title: Effects of vaccine information pamphlets on parents' attitudes.
abstract: OBJECTIVE
  To describe how parents actually use federally mandated vaccine information pamphlets and to evaluate the pamphlets' effects on parents' opinions about vaccination.
  
  
  METHODS
  A controlled trial of vaccine information pamphlets based on a survey mailed to parents who either received (n = 140) or did not receive (n = 167) the pamphlets.
  
  
  METHODS
  Parents of infants aged 2 to 8 months in a suburban, mainly upper-middle class private group practice in northern California.
  
  
  RESULTS
  More than 90% of parents believed that they had enough information to decide whether their child should be vaccinated, even among those who did not receive the pamphlets. Among parents who received the pamphlets, fewer than half (38%) read them thoroughly, and most (63%) said that they should be distributed only on the first visit for vaccinations. Parents who received the pamphlets did not differ from those who did not in terms of the proportions who would have liked more time to be spent discussing vaccines (34% vs 34%) or who were anxious about how the diphtheria and tetanus toxoids and pertussis vaccine would affect their child (60% vs 52%).
  
  
  CONCLUSIONS
  Vaccine information pamphlets, when used as an adjunct to discussions with physicians and nurses, have little effect on the opinions of well-educated parents. Future research and policy changes might focus on how to make the contents of the pamphlets less frightening and on allowing greater flexibility in how they are distributed.
authors.affiliation: Robert Wood Johnson Clinical Scholars Program, University of California-San Francisco.
authors.forename: T A
authors.initials: TA
authors.lastname: Lieu
authors.forename: J H
authors.initials: JH
authors.lastname: Glauber
authors.forename: E
authors.initials: E
authors.lastname: Fuentes-Afflick
authors.forename: B
authors.initials: B
authors.lastname: Lo
mesh_terms: D000328:Adult; D001294:Attitude to Health; D002140:California; D004522:Educational Status; D005190:Family; D006266:Health Education / Q000379:methods*; D006801:Humans; D007223:Infant; D010174:Pamphlets; D010290:Parents / Q000193:education / Q000523:psychology*; D013383:Suburban Population; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000523:psychology*