher, William A., Gilca, Vladimir, Murti, Michelle, Orth, Alison, Garfield, Hartley, Roumeliotis, Paul, Rampakakis, Emmanouil, Brown, Vivien, Yaremko, John, Van Buynder, Paul, Boikos, Constantina, Mansi, James A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9861912/
https://www.ncbi.nlm.nih.gov/pubmed/36679861
http://dx.doi.org/10.3390/vaccines11010017
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author Fisher, William A.
Gilca, Vladimir
Murti, Michelle
Orth, Alison
Garfield, Hartley
Roumeliotis, Paul
Rampakakis, Emmanouil
Brown, Vivien
Yaremko, John
Van Buynder, Paul
Boikos, Constantina
Mansi, James A.
author_facet Fisher, William A.
Gilca, Vladimir
Murti, Michelle
Orth, Alison
Garfield, Hartley
Roumeliotis, Paul
Rampakakis, Emmanouil
Brown, Vivien
Yaremko, John
Van Buynder, Paul
Boikos, Constantina
Mansi, James A.
author_sort Fisher, William A.
collection PubMed
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%; p = 0.007). The odds ratio for vaccination after visits with CME-trained physicians was 1.52 (95% confidence interval 1.09 to 2.12; p = 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.
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spelling pubmed-98619122023-01-22 Continuing Medical Education Improves Physician Communication Skills and Increases Likelihood of Pediatric Vaccination: Findings from the Pediatric Influenza Vaccination Optimization Trial (PIVOT)—II Fisher, William A. Gilca, Vladimir Murti, Michelle Orth, Alison Garfield, Hartley Roumeliotis, Paul Rampakakis, Emmanouil Brown, Vivien Yaremko, John Van Buynder, Paul Boikos, Constantina Mansi, James A. Vaccines (Basel) Article 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%; p = 0.007). The odds ratio for vaccination after visits with CME-trained physicians was 1.52 (95% confidence interval 1.09 to 2.12; p = 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. MDPI 2022-12-21 /pmc/articles/PMC9861912/ /pubmed/36679861 http://dx.doi.org/10.3390/vaccines11010017 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Fisher, William A.
Gilca, Vladimir
Murti, Michelle
Orth, Alison
Garfield, Hartley
Roumeliotis, Paul
Rampakakis, Emmanouil
Brown, Vivien
Yaremko, John
Van Buynder, Paul
Boikos, Constantina
Mansi, James A.
Continuing Medical Education Improves Physician Communication Skills and Increases Likelihood of Pediatric Vaccination: Findings from the Pediatric Influenza Vaccination Optimization Trial (PIVOT)—II
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 Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9861912/
https://www.ncbi.nlm.nih.gov/pubmed/36679861
http://dx.doi.org/10.3390/vaccines11010017
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