The Experts below are selected from a list of 19269 Experts worldwide ranked by ideXlab platform
Douglas J Opel - One of the best experts on this subject based on the ideXlab platform.
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Parental vaccine hesitancy and declination of influenza vaccination among hospitalized children
Hospital pediatrics, 2018Co-Authors: Annika M Hofstetter, Douglas J Opel, Tamara D Simon, Katherine Lepere, Daksha Ranade, Bonnie Strelitz, Janet A EnglundAbstract:OBJECTIVES: Parents frequently decline the influenza vaccine for their child during hospitalization. In this study, we aimed to assess the role of vaccine hesitancy in these declinations. METHODS: This cross-sectional survey study was conducted among English-speaking Parents of influenza vaccine-eligible children who were hospitalized between October 2014 and April 2015. Between July 2015 and September 2015, Parents were recruited via mail to complete the validated Parent Attitudes about Childhood Vaccines (PACV) survey (modified for influenza vaccination). PACV scores (0–100 scale) were dichotomized into scores of ≥50 (hesitant) and RESULTS: Of 199 Parents (18% response rate), 24% were vaccine hesitant and 53% declined the influenza vaccine for their child during hospitalization. Vaccine hesitancy (versus nonhesitancy) was associated with declining influenza vaccination (adjusted odds ratio: 6.4; 95% confidence interval: 2.5–16.5). The declination reason differed by vaccine hesitancy status, with a higher proportion of Parents who were hesitant versus nonhesitant reporting “vaccine concern” or “vaccine unnecessary.” CONCLUSIONS: Vaccine hesitancy was prevalent in this limited sample of Parents of hospitalized children and associated with influenza vaccine declination. Additional investigation in a large, diverse, prospectively recruited cohort is warranted given the potential sampling bias present in this study.
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The Relationship Between Parent Attitudes About Childhood Vaccines Survey Scores and Future Child Immunization Status: A Validation Study
JAMA pediatrics, 2013Co-Authors: Douglas J Opel, James A Taylor, Sheryl L Catz, Chuan Zhou, Mon Myaing, Rita Mangione-smithAbstract:Importance Acceptance of childhood vaccinations is waning, amplifying interest in developing and testing interventions that address Parental barriers to immunization acceptance. Objective To determine the predictive validity and test-retest reliability of the Parent Attitudes About Childhood Vaccines survey (PACV), a recently developed measure of vaccine hesitancy. Design, Setting, and Participants Prospective cohort of English-speaking Parents of children aged 2 months and born from July 10 through December 10, 2010, who belonged to an integrated health care delivery system based in Seattle and who returned a completed baseline PACV. Parents who completed a follow-up survey 8 weeks later were included in the reliability analysis. Parents who remained continuous members in the delivery system until their child was 19 months old were included in the validity analysis. Exposure The PACV, scored on a scale of 0 to 100 (100 indicates high vaccine hesitancy). Main Outcomes and Measures Child’s immunization status as measured by the percentage of days underimmunized from birth to 19 months of age. Results Four hundred thirty-seven Parents completed the baseline PACV (response rate, 50.5%), and 220 (66.5%) completed the follow-up survey. Of the 437 Parents who completed a baseline survey, 310 (70.9%) maintained continuous enrollment. Compared with Parents who scored less than 50, Parents who scored 50 to 69 on the survey had children who were underimmunized for 8.3% (95% CI, 3.6%-12.8%) more days from birth to 19 months of age; those who scored 70 to 100, 46.8% (40.3%-53.3%) more days. Baseline and 8-week follow-up PACV scores were highly concordant (ρ = 0.844). Conclusions and Relevance Scores on the PACV predict childhood immunization status and have high reliability. Our results should be validated in different geographic and demographic samples of Parents.
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development of a survey to identify vaccine hesitant Parents the Parent Attitudes about childhood vaccines survey
Human Vaccines, 2011Co-Authors: Douglas J Opel, Rita Mangionesmith, James A Taylor, Carolyn Korfiatis, Cheryl Wiese, Sheryl L Catz, Diane P MartinAbstract:Objective: To develop a survey to accurately assess Parental vaccine hesitancy.Results: The initial survey contained 17 items in four content domains: (1) immunization behavior; (2) beliefs about vaccine safety and efficacy; (3) Attitudes about vaccine mandates and exemptions; and (4) trust. Focus group data yielded an additional 10 survey items. Expert review of the survey resulted in the deletion of nine of 27 items and revisions to 11 of the remaining 18 survey items. Parent pretesting resulted in the deletion of one item, the addition of one item, the revision of four items, and formatting changes to enhance usability. The final survey contains 18 items in the original four content domains.Methods: An iterative process was used to develop the survey. First, we reviewed previous studies and surveys on Parental health beliefs regarding vaccination to develop content domains and draft initial survey items. Focus groups of Parents and pediatricians generated additional themes and survey items. Six immuniz...
Rita Mangione-smith - One of the best experts on this subject based on the ideXlab platform.
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The Relationship Between Parent Attitudes About Childhood Vaccines Survey Scores and Future Child Immunization Status: A Validation Study
JAMA pediatrics, 2013Co-Authors: Douglas J Opel, James A Taylor, Sheryl L Catz, Chuan Zhou, Mon Myaing, Rita Mangione-smithAbstract:Importance Acceptance of childhood vaccinations is waning, amplifying interest in developing and testing interventions that address Parental barriers to immunization acceptance. Objective To determine the predictive validity and test-retest reliability of the Parent Attitudes About Childhood Vaccines survey (PACV), a recently developed measure of vaccine hesitancy. Design, Setting, and Participants Prospective cohort of English-speaking Parents of children aged 2 months and born from July 10 through December 10, 2010, who belonged to an integrated health care delivery system based in Seattle and who returned a completed baseline PACV. Parents who completed a follow-up survey 8 weeks later were included in the reliability analysis. Parents who remained continuous members in the delivery system until their child was 19 months old were included in the validity analysis. Exposure The PACV, scored on a scale of 0 to 100 (100 indicates high vaccine hesitancy). Main Outcomes and Measures Child’s immunization status as measured by the percentage of days underimmunized from birth to 19 months of age. Results Four hundred thirty-seven Parents completed the baseline PACV (response rate, 50.5%), and 220 (66.5%) completed the follow-up survey. Of the 437 Parents who completed a baseline survey, 310 (70.9%) maintained continuous enrollment. Compared with Parents who scored less than 50, Parents who scored 50 to 69 on the survey had children who were underimmunized for 8.3% (95% CI, 3.6%-12.8%) more days from birth to 19 months of age; those who scored 70 to 100, 46.8% (40.3%-53.3%) more days. Baseline and 8-week follow-up PACV scores were highly concordant (ρ = 0.844). Conclusions and Relevance Scores on the PACV predict childhood immunization status and have high reliability. Our results should be validated in different geographic and demographic samples of Parents.
Nadia Dowshen - One of the best experts on this subject based on the ideXlab platform.
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Attitudes toward fertility preservation among transgender youth and their Parents
Journal of Adolescent Health, 2020Co-Authors: Rebecca Persky, Siobhan Gruschow, Ninet Sinaii, Claire A Carlson, Jill P Ginsberg, Nadia DowshenAbstract:Abstract Purpose While gender-affirming hormones (GAH) may impact the fertility of transgender and gender diverse (TGGD) youth, few pursue fertility preservation (FP). The objective of this study is to understand youth and Parent Attitudes toward FP decision-making. Methods This study is a cross-sectional survey of youth and Parents in a pediatric, hospital-based gender clinic from April to December 2017. Surveys were administered electronically, containing 34 items for youth and 31 items for Parents regarding desire for biological children, willingness to delay GAH for FP, and factors influencing FP decisions. Results The mean age of youth (n = 64) was 16.8 years, and 64% assigned female at birth; 46 Parents participated. Few youth (20%) and Parents (13%) found it important to have biological children or grandchildren, and 3% of youth and 33% of Parents would be willing to delay GAH for FP. The most common factor influencing youth FP decision-making was discomfort with a body part they do not identify with (69%), and for the Parents, whether it was important to their child (61%). In paired analyses, youth and their Parents answered similarly regarding youth desire for biological children and willingness to delay GAH for FP. Conclusions The majority of TGGD youth and Parents did not find having biological offspring important and were not willing to delay GAH for FP. Discomfort with reproductive anatomy was a major influencing factor for youth FP decision-making and their child's wishes was a major factor for Parents. Future qualitative research is needed to understand TGGD youth and Parent Attitudes toward FP and to develop shared decision-making tools.
Benjamin Lê Cook - One of the best experts on this subject based on the ideXlab platform.
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Receiving advice about child mental health from a primary care provider: African American and Hispanic Parent Attitudes.
Medical care, 2007Co-Authors: Jonathan D. Brown, Lawrence S. Wissow, Ciara Zachary, Benjamin Lê CookAbstract:Background: Primary care providers (PCPs) play a critical role in the identification and treatment of child and adolescent mental health problems but few studies have examined Parents' Attitudes on receiving advice about child mental health from a PCP and whether Attitudes are associated with race or ethnicity. Objective: To determine if race and ethnicity were associated with Parents' Attitudes on receiving advice about child mental health from a PCP. Subjects: Data were collected during 773 visits to 54 PCPs in 13 diverse clinics. Families were 56.5% white, 33.3% African American, and 10.1% Hispanic. Measures: The Parent reported Attitudes associated with receiving advice about child mental health from the PCP. The Parent completed the Strengths and Difficulties Questionnaire to report youth mental health. PCPs completed measures of psychosocial orientation, confidence in mental health treatment skills, and the accessibility of mental health specialists. Results: Hispanics were more likely than Non-Hispanics to agree that PCPs should treat child mental health and were more willing to allow their child to receive medications or visit a therapist for a mental health problem if recommended by the PCP. African Americans were significantly less willing than whites and Hispanics to allow their child to receive medication for mental health but did not differ in their willingness to visit a therapist. Conclusions: Race and ethnicity were associated with Parents' Attitudes on receiving advice about child mental health from a PCP. Primary care may be a good point of intervention for Hispanic youth with mental health needs.
James A Taylor - One of the best experts on this subject based on the ideXlab platform.
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The Relationship Between Parent Attitudes About Childhood Vaccines Survey Scores and Future Child Immunization Status: A Validation Study
JAMA pediatrics, 2013Co-Authors: Douglas J Opel, James A Taylor, Sheryl L Catz, Chuan Zhou, Mon Myaing, Rita Mangione-smithAbstract:Importance Acceptance of childhood vaccinations is waning, amplifying interest in developing and testing interventions that address Parental barriers to immunization acceptance. Objective To determine the predictive validity and test-retest reliability of the Parent Attitudes About Childhood Vaccines survey (PACV), a recently developed measure of vaccine hesitancy. Design, Setting, and Participants Prospective cohort of English-speaking Parents of children aged 2 months and born from July 10 through December 10, 2010, who belonged to an integrated health care delivery system based in Seattle and who returned a completed baseline PACV. Parents who completed a follow-up survey 8 weeks later were included in the reliability analysis. Parents who remained continuous members in the delivery system until their child was 19 months old were included in the validity analysis. Exposure The PACV, scored on a scale of 0 to 100 (100 indicates high vaccine hesitancy). Main Outcomes and Measures Child’s immunization status as measured by the percentage of days underimmunized from birth to 19 months of age. Results Four hundred thirty-seven Parents completed the baseline PACV (response rate, 50.5%), and 220 (66.5%) completed the follow-up survey. Of the 437 Parents who completed a baseline survey, 310 (70.9%) maintained continuous enrollment. Compared with Parents who scored less than 50, Parents who scored 50 to 69 on the survey had children who were underimmunized for 8.3% (95% CI, 3.6%-12.8%) more days from birth to 19 months of age; those who scored 70 to 100, 46.8% (40.3%-53.3%) more days. Baseline and 8-week follow-up PACV scores were highly concordant (ρ = 0.844). Conclusions and Relevance Scores on the PACV predict childhood immunization status and have high reliability. Our results should be validated in different geographic and demographic samples of Parents.
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development of a survey to identify vaccine hesitant Parents the Parent Attitudes about childhood vaccines survey
Human Vaccines, 2011Co-Authors: Douglas J Opel, Rita Mangionesmith, James A Taylor, Carolyn Korfiatis, Cheryl Wiese, Sheryl L Catz, Diane P MartinAbstract:Objective: To develop a survey to accurately assess Parental vaccine hesitancy.Results: The initial survey contained 17 items in four content domains: (1) immunization behavior; (2) beliefs about vaccine safety and efficacy; (3) Attitudes about vaccine mandates and exemptions; and (4) trust. Focus group data yielded an additional 10 survey items. Expert review of the survey resulted in the deletion of nine of 27 items and revisions to 11 of the remaining 18 survey items. Parent pretesting resulted in the deletion of one item, the addition of one item, the revision of four items, and formatting changes to enhance usability. The final survey contains 18 items in the original four content domains.Methods: An iterative process was used to develop the survey. First, we reviewed previous studies and surveys on Parental health beliefs regarding vaccination to develop content domains and draft initial survey items. Focus groups of Parents and pediatricians generated additional themes and survey items. Six immuniz...
