Talking with Parents about Vaccines for Infants Tuesday, August 14, - PDF document

8/14/2018 Talking with Parents about Vaccines for Infants Tuesday, August 14, 2018 12:00 PM ET In Case of Technical Difficulties  If you hear an echo:  Make sure you are only logged in once on your computer  Select one form of audio only (either computer speakers or telephone connection)  If the audio is choppy:  Press pause in the top left corner of your screen  Wait 10 seconds and then click play  Dial 800 ‐ 843 ‐ 9166 at any time for live assistance 1

8/14/2018 Agenda Welcome and Introductions William Schaffner, MD, NFID Medical Director Professor of Preventive Medicine and Infectious Diseases Vanderbilt University School of Medicine Talking to Parents about Vaccines for Infants Jenny Mullen, MPH Health Communication Specialist National Center for Immunization and Respiratory Diseases Centers for Disease Control and Prevention Nathan E. Boonstra, MD General Pediatrician Blank Children’s Hospital Questions and Answers General Information  Please note that this webinar is being recorded  All phone lines will be placed on mute throughout the program  To hear audio:  Computer: Follow directions  Phone: 303 ‐ 248 ‐ 0285; Access Code 6560003  After the presentations, there will be a Question and Answer period  Use the Chat box on the lower left side of your screen to type your question  At the end of the webinar, participants will be directed to an online evaluation  Following the webinar, registered participants will receive an email with a link to the presentation slides 2

8/14/2018 CME Credit & Evaluation  The National Foundation for Infectious Diseases (NFID) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education (CME) for physicians.  NFID designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit TM .  To receive credit, you must complete the online evaluation and pass the post ‐ test with a score of 80% or higher  Online evaluation and post ‐ test will be available following the webinar at: bit.ly/TalkingwithParents ‐ 0814  Certificate will be available for print or download following successful completion of online evaluation and post ‐ test until August 14, 2019 CPE Credit & Evaluation  The National Association of Chain Drug Stores (NACDS) is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. NACDS designates this enduring material as 1.0 contact hours of ACPE accredited continuing education. Talking with Parents about Vaccines for Infants (ACPE Universal Activity # 0206 ‐ 9999 ‐ 18 ‐ 018 ‐ L04 ‐ P. Initial Release Date: 08/14/2018).  To receive contact hour credit, you must complete the online evaluation and pass the post ‐ test with a score of 80% or higher  Online evaluation and post ‐ test will be available following the webinar at: nacds.learnercommunity.com/home 3

8/14/2018 Disclosures  Marla Dalton (NFID staff, content reviewer) owns stock, stock options, patent, or other intellectual property from Merck & Co., Inc.  William Schaffner (NFID medical director, presenter) serves as an advisor or consultant for Dynavax, Merck & Co., Inc., Pfizer Inc., Seqirus, and SutroVax  All other individuals in a position to control the content of this activity have no relevant financial relationships to disclose Presentation Image Rights  Photographs and images included in this presentation are licensed solely for CDC/NCIRD online and presentation use. No rights are implied or extended for use in printing or any use by other CDC Centers, Institute, and Offices or any external audiences. 4

8/14/2018 Learning Objectives At the conclusion of this activity, participants will be able to:  Describe key findings of CDC vaccine communication research with parents of children less than two years of age  List three steps in effective vaccine conversations with parents  Summarize common questions that parents ask about infant vaccines  Identify immunization communication resources for healthcare professionals and parents About NFID Non ‐ profit 501(c)(3) organization dedicated to educating the public and healthcare professionals about causes, prevention, and treatment of infectious diseases across the lifespan  Reaches consumers, healthcare professionals, and media through:  Coalition ‐ building activities  Public outreach initiatives  Professional educational programs (ACCME accreditation with commendation)  Scientific meetings, research, and training  Longstanding partnerships to facilitate rapid program initiation and increase programming impact  Flexible and nimble organization 5

8/14/2018 Talking with Parents about Vaccines for Infants Jenny Mullen, MPH Health Communication Specialist National Center for Immunization and Respiratory Diseases Centers for Disease Control and Prevention CDC Research with Parents of Infants & Young Children  National Immunization Survey (annual)  Online polls (periodic)  Cognitive interviews (periodic)  Longitudinal study of first time expectant moms (2014 ‐ 2016) 6

8/14/2018 Vaccine Coverage among Children 19 ‐ 35 Months, National Immunization Survey, US, 1994 ‐ 2016 Very Few US Toddlers Have Received No Vaccines Healthy People 2020 Goal: <1% 1 0 2009 2010 2011 2012 2013 2014 2015 2016 7

8/14/2018 CDC Longitudinal Study of First Time Expectant Moms  Initial survey showed that over 85% of respondents had already made a plan for vaccinating their baby by their 2 nd trimester  However, only 6% of the women were very satisfied with their current level of knowledge about childhood vaccines  Internet search engines were their #1 source of information about childhood vaccines during pregnancy  Only 22.5% cited their ob ‐ gyn or primary care provider  Results suggest a need for midwives and ob ‐ gyns to direct expectant women to credible sources of childhood immunization information Parents’ Reported Vaccination Behavior 2016 (n=2,510) My child received all of his/her vaccines at the time(s) they were 86.1% recommended My child has not received all of his/her vaccines at the time(s) they were 2.3% recommended but I am actively working to catch up I chose to delay, or get later, one or more, but not all of the 5.8% recommended vaccines at the time(s) they were recommended I chose to delay all of the recommended vaccines at the time(s) they 0.6% were recommended I chose to refuse, or never get, one or more, but not all, of the 2.3% recommended vaccines at the time(s) they were recommended I chose to refuse and delay some of the vaccines for my child at the 1.4% time(s) they were recommended I chose to refuse all of the recommended vaccines at the time(s) they 1.6% were recommended CDC National Poll of Parents 2016 (unpublished data ) 8

8/14/2018 Vaccine Questions & Concerns 2016 Weighted Frequencies (n=2,510) Long ‐ term side effects from shots 30.1% Short ‐ term side effects from shots (e.g., fever, redness, etc.) 27.8% What ingredients are in vaccines 26.0% Whether vaccine ingredients are safe 24.5% The risks of combining vaccines together into one shot 22.6% 21.1% What are the side effects I should look for 21.1% Can it be delayed until they are older 20.5% Does the child really need it 19.9% Has provider vaccinated his/her own child 18.6% Is it required or optional for daycare/school 17.3% Does provider recommend it 16.2% Usually don’t ask questions 15.9% How serious is the disease it prevents* CDC National Poll of Parents 2016 (unpublished data ) Trusted Vaccine Information Sources 2016 First Second Third (n=2,511) choice choice choice Doctor or other Healthcare 1 94.9% 0% 0% Professional (HCP) 2 Family members 1.7% 41.3% 0% 3 Scientific or medical journal 0.4% 6.9% 29.6% 4 Internet 1.1% 14.9% 8.1% 5 Friends 0.7% 3.5% 14.4% 6 Books 0.1% 4.6% 3.7% Media 7 0.1% 2.5% 2.5% (magazines, newspapers, etc.) Other 0.5% 0.4% 2.7% 8 Celebrity or public figure 0.2% 0.1% 0.1% 9 CDC National Poll of Parents 2016 (unpublished data) 9

8/14/2018 Summary  Most women we surveyed made decisions about childhood vaccines while they were pregnant  Most parents vaccinate or intend to vaccinate their infants according to the CDC recommended schedule  About 10 ‐ 11% of parents intend to space out or refuse at least some vaccines  Parents’ attitudes about childhood vaccines have remained consistently positive on a national level  Parents do have questions and concerns about vaccines, but questions do not necessarily equal concerns  Parents have questions regardless of their immunization plans  The most common questions relate to side effects, vaccine ingredients, and vaccine safety  HCPs remain parents’ #1 trusted source of vaccine information Talking with Parents about Vaccines for Infants Nathan E. Boonstra, MD General Pediatrician Blank Children’s Hospital Des Moines, IA 10

8/14/2018 Anatomy of a Vaccine Conversation Talking with Parents about Vaccines for Infants: www.cdc.gov/vaccines/hcp/conversations/talking ‐ with ‐ parents.html 1. Assume Parents Will Vaccinate  Use a presumptive approach  Some studies suggests that this results in higher vaccine acceptance rates  Instead of saying “What do you want to do about shots?” say “Your child needs three shots today.”  Instead of saying “Have you thought about the shots your child needs today?” say “Your child needs DTaP, Hib, and Hepatitis B shots today.”  NOTE: This does not mean pushing or pressing parents to vaccinate 11