Cargando…
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...
Autores principales: | , , , , , , , , , , , |
---|---|
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 |
_version_ | 1784874960389406720 |
---|---|
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. |
format | Online Article Text |
id | pubmed-9861912 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT fisherwilliama continuingmedicaleducationimprovesphysiciancommunicationskillsandincreaseslikelihoodofpediatricvaccinationfindingsfromthepediatricinfluenzavaccinationoptimizationtrialpivotii AT gilcavladimir continuingmedicaleducationimprovesphysiciancommunicationskillsandincreaseslikelihoodofpediatricvaccinationfindingsfromthepediatricinfluenzavaccinationoptimizationtrialpivotii AT murtimichelle continuingmedicaleducationimprovesphysiciancommunicationskillsandincreaseslikelihoodofpediatricvaccinationfindingsfromthepediatricinfluenzavaccinationoptimizationtrialpivotii AT orthalison continuingmedicaleducationimprovesphysiciancommunicationskillsandincreaseslikelihoodofpediatricvaccinationfindingsfromthepediatricinfluenzavaccinationoptimizationtrialpivotii AT garfieldhartley continuingmedicaleducationimprovesphysiciancommunicationskillsandincreaseslikelihoodofpediatricvaccinationfindingsfromthepediatricinfluenzavaccinationoptimizationtrialpivotii AT roumeliotispaul continuingmedicaleducationimprovesphysiciancommunicationskillsandincreaseslikelihoodofpediatricvaccinationfindingsfromthepediatricinfluenzavaccinationoptimizationtrialpivotii AT rampakakisemmanouil continuingmedicaleducationimprovesphysiciancommunicationskillsandincreaseslikelihoodofpediatricvaccinationfindingsfromthepediatricinfluenzavaccinationoptimizationtrialpivotii AT brownvivien continuingmedicaleducationimprovesphysiciancommunicationskillsandincreaseslikelihoodofpediatricvaccinationfindingsfromthepediatricinfluenzavaccinationoptimizationtrialpivotii AT yaremkojohn continuingmedicaleducationimprovesphysiciancommunicationskillsandincreaseslikelihoodofpediatricvaccinationfindingsfromthepediatricinfluenzavaccinationoptimizationtrialpivotii AT vanbuynderpaul continuingmedicaleducationimprovesphysiciancommunicationskillsandincreaseslikelihoodofpediatricvaccinationfindingsfromthepediatricinfluenzavaccinationoptimizationtrialpivotii AT boikosconstantina continuingmedicaleducationimprovesphysiciancommunicationskillsandincreaseslikelihoodofpediatricvaccinationfindingsfromthepediatricinfluenzavaccinationoptimizationtrialpivotii AT mansijamesa continuingmedicaleducationimprovesphysiciancommunicationskillsandincreaseslikelihoodofpediatricvaccinationfindingsfromthepediatricinfluenzavaccinationoptimizationtrialpivotii |