title: Attitudes and beliefs of parents concerned about vaccines: impact of timing of immunization information.
abstract: OBJECTIVE
  To determine if giving vaccine-information materials before the 2-month vaccination visit to mothers with concerns about vaccine safety positively changed their attitudes and beliefs about vaccine safety.
  
  
  METHODS
  Mothers who indicated concerns about infant vaccinations were recruited from 2 separate sites in Tennessee and California and were given vaccine information at 1 of 3 times: during a prenatal visit; a 1-week postpartum well-child visit; or a 2-month vaccination visit. A separate group of concerned mothers was assigned to be followed longitudinally at all 3 time points and was analyzed separately. The mothers reviewed a new vaccine-information pamphlet and Vaccine Information Statements (VIS) from the Centers for Disease Control and Prevention. Attitudes and beliefs about immunization were assessed both before and after the review of materials with written surveys.
  
  
  RESULTS
  A total of 272 mothers with immunization concerns participated in the study. After review of the materials, mothers in all groups were significantly more likely to respond positively to questions and statements supporting the safety and importance of vaccines. Mothers who received this information at earlier visits were not significantly more likely to respond positively than mothers who received the information at the child's 2-month vaccination visit; however, participating mothers did indicate a preference for receiving vaccine information before the first vaccination visit.
  
  
  CONCLUSIONS
  Distribution of the vaccine-information pamphlet and Vaccine Information Statements significantly improved attitudes about vaccination regardless of at what visit they were provided. Allowing adequate time to review vaccine information, even if done at the vaccination visit, may benefit concerned mothers.
authors.affiliation: National Vaccine Program Office, US Department of Health and Human Services, Washington, DC, USA. kvannice@jhsph.edu
authors.forename: Kirsten S
authors.initials: KS
authors.lastname: Vannice
authors.forename: Daniel A
authors.initials: DA
authors.lastname: Salmon
authors.forename: Irene
authors.initials: I
authors.lastname: Shui
authors.forename: Saad B
authors.initials: SB
authors.lastname: Omer
authors.forename: Jennifer
authors.initials: J
authors.lastname: Kissner
authors.forename: Kathryn M
authors.initials: KM
authors.lastname: Edwards
authors.forename: Robert
authors.initials: R
authors.lastname: Sparks
authors.forename: Cornelia L
authors.initials: CL
authors.lastname: Dekker
authors.forename: Nicola P
authors.initials: NP
authors.lastname: Klein
authors.forename: Deborah A
authors.initials: DA
authors.lastname: Gust
mesh_terms: D000328:Adult; D002140:California; D003469:Culture; D005260:Female; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D017589:Immunization Programs / Q000592:standards* / Q000639:trends; D007115:Immunization Schedule; D007223:Infant; D008297:Male; D009035:Mothers / Q000523:psychology*; D018570:Risk Assessment; D013714:Tennessee; D013997:Time Factors; D014611:Vaccination / Q000592:standards / Q000639:trends; D014612:Vaccines / Q000008:administration & dosage* / Q000009:adverse effects; D055815:Young Adult
chemical_list: D014612:Vaccines