Vaccine communication training using the Brief Motivational Interviewing for Maternal Immunization intervention: A...

Area of Science:

• Implementation Science
• Maternal Health
• Public Health Interventions

Background:

• Effective clinician-patient communication is crucial for increasing vaccination rates during pregnancy.
• The Motivational Interviewing for Maternal Immunizations (MI4MI) intervention aims to enhance vaccine communication.
• Understanding the implementation context and adaptations is key for intervention success.

Purpose of the Study:

• To evaluate adaptations and pragmatism of the MI4MI intervention.
• To describe implementation outcomes using the Practical Robust Implementation and Sustainability Model (PRISM).
• To assess clinician and staff participant experiences with MI4MI.

Main Methods:

• Mixed-methods approach using quantitative (surveys, chart reviews) and qualitative (interviews, focus groups) data.
• Evaluation of adaptations using the Framework for Reporting Adaptations and Modifications-Enhanced (FRAME).
• Pragmatism assessed using the PRagmatic Explanatory Continuum Indicator Summary (PRECIS-2).

Main Results:

• MI4MI improved clinician and patient vaccine communication experiences.
• Adoption was constrained by the recruitment strategy; implementation was shaped by contextual factors, including the COVID-19 pandemic.
• Virtual asynchronous delivery yielded varied adoption and implementation effects across sites and participants.

Conclusions:

• MI4MI demonstrated relative pragmatism, but contextual factors significantly influenced its implementation.
• Participants expressed interest in continuing MI4MI, yet sustainability infrastructure requires further development.
• Future MI4MI iterations should optimize training and incentives, and effectiveness studies comparing virtual and hybrid strategies are warranted.