title: Parental experiences with vaccine information statements: Implications for timing, delivery, and parent-provider immunization communication.
abstract: We examined Vaccine Information Statements (VIS) dissemination practices and parental use and perceptions.
  
  
  
  We conducted a national online panel survey of 2603 US parents of children aged <7. Primary outcomes included reported VIS receipt, delivery timing, reading experiences, and perceived utility.
  
  
  
  Most parents received a VIS (77.2%; [95% CI: 74.5-79.7%]), 59.7% [56.6-62.7%] before vaccination but 14.5% [12.5-16.8%] reported receiving it after their child's immunization; 15.1% [13.0-17.6%] were unsure of receipt status or timing; another 10.7% [9.0-12.6%] reported non-receipt of a VIS. Less than half who received a VIS before vaccination completed it before vaccination (46.2% [42.4, 50.0%]), but most who read at least some found the information useful (95.7% [93.8-97.0%]). Parents who delayed or refused at least one recommended non-influenza vaccine reported fewer opportunities to ask providers VIS questions.
  
  
  
  Most parents report receiving VIS before vaccination as per federal guidelines. Continued effort is needed to enhance VIS distribution practice and parent-provider VIS content communication.
authors: Emory University School of Medicine, Department of Medicine, Division of Infectious Diseases, United States; Emory University, Rollins School of Public Health, Department of Behavioral Sciences and Health Education, United States; Emory University, Rollins School of Public Health, Hubert Department of Global Health, United States; U.S. Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, United States. Electronic address: pfrew@emory.edu.
authors: Paula M
authors: PM
authors: Frew
authors: Oak Ridge Institute for Science and Education (ORISE), United States.
authors: Yunmi
authors: Y
authors: Chung
authors: U.S. Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, United States.
authors: Allison Kennedy
authors: AK
authors: Fisher
authors: Oak Ridge Institute for Science and Education (ORISE), United States.
authors: Jay
authors: J
authors: Schamel
authors: U.S. Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, United States.
authors: Michelle M
authors: MM
authors: Basket
mesh_terms: D000328:Adult; D002648:Child; D002675:Child, Preschool; D003142:Communication; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007114:Immunization; D008297:Male; D008875:Middle Aged; D010290:Parents; D010342:Patient Acceptance of Health Care; D011795:Surveys and Questionnaires; D000072758:Vaccination Refusal; D014612:Vaccines / Q000009:adverse effects; D055815:Young Adult
chemical_list: D014612:Vaccines
keywords: Children; Parents; Pediatric populations; Vaccine acceptability; Vaccine confidence; Vaccine delay; Vaccine hesitancy; Vaccine information statement; Vaccine refusal