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First published on July 21, 2006, doi:10.1177/1090198106288996

Health Education & Behavior 2006;33:787.

A more recent version of this article appeared on December 1, 2006

Article

Vaccine Risk/Benefit Communication: Effect of an Educational Package for Public Health Nurses

Terry C. Davis, PhD1*, Doren D. Fredrickson, MD, PhD, FAAP, FACPM2, Estela M. Kennen, MA1, Sharon G. Humiston, MD, MPH3, Connie L. Arnold, PhD1, Mackey S. Quinlin, BS1, Joseph A. Bocchini Jr., MD1

1 Louisiana State University Health Sciences Center, Shreveport.
2 University of Kansas School of Medicine, Wichita.
3 University of Rochester School of Medicine and Dentistry, New York.

* To whom correspondence should be addressed. E-mail: tdavis1{at}lsuhsc.edu..


  Abstract

The purpose of this study was to determine whether an in-service for public health nurses (PHNs) and accompanying educational materials could improve vaccine risk/benefit communication. The content and timing of vaccine communication were recorded during 246 pre- and 217 postintervention visits in two public health immunization clinics. Pre-/postintervention comparisons showed PHN communication of severe side effects (13% vs. 44%, p < .0001) and their management (29% vs. 60%, p < .0001) increased. There was no significant change in discussion of vaccine benefits (48% vs. 51%) or common side effects (91% vs. 92%), screening for contraindications (71% vs. 77%), or distribution of written information (89% vs. 92%). More parents initiated vaccine questions postintervention (27% vs. 39%, p < .01) and were more satisfied with vaccine-risk communication (8.1 vs. 8.9 on a 10-point scale, p < .01). Average vaccine communication time increased from 16 to 22 seconds (p < .01).

Key Words: childhood immunization, public health, health education, risk communication, literacy


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