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Motivational interviewing for maternal Immunizations: Intervention development.

Jessica R Cataldi1, Mary E Fisher2, Sarah E Brewer2

  • 1Adult and Child Center for Outcomes Research and Delivery Science, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, CO, United States; Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.

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|November 12, 2022
PubMed
Summary
This summary is machine-generated.

This study developed and tested a communication training for obstetric providers to improve maternal immunization rates. The Motivational Interviewing for Maternal Immunizations (MI4MI) intervention was found relevant and useful, with suggestions for enhancement.

Keywords:
Maternal immunizationMotivational interviewingPregnancyVaccination

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Area of Science:

  • Public Health
  • Medical Education
  • Health Communication

Background:

  • Maternal immunization rates remain suboptimal, necessitating improved healthcare provider communication strategies.
  • Effective communication is crucial for addressing vaccine hesitancy and promoting uptake during pregnancy.

Purpose of the Study:

  • To develop and adapt a clinician communication training intervention for maternal immunizations.
  • To assess obstetrics and gynecology (ob-gyn) clinician and staff perspectives on the intervention's utility and fit within prenatal care.

Main Methods:

  • The Motivational Interviewing for Maternal Immunizations (MI4MI) intervention was designed, incorporating presumptive recommendations and motivational interviewing techniques.
  • Interviews and focus groups with ob-gyn clinicians and staff informed iterative adaptation of the virtual training components.
  • Training included interactive modules, videos, and addressed challenging vaccine conversations.

Main Results:

  • The virtual MI4MI training was adapted based on participant feedback, incorporating adult learning strategies and live-action videos.
  • Clinicians found the presumptive approach useful after initial resistance, and the training fit well within the prenatal context.
  • Participants desired more interactive elements, complex scenarios, and inclusion of non-clinician staff.

Conclusions:

  • The MI4MI training intervention is relevant and useful for ob-gyn clinicians and staff to improve maternal immunizations.
  • Recommendations for enhancing the training include increased interactivity, more complex scenarios, and broader staff involvement.