'presumptively Initiating Vaccines and Optimizing Talk with Motivational Interviewing' (PIVOT with MI) Trial: a Protocol for a Cluster Randomised Controlled Trial of a Clinician Vaccine Communication Intervention.
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A key contributor to underimmunisation is parental refusal or delay of vaccines due to vaccine concerns. Many clinicians lack confidence in communicating with vaccine-hesitant parents (VHP) and perceive that their discussions will do little to change parents' minds. Improving clinician communication with VHPs is critical to increasing childhood vaccine uptake.